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        <Compensation>397567</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CPS INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>6409 QUAIL HOLLOW ROAD</AddressLine1>
            <City>MEMPHIS</City>
            <State>TN</State>
            <ZIPCode>38120</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHARMACY SERVICES</DescriptionOfServices>
        <Compensation>504532</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>6</NumberOfContractorsGT100K>
      <GovernmentGrants>115575</GovernmentGrants>
      <AllOtherContributions>224522</AllOtherContributions>
      <TotalContributions>340097</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Patient Service Revenue</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>22097946</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>22010768</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>87178</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>22097946</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>19598</TotalRevenueColumn>
        <ExclusionAmount>19598</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>36200</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>36200</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>36200</TotalRevenueColumn>
        <ExclusionAmount>36200</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Other>103668</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>41989</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>61679</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>61679</TotalRevenueColumn>
        <ExclusionAmount>61679</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>Misc. Income</Description>
        <TotalRevenueColumn>1065586</TotalRevenueColumn>
        <ExclusionAmount>1065586</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CAFETERIA INCOME</Description>
        <TotalRevenueColumn>416970</TotalRevenueColumn>
        <ExclusionAmount>416970</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>1482556</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>24038076</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>22010768</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>87178</UnrelatedBusinessRevenue>
        <ExclusionAmount>1600033</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1127251</Total>
        <ProgramServices>822735</ProgramServices>
        <ManagementAndGeneral>304516</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>7858728</Total>
        <ProgramServices>7313365</ProgramServices>
        <ManagementAndGeneral>545363</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>100277</Total>
        <ProgramServices>91252</ProgramServices>
        <ManagementAndGeneral>9025</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>933089</Total>
        <ProgramServices>849111</ProgramServices>
        <ManagementAndGeneral>83978</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>656084</Total>
        <ProgramServices>597036</ProgramServices>
        <ManagementAndGeneral>59048</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>177033</Total>
        <ManagementAndGeneral>177033</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>166083</Total>
        <ManagementAndGeneral>166083</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>92693</Total>
        <ManagementAndGeneral>92693</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>69820</Total>
        <ManagementAndGeneral>69820</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>0</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>383499</Total>
        <ManagementAndGeneral>383499</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>109629</Total>
        <ProgramServices>48136</ProgramServices>
        <ManagementAndGeneral>61493</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>41736</Total>
        <ProgramServices>41736</ProgramServices>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>1672804</Total>
        <ProgramServices>1651498</ProgramServices>
        <ManagementAndGeneral>21306</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>475619</Total>
        <ProgramServices>399911</ProgramServices>
        <ManagementAndGeneral>75708</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>TELEPHONE</Description>
        <Total>173284</Total>
        <ProgramServices>116769</ProgramServices>
        <ManagementAndGeneral>56515</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>3187433</Total>
        <ProgramServices>2462140</ProgramServices>
        <ManagementAndGeneral>725293</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROFESSIONAL FEES</Description>
        <Total>2619001</Total>
        <ProgramServices>2031562</ProgramServices>
        <ManagementAndGeneral>587439</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT MAINT RENTALS</Description>
        <Total>896628</Total>
        <ProgramServices>516054</ProgramServices>
        <ManagementAndGeneral>380574</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>4553728</Total>
        <ProgramServices>4553728</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>288087</Total>
        <ProgramServices>118143</ProgramServices>
        <ManagementAndGeneral>169944</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>25582506</Total>
