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        <ReportableCompFromOrganization>516040</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>6884</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>5092221</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>150115</TotalOtherCompensation>
      <NumberIndividualsGT100K>52</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>RKL CONSTRUCTION</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>CONSTRUCTION</DescriptionOfServices>
        <Compensation>1625075</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>DELTA RADIOLOGY GROUP</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>RADIOLOGY</DescriptionOfServices>
        <Compensation>1106061</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>COMPHEALTH</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>PHYSICIAN STAFFING</DescriptionOfServices>
        <Compensation>927437</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SOUTHERN HOSPITALISTS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>PHYSICIAN STAFFING</DescriptionOfServices>
        <Compensation>584502</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>CARDINAL HEALTH</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>PHARMACY MANAGEMENT</DescriptionOfServices>
        <Compensation>560620</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>21</NumberOfContractorsGT100K>
      <RelatedOrganizations>796146</RelatedOrganizations>
      <AllOtherContributions>115793</AllOtherContributions>
      <TotalContributions>911939</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>126056748</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>126056748</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>1638695</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1621163</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>17532</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CAFETERIA</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>112620</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>112620</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>AMBULANCE MGMT/911 FEES</Description>
        <BusinessCode>621910</BusinessCode>
        <TotalRevenueColumn>204503</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>204503</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MALPRACTICE INS DIVIDEND</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>884160</TotalRevenueColumn>
        <ExclusionAmount>884160</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>128896726</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>355148</TotalRevenueColumn>
        <ExclusionAmount>355148</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossAmountSalesAssets>
        <Securities>5175195</Securities>
        <Other>3056</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>5175195</Securities>
        <Other>1124</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>1932</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>1932</TotalRevenueColumn>
        <ExclusionAmount>1932</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>INCOME FROM EQUITY INVESTEE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>29754</TotalRevenueColumn>
        <ExclusionAmount>29754</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>29754</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>130195499</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>127995034</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>17532</UnrelatedBusinessRevenue>
        <ExclusionAmount>1270994</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>120383</Total>
        <ProgramServices>120383</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>2067063</Total>
        <ProgramServices>1053848</ProgramServices>
        <ManagementAndGeneral>1013215</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>105124</Total>
        <ManagementAndGeneral>105124</ManagementAndGeneral>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>48933869</Total>
        <ProgramServices>43797496</ProgramServices>
        <ManagementAndGeneral>5136373</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>585903</Total>
        <ProgramServices>527902</ProgramServices>
        <ManagementAndGeneral>58001</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>8028468</Total>
        <ProgramServices>7019857</ProgramServices>
        <ManagementAndGeneral>1008611</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>3223695</Total>
        <ProgramServices>2804615</ProgramServices>
        <ManagementAndGeneral>419080</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>353467</Total>
        <ManagementAndGeneral>353467</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>129689</Total>
        <ManagementAndGeneral>129689</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>330</Total>
        <ManagementAndGeneral>330</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>13167230</Total>