        <ProgramServices>21613176</ProgramServices>
        <ManagementAndGeneral>3969330</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1200495</BOY>
        <EOY>381853</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1568944</BOY>
        <EOY>1476304</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1881743</BOY>
        <EOY>1780839</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>534918</BOY>
        <EOY>525261</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>452610</BOY>
        <EOY>321648</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>24381640</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>14004967</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>11384957</BOY>
        <EOY>10376673</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>118075</BOY>
        <EOY>97895</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>1179778</BOY>
        <EOY>1168705</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>18321520</BOY>
        <EOY>16129178</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2031911</BOY>
        <EOY>1703733</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>400000</BOY>
        <EOY>706000</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>1804904</BOY>
        <EOY>1503369</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>575480</BOY>
        <EOY>251282</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>4812295</BOY>
        <EOY>4164384</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>12271636</BOY>
        <EOY>10737189</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>1237589</BOY>
        <EOY>1227605</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>13509225</BOY>
        <EOY>11964794</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>18321520</BOY>
        <EOY>16129178</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="09000047" softwareVersion="2009v1.7">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="09000047" softwareVersion="2009v1.7">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="09000047" softwareVersion="2009v1.7">
      <Land>
        <InvestmentCostOrOtherBasis>399968</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>263836</OtherCostOrOtherBasis>
        <BookValue>663804</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>10981444</OtherCostOrOtherBasis>
        <Depreciation>4813923</Depreciation>
        <BookValue>6167521</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>520204</OtherCostOrOtherBasis>
        <Depreciation>188119</Depreciation>
        <BookValue>332085</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>12144837</OtherCostOrOtherBasis>
        <Depreciation>9002925</Depreciation>
        <BookValue>3141912</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>71351</OtherCostOrOtherBasis>
        <BookValue>71351</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>10376673</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>DEPOSITS</Description>
        <BookValue>300</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CD, MM &amp; RESTRICTED CASH</Description>
        <BookValue>1057687</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CASH WITH PAYING AGENT</Description>
        <BookValue>110718</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>1168705</TotalBookValueOtherAssets>
      <TotalRevenue>24038076</TotalRevenue>
      <TotalExpenses>25582506</TotalExpenses>
      <ExcessOrDeficitForYear>-1544430</ExcessOrDeficitForYear>
      <OtherAmount>80088</OtherAmount>
      <TotalAdjustments>80088</TotalAdjustments>
      <ExcessOrDeficitPerFS>-1464342</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>24187431</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>149355</OtherRevenues>
      <RevenueNotRptdF990>149355</RevenueNotRptdF990>
      <RevenueSubtotal>24038076</RevenueSubtotal>
      <TotalRevenuePerForm990>24038076</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>25651773</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>69267</OtherExpensesIncluded>
      <ExpensesNotRptdF990>69267</ExpensesNotRptdF990>
      <ExpensesSubtotal>25582506</ExpensesSubtotal>
      <TotalExpensesPerForm990>25582506</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d</Identifier>
        <ReturnReference>Part XIII, Line 2d: Other expenses and losses per audited F/S</ReturnReference>
        <Explanation>FOUNDATION EXPENSES $236289 LESS: CONSOL ELIMINATION $-167022</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d</Identifier>
        <ReturnReference>Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990</ReturnReference>
        <Explanation>FOUNDATION INTEREST INCOME $374 FOUNDATION CONTRIBUTION REVENUE $316003 LESS CONSOL ELIMINATIONS $-167022</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>FOUNDATION NET INCOME $80088</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="09000047" softwareVersion="2009v1.7">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>125.000000000</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent200D>X</Pcent200D>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>false</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>31973</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>31973</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>3076039</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2762012</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>314027</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01230</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>1762638</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>882504</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>880134</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03440</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>4870650</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3644516</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1226134</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04790</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>14065</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13555</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>510</NetCommunityBenefitExpense>
      </CommunityHealthServices>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>14065</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13555</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>510</NetCommunityBenefitExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>4884715</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3658071</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1226644</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04790</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>4553728</BadDebtExpenseAmount>
      <AmountAttributableTo>81629</AmountAttributableTo>
      <AmountReimbursedByMedicare>5586738</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>6638954</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-1052216</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>LOUISIANA HOMECARE</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>HOME HEALTH - VOTING %</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.51000</OrganizationProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>LOUISIANA HOMECARE</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>HOME HEALTH - PROFIT SHARE</DescriptionEntPrimaryActivity>
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      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>Industrial Medicine</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>119 Jefferson Street</AddressLine1>
          <City>Mansfield</City>
          <State>LA</State>
          <ZIPCode>71052</ZIPCode>
        </Address>
        <Other>Outpatient Physician Clinic</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>DESOTO REG FAMILY MEDICINE</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>130 JEFFERSON STREET</AddressLine1>
          <City>MANSFIELD</City>
          <State>LA</State>
          <ZIPCode>71052</ZIPCode>
        </Address>
        <Other>RURAL HEALTH CLINIC</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>DESOTO REG WELLNESS CTR</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>305 TEXAS STREET</AddressLine1>
          <City>MANSFIELD</City>
          <State>LA</State>
          <ZIPCode>71052</ZIPCode>
        </Address>
        <Other>FITNESS CENTER &amp; PHYSICAL THERAPY</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>DESOTO PHYSICIANS &amp; SURGEONS</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>119 JEFFERSON STREET</AddressLine1>
          <City>MANSFIELD</City>
          <State>LA</State>
          <ZIPCode>71052</ZIPCode>
        </Address>
        <Other>OUTPATIENT PHYSICIAN CLINIC</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>ZWOLLE RURAL CLINIC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2036 OBRIE STREET</AddressLine1>
          <City>ZWOLLE</City>
          <State>LA</State>
          <ZIPCode>71486</ZIPCode>
        </Address>
        <Other>RURAL HEALTH CLINIC</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>DRFM - LOGANSPORT</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>110 MAIN STREET</AddressLine1>
          <City>LOGANSPORT</City>
          <State>LA</State>
          <ZIPCode>71049</ZIPCode>
        </Address>
        <Other>RURAL HEALTH CLINIC</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>DESOTO REGIONAL HEALTH SYSTEM</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>207 JEFFERSON STREET</AddressLine1>
          <City>MANSFIELD</City>
          <State>LA</State>
          <ZIPCode>71052</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <BadDebtFootnote>Note 2 Credit Risk: The Hospital's estimate of collectibility is based on an analysis of aged accounts receivable to establish an allowance for uncollectible accounts.Note 4 Accounts Receivable: Estimated allowances for uncollectibles 2010 $3,949,000, 2009 $2,492,716. Note 18 Charity Care: The amount of charges foregone for services and supplies furnished under the Hospital's charity care policy aggregated $67,467 for fiscal year ended September 30, 2010.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>THE HOSPITAL ASSERTS THAT THE MAJORITY, IF NOT ALL, OF THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE HOSPITAL OFFERS QUALITY HEALTH CARE TO ALL PATIENTS REGARDLESS OF PAYMENT OR REIMBURSEMENT EXPECTATION. RESOURCES FOR MEDICARE PATIENTS VERSUS ALL OTHER PATIENTS ARE IDENTICAL BASED ON DIAGNOSIS.</ShortfallAsCommunityBenefit>