        <ProgramServices>6607569</ProgramServices>
        <ManagementAndGeneral>6559661</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>310537</Total>
        <ProgramServices>226350</ProgramServices>
        <ManagementAndGeneral>84187</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>2461026</Total>
        <ProgramServices>1793842</ProgramServices>
        <ManagementAndGeneral>667184</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>59947</Total>
        <ProgramServices>43695</ProgramServices>
        <ManagementAndGeneral>16252</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>2960674</Total>
        <ProgramServices>2722340</ProgramServices>
        <ManagementAndGeneral>238334</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>694935</Total>
        <ProgramServices>506538</ProgramServices>
        <ManagementAndGeneral>188397</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>226171</Total>
        <ProgramServices>170685</ProgramServices>
        <ManagementAndGeneral>55486</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>1601666</Total>
        <ProgramServices>1472732</ProgramServices>
        <ManagementAndGeneral>128934</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>6769913</Total>
        <ProgramServices>6224935</ProgramServices>
        <ManagementAndGeneral>544978</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>1245460</Total>
        <ProgramServices>895005</ProgramServices>
        <ManagementAndGeneral>350455</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>17215281</Total>
        <ProgramServices>17215281</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES &amp; EXPENSES</Description>
        <Total>16301170</Total>
        <ProgramServices>16301170</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS &amp; MAINTENANCE</Description>
        <Total>587067</Total>
        <ProgramServices>427913</ProgramServices>
        <ManagementAndGeneral>159154</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LICENSES, DUES &amp; OTHER TAXES</Description>
        <Total>250443</Total>
        <ProgramServices>182548</ProgramServices>
        <ManagementAndGeneral>67895</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>202951</Total>
        <ProgramServices>116353</ProgramServices>
        <ManagementAndGeneral>86598</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>127602462</Total>
        <ProgramServices>110231057</ProgramServices>
        <ManagementAndGeneral>17371405</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>7197</BOY>
        <EOY>9603</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>7993939</BOY>
        <EOY>11973958</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>16036012</BOY>
        <EOY>16178286</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>821</BOY>
        <EOY>19480</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>2943024</BOY>
        <EOY>2863887</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>2219398</BOY>
        <EOY>2271668</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>91791558</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>62339434</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>31256718</BOY>
        <EOY>29452124</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>5994375</BOY>
        <EOY>6313883</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>2876432</BOY>
        <EOY>2416855</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>69327916</BOY>
        <EOY>71499744</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>8413264</BOY>
        <EOY>10513647</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>257204</BOY>
        <EOY>242360</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>23525000</BOY>
        <EOY>22500000</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>5199254</BOY>
        <EOY>3283340</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>3147872</BOY>
        <EOY>3408056</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>40542594</BOY>
        <EOY>39947403</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>28610996</BOY>
        <EOY>31396996</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>174326</BOY>
        <EOY>155345</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>28785322</BOY>
        <EOY>31552341</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>69327916</BOY>
        <EOY>71499744</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>2593037</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>173982</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <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>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>11489</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>11489</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>OTHER LOBBYING ACTIVITIES</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1(I)</ReturnReference>
        <Explanation>THE ORGANIZATION PAYS DUES TO THE MISSOURI HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING PURPOSES.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
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        <BookValue>1970914</BookValue>
      </Land>
      <Buildings>
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        <Depreciation>8330614</Depreciation>
        <BookValue>9886322</BookValue>
      </Buildings>
      <LeaseholdImprovements>
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        <BookValue>4516343</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>56356482</OtherCostOrOtherBasis>
        <Depreciation>45168361</Depreciation>
        <BookValue>11188121</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>2707800</OtherCostOrOtherBasis>
        <Depreciation>817376</Depreciation>
        <BookValue>1890424</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>29452124</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>EST AMOUNT DUE TO 3RD PARTY PAYERS</Description>
        <Amount>3408056</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>3408056</TotalOfAmounts>
      <TotalRevenue>130195499</TotalRevenue>
      <TotalExpenses>127602462</TotalExpenses>
      <ExcessOrDeficitForYear>2593037</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>173982</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>173982</TotalAdjustments>
      <ExcessOrDeficitPerFS>2767019</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>130369481</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>173982</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>173982</RevenueNotRptdF990>
      <RevenueSubtotal>130195499</RevenueSubtotal>
      <TotalRevenuePerForm990>130195499</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>127602462</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>127602462</ExpensesSubtotal>
      <TotalExpensesPerForm990>127602462</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>UNCERTAIN TAX POSITIONS</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>225.</DiscountedOtherPercentage>
      </DiscountedOther>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>2614661</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2614661</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02370</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>29431896</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>26032924</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3398972</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03080</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>32046557</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>26032924</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6013633</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05450</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>23</NumberOfActivitiesOrPrograms>
        <PersonsServed>2437</PersonsServed>
        <TotalCommunityBenefitExpense>69658</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>66658</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </CommunityHealthServices>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>2766034</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2766034</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02510</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>120383</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>120383</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00110</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>23</NumberOfActivitiesOrPrograms>
        <PersonsServed>2437</PersonsServed>
        <TotalCommunityBenefitExpense>2956075</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2953075</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02680</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>23</NumberOfActivitiesOrPrograms>
        <PersonsServed>2437</PersonsServed>
        <TotalCommunityBenefitExpense>35002632</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>26035924</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>8966708</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08130</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>404</PersonsServed>
        <TotalCommunityBuildingExpense>670</TotalCommunityBuildingExpense>
      </CommunitySupport>
      <Total>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>404</PersonsServed>
        <TotalCommunityBuildingExpense>670</TotalCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>6755948</BadDebtExpenseAmount>
      <AmountAttributableTo>2222462</AmountAttributableTo>
      <AmountReimbursedByMedicare>26347526</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>26221014</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>126512</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>false</WrittenDebtCollectionPolicy>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>OZARKS MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1100 KENTUCKY AVE</AddressLine1>
          <City>WEST PLAINS</City>
          <State>MO</State>
          <ZIPCode>65775</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>OZARKS MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>22</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ALTON MEDICAL CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>100 MEDICAL DR</AddressLine1>
            <City>ALTON</City>
            <State>MO</State>
            <ZIPCode>65606</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>GAINESVILLE MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>404 W HWY 160</AddressLine1>
            <City>GAINESVILLE</City>
            <State>MO</State>
            <ZIPCode>65655</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MAMMOTH SPRINGS MEDICAL CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>260 S MAIN</AddressLine1>
            <City>MAMMOTH SPRINGS</City>
            <State>AR</State>
            <ZIPCode>72554</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MOUNTAIN GROVE MEDICAL COMPLEX</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1604 N MAIN ST</AddressLine1>
            <City>MOUNTAIN GROVE</City>
            <State>MO</State>
            <ZIPCode>65711</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC MENTAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MCVICKER FAMILY HEALTHCARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>22 N ELM ST PO BOX 32</AddressLine1>
            <City>MOUNTAIN VIEW</City>
            <State>MO</State>
            <ZIPCode>65548</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SALEM 1ST CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>172 HWY 62 E STE 1</AddressLine1>
            <City>SALEM</City>
            <State>AR</State>
            <ZIPCode>72576</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SHANNON COUNTY MEDICAL CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1008 N HWY 19</AddressLine1>
            <City>WINONA</City>
            <State>MO</State>
            <ZIPCode>65588</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>THAYER MEDICAL CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>300 WARMFORK RD</AddressLine1>
            <City>THAYER</City>
            <State>MO</State>
            <ZIPCode>65791</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BEHAVIORAL HEALTH PRIMARY CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>909 KENTUCKY AVE PO BOX 1100</AddressLine1>
            <City>WEST PLAINS</City>
            <State>MO</State>
            <ZIPCode>65775</ZIPCode>
          </Address>
          <FacilityType>MENTAL HLTH FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HEART CARE SERVICES</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1115 ALASKA AVE STE 114</AddressLine1>
            <City>WEST PLAINS</City>
            <State>MO</State>
            <ZIPCode>65775</ZIPCode>
          </Address>
          <FacilityType>CARDIOVASCULAR SPECIALTY CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>OZARK WORKSURGENT CARE CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>181 N KENTUCKY AVE STE 100</AddressLine1>
            <City>WEST PLAINS</City>
            <State>MO</State>
            <ZIPCode>65775</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC OCCUPATIONAL MEDICINE SPECIALTY CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>OUTPATIENT IMAGING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3102 INDEPENDENCE SQUARE</AddressLine1>
            <City>WEST PLAINS</City>
            <State>MO</State>
            <ZIPCode>65775</ZIPCode>
          </Address>
          <FacilityType>IMAGING SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ARCH SHAW BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1111 KENTUCKY AVE</AddressLine1>
            <City>WEST PLAINS</City>
            <State>MO</State>
            <ZIPCode>65775</ZIPCode>
          </Address>
          <FacilityType>ONCOLOGY, IMAGING, AND REHABILITATION</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SLEEP LAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1004 KENTUCKY AVE</AddressLine1>
            <City>WEST PLAINS</City>
            <State>MO</State>
            <ZIPCode>65775</ZIPCode>
          </Address>
          <FacilityType>SLEEP LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>GENERAL SURGERY CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>808 KENTUCKY AVE</AddressLine1>
            <City>WEST PLAINS</City>
            <State>MO</State>
            <ZIPCode>65775</ZIPCode>
          </Address>
          <FacilityType>SPECIALTY CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>INTERNAL MEDICINE CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1115 ALASKA AVE STE 215</AddressLine1>
            <City>WEST PLAINS</City>
            <State>MO</State>
            <ZIPCode>65775</ZIPCode>
          </Address>
          <FacilityType>SPECIALTY CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>RIVERWAYS SUPPORT SERVICES</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>114 E MAIN ST</AddressLine1>
            <City>WEST PLAINS</City>
            <State>MO</State>
            <ZIPCode>65775</ZIPCode>
          </Address>
          <FacilityType>HOME CARE SUPPORT SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>RIVERWAYS HOSPICE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>114 E MAIN ST</AddressLine1>
            <City>WEST PLAINS</City>
            <State>MO</State>
            <ZIPCode>65775</ZIPCode>
          </Address>
          <FacilityType>HOSPICE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>RIVERWAYS HOME HEALTH</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>114 E MAIN ST</AddressLine1>
            <City>WEST PLAINS</City>
            <State>MO</State>
            <ZIPCode>65775</ZIPCode>
          </Address>
          <FacilityType>HOME HEALTH AGENCY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>RIVERWAYS ADULT DAY CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>114 E MAIN ST</AddressLine1>
            <City>WEST PLAINS</City>
            <State>MO</State>
            <ZIPCode>65775</ZIPCode>
          </Address>
          <FacilityType>ADULT DAY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ORTHOPEDICS CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1609 PORTER WAGONER</AddressLine1>
            <City>WEST PLAINS</City>
            <State>MO</State>
            <ZIPCode>65775</ZIPCode>
          </Address>
          <FacilityType>ORTHOPEDIC SPECIALTY CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NEPHROLOGYRHEUMATOLOGY CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3000 INDEPENDENCE SQUARE</AddressLine1>
            <City>WEST PLAINS</City>
            <State>MO</State>
            <ZIPCode>65775</ZIPCode>
          </Address>
          <FacilityType>SPECIALTY CLINICS</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>PART I, LINE 6A:</Identifier>
        <Explanation>THE ORGANIZATION PREPARES AN ANNUAL REPORT, WHICH IS AVAILABLE ON ITS WEBSITE. THE ANNUAL REPORT CONTAINS VARIOUS COMMUNITY BENEFIT INFORMATION. PART I, LINE 7, COLUMN F: THE PERCENT OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) LESS BAD DEBT EXPENSE OF $17,215,281.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 4:</Identifier>
        <Explanation>THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE ORGANIZATION ANALYZED BAD DEBT AND CHARITY CARE INFORMATION AND DETERMINED THAT 50% OF CHARITY CARE APPLICATIONS ARE NOT RETURNED. THE ORGANIZATION ESTIMATED THAT IF ALL APPLICATIONS WERE RETURNED CHARITY CARE WOULD BE $13,011,500. THE ORGANIZATION THEN ESTIMATED THAT 85% OF THE DIFFERENCE IN THIS FIGURE AND THE ACTUAL CHARITY OF $6,505,750 WOULD QUALIFY FOR CHARITY CARE (85% X 6,505,750 = 5,529,888). THIS FIGURE WAS THEN MULTIPLIED BY THE ORGANIZATION'S COST TO CHARGE RATIO COMPUTED FOR SCHEDULE H REPORTING PURPOSES TO ARRIVE AT THE AMOUNT REPORTED ON LINE 3.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 8:</Identifier>
        <Explanation>SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED ON LINE 6.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT:</Identifier>
        <Explanation>VARIOUS SURVEYS HAVE BEEN DONE IN THE PAST. CONSULTANTS HAVE BEEN USED TO ASSESS PHYSICIAN STAFFING NEEDS. THE ORGANIZATION PLANS TO USE THE MISSOURI HOSPITAL ASSOCIATION ASSESSMENT WHEN IT IS AVAILABLE IN THE FUTURE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:</Identifier>
        <Explanation>FINANCIAL COUNSELORS MEET WITH PATIENTS UPON ADMISSION OR DISCHARGE AS APPLICABLE AND DISCUSS PAYMENT OPTIONS INCLUDING DMH, MEDICAID AND CHARITY, ETC. APPLICATIONS AND INSTRUCTIONS ARE GIVEN TO THOSE THAT APPEAR TO QUALIFY. SOCIAL WORKERS ARE ALSO USED FOR PATIENTS WITH SPECIAL NEEDS. EACH CLINIC AND REGISTRATION AREA HAS A PAMPHLET DISPLAY WITH INFORMATION ON THE CHARITY CARE POLICY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION:</Identifier>
        <Explanation>OZARKS MEDICAL CENTER IS LOCATED IN THE 11TH POOREST CONGRESSIONAL DISTRICT IN THE COUNTRY. THE LOCATION IS IN SOUTH CENTRAL MISSOURI WHICH IS A VERY RURAL AREA. WEST PLAINS IS A TOWN OF APPROXIMATELY 11,000 PEOPLE AND THE LARGEST TOWN FOR APPROXIMATELY 50 MILES ACROSS THE STATE LINE INTO ARKANSAS. THERE ARE MANY RETIRED INDIVIDUALS RESIDING IN THIS AREA DUE TO THE MANY RIVERS AND LAKES SO A MAJORITY OF OUR PATIENTS ARE MEDICARE OR MEDICAID RECIPIENTS. THE CLOSEST HOSPITAL WITH OUR RANGE OF SERVICES IN THE STATE OF MISSOURI IS OVER 1 1/2 HOURS AWAY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY BUILDING ACTIVITIES:</Identifier>
        <Explanation>THE ORGANIZATION PROVIDES MANY HEALTH CARE SCREENINGS, WELLNESS ACTIVITIES, EDUCATIONAL OPPORTUNITIES, WEEKLY RADIO BROADCASTS PROVIDING EDUCATIONAL INFORMATION TO THE COMMUNITY. THE ORGANIZATION PROVIDES FOR MANY COMMUNITY FUNCTIONS AND FUNDRAISING EVENTS FOR OTHER CHARITABLE ORGANIZATIONS SUCH AS UNITED WAY, RELAY FOR LIFE, OMC ANNUAL FUN RUN, ANNUAL BASKETBALL GAME TO BENEFIT A PHYSICALLY CHALLENGED INDIVIDUAL. OMC ALSO SPONSORS MULTIPLE COMMUNITY EVENTS SUCH AS GOLF TOURNAMENTS, JR. COLLEGE BASKETBALL AND VOLLEYBALL GAMES/TOURNAMENTS. WE WORK WITH THE LOCAL SCHOOLS SPECIAL NEEDS CHILDREN AND ALLOW THEM TO PERFORM JOBS IN THE HOSPITAL SO THAT THEY GAIN SKILLS TO BECOME PRODUCTIVE MEMBERS OF SOCIETY. OMC IS THE LARGEST EMPLOYER IN TOWN AND THEREFORE PROVIDES EMPLOYMENT OPPORTUNITIES TO OVER 1300 PEOPLE AND AFFORDABLE BENEFITS TO THEIR FAMILIES. THE ORGANIZATION INFUSES OVER $43 MILLION IN WAGES EACH YEAR INTO THE COMMUNITY. BRINGING HEALTHCARE PROFESSIONALS INTO THE COMMUNITY WHICH IN TURN BENEFITS THE HOUSING MARKET, LOCAL SHOPS AND RESTAURANTS AND OTHER BUSINESSES. THE EMPLOYEES OF OMC ARE EXTREMELY GIVING AND PARTICIPATE IN THE MANY FUNDRAISING ACTIVITIES PROMOTED BY OMC INCLUDING ADOPTING FAMILIES IN NEED AT CHRISTMAS TO PROVIDE FOOD, GIFTS, UTILITY PAYMENTS, ETC.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>OTHER INFORMATION:</Identifier>
        <Explanation>SET UP RURAL HEALTH CLINICS IN OUR SERVICE AREA TO PROVIDE PRIMARY CARE IN UNDERSERVED AREAS. THE 24/7 EMERGENCY DEPARTMENT PROVIDES CARE TO OVER 20,000 VISITS PER YEAR. ACUTE CARE AND BEHAVIORAL HEALTH CARE IS PROVIDED AS WELL AS HOME HEALTH, HOSPICE AND HOMEMAKER SUPPORT SERVICES. IN ADDITION, WE OFFER A TRANSITIONS PROGRAM TO MOVE THOSE IN HOME HEALTH TO HOSPICE WHEN THE TIME IS RIGHT WHICH IS A NON-REIMBURSED SERVICE. THROUGH OUR SUBSIDIARY, WE ALSO PROVIDE DME SERVICES. THESE SERVICES ALONG WITH OUR SPECIALTY PHYSICIANS PROVIDE THE COMMUNITY WITH THE NEEDED SERVICES. OMC IS A COMMUNITY OWNED HOSPITAL THAT DOES NOT RECEIVE ANY TAX MONIES FROM THE CITY/COUNTY. ALL REVENUES GENERATED ARE USED TO PURCHASE CAPITAL EQUIPMENT TO ADVANCE THE SERVICES WE PROVIDE. THERE ARE SERVICES PROVIDED BY OMC THAT ARE NOT AVAILABLE ELSEWHERE IN THE COMMUNITY SUCH AS WOUND CARE, OBSTETRICS, RHEUMATOLOGY AND OTHERS. EACH SERVICE IS REVIEWED AND THE COMMUNITY NEED DRIVES THE DECISIONS MADE ON THE SERVICES WE PROVIDE. IN THE PAST, WE HAVE DISCONTINUED SERVICES THAT ARE PROVIDED ELSEWHERE IN THE COMMUNITY SO THAT INSTEAD OF HAVING TWO STRUGGLING BUSINESSES, WE ALLOW OTHERS TO BECOME STRONG AND SUCCEED.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>AFFILIATED HEALTH CARE SYSTEM ROLES:</Identifier>
        <Explanation>OZARKS MEDICAL CENTER (THE "MEDICAL CENTER") OPERATES AN ACUTE CARE HOSPITAL FACILITY IN WEST PLAINS, MISSOURI. WEST PLAINS HEALTH SERVICE, INC. (WPHS), A WHOLLY OWNED SUBSIDIARY OF THE MEDICAL CENTER, OPERATES A DURABLE MEDICAL EQUIPMENT COMPANY, HEART OF THE OZARKS MEDICAL EQUIPMENT AND A MANAGEMENT SERVICES DIVISION, WHICH FUNCTIONS MAINLY AS A PROPERTY RENTAL COMPANY, ALL IN WEST PLAINS, MISSOURI. OZARKS MEDICAL CENTER FOUNDATION (THE "FOUNDATION") IS AN AFFILIATE ESTABLISHED TO PROVIDE FUNDRAISING ASSISTANCE TO THE MEDICAL CENTER. OZARKS MEDICAL CENTER PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN WEST PLAINS, MISSOURI, AND THE SURROUNDING AREA. THE MEDICAL CENTER ALSO OPERATES A HOME HEALTH AND HOSPICE AGENCY AND A NUMBER OF PHYSICIAN CLINICS IN THE SAME GEOGRAPHIC AREA.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 6766</AddressLine1>
          <City>JEFFERSON CITY</City>
          <State>MO</State>
          <ZIPCode>651026766</ZIPCode>
        </AddressUS>
        <EINOfRecipient>061642698</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>103326</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MHA CENTER FOR EDUCATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 60</AddressLine1>
          <City>JEFFERSON CITY</City>
          <State>MO</State>
          <ZIPCode>651020060</ZIPCode>
        </AddressUS>
        <EINOfRecipient>430898947</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>17057</AmountOfCashGrant>
        <PurposeOfGrant>SCHOLARSHIPS</PurposeOfGrant>
      </RecipientTable>
      <Form990ScheduleIPartIV>
        <Identifier>MONITORING USE OF GRANT FUNDS</Identifier>
        <ReturnReference>SCHEDULE I, PART 1, LINE 2</ReturnReference>
        <Explanation>THE HOSPITAL MADE CHARITABLE CONTRIBUTIONS TO THE DSH FUNDING AUTHORITY. THESE CONTRIBUTIONS ARE USED TO SUSTAIN THE VARIOUS CHARITY CARE CLINICS IN THE ST. LOUIS AREA, WITH LOCAL COMMUNITY HOSPITALS ABSORBING THE INPATIENT AND OUTPATIENT NEEDS OF THE COMMUNITY'S MEDICALLY INDIGENT POPULATION.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <Form990ScheduleJPartII>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL GROSS</NamePerson>
        <BaseCompensationFilingOrg>195583</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>30652</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5997</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>240485</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>EDWARD