        <NumberOfFacilityTypeExpln>INPATIENT AND OUTPATIENT SERVICES, RURAL HEALTH CLINICS IN SMALL TOWNS WITH NO HOSPITALS, PHYSICIAN CLINICS, WELLNESS AND THERAPY CENTER, 24 HOUR EMERGENCY ROOM SERVICES</NumberOfFacilityTypeExpln>
        <PatientEducationAssistance>DRHS'S CHARITY CARE CRITERIA IS BASED ON FEDERAL POVERTY GUIDELINES. PATIENTS ARE CONSIDERED INDIGENT WHEN THEIR FAMILY INCOME LEVEL IS EQUAL TO OR LESS THAN 125% OF THE FEDERAL POVERTY GUIDELINES, THEY HAVE NO INSURANCE AND HAVE NO ASSETS. A PARTIAL INDIGENT/CHARITY WRITE-OFF MAY BE OBTAINED WHEN THE PATIENT'S FAMILY INCOME LEVEL IS 200% OR LOWER THAN THE FEDERAL POVERTY GUIDELINES. LIMITED PATIENT COOPERATION IN PROVIDING PERSONAL FINANCIAL INFORMATION RESULTS IN UNDER REPORTING OF INDIGENT CARE AND OVERSTATEMENT OF BAD DEBT EXPENSE.WHEN THE NEED FOR FINANCIAL ASSISTANCE IS IDENTIFIED, EITHER DURING THE ADMISSIONS OR COLLECTIONS PROCESS, PATIENTS ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. THEY ARE REFERRED TO THE PATIENT FINANCIAL COUNSELOR WHO WILL INFORM THEM ABOUT THE PROCESS OF APPLYING FOR ASSISTANCE USING THE GUARANTOR FINANCIAL STATEMENT FORM AND WHAT DOCUMENTATION IS REQUIRED TO BE ELIGIBLE FOR ASSISTANCE AND/OR CHARITY CARE.</PatientEducationAssistance>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="09000047" softwareVersion="2009v1.7">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>true</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>MICAH DAY MD</NamePerson>
        <BaseCompensationFilingOrg>315230</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5577</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>324307</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LEIGH DILLARD MD</NamePerson>
        <BaseCompensationFilingOrg>317170</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>5500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>9234</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>331904</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JEFFREY EVANS MD</NamePerson>
        <BaseCompensationFilingOrg>198191</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3533</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5427</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>207151</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DOUG SAWYER MD</NamePerson>
        <BaseCompensationFilingOrg>385490</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>27693</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>9454</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>422637</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DENIS KAMBEROV MD</NamePerson>
        <BaseCompensationFilingOrg>381526</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>21214</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12537</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>415277</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BEN LEGGIO MD</NamePerson>
        <BaseCompensationFilingOrg>296501</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12528</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>312529</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>ACCORDING TO AVAILABILITY OF GOVERNMENT RETURNS POLICY, CFO IS RESPONSIBLE FOR PUBLIC ACCESS TO INFORMATION RETURNS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>COMPENSATION FOR CEO,CFO AND KEY EMPLOYEES ARE APPROVED BY THE BOARD OF DIRECTORS AFTER RECOMMENDATION OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWS DATA FROM VARIOUS SOURCES INCLUDING INDUSTRY BENCHMARKS, CONSULTANTS AND MANAGEMENT COMPANY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>WRITTEN CONFLICT OF INTEREST AND DISCLOSURE POLICY IS DISTRIBUTED TO ALL APPROPRIATE PERSONS. ONCE A YEAR, EACH BOARD MEMBER, PHYSICIAN EMPLOYEE, CONTRACTED PHYSICIAN AND MANAGEMENT EMPLOYEE REVIEWS AND SIGNS THE CONFLICT OF INTEREST AND DISCLOSURE OF CERTAIN INTERESTS FORM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>IRS FORM 990 IS SUBMITTED IN DRAFT FORM TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL BEFORE SUBMISSION TO THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 3</Identifier>
        <ReturnReference>Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company</ReturnReference>
        <Explanation>DESOTO REGIONAL HEALTH SYSTEM ENTERED MANAGEMENT CONTRACT WITH HEALTHTECH TO PROVIDE CHIEF EXECUTIVE OFFICER WHO OVERSEES DAY-TO-DAY OPERATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>DRS EVANS, DILLARD AND SAWYER ARE EMPLOYEES OF DESOTO REGIONAL HEALTH SYSTEM.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="09000047" softwareVersion="2009v1.7">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DESOTO REGIONAL HEALTH SYSTEM FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>207 JEFFERSON STREET</AddressLine1>
          <City>MANSFIELD</City>
          <State>LA</State>
          <ZIPCode>71052</ZIPCode>
        </AddressUS>
        <EIN>721491325</EIN>
        <PrimaryActivities>SUPPORT HEALTHCARE AT DESOTO REGIONAL HEALTH SYSTEM</PrimaryActivities>
        <LegalDomicileState>LA</LegalDomicileState>
        <ExemptCodeSection>501 C 3</ExemptCodeSection>
        <PublicCharityStatus>YES</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>DESOTO REGIONAL HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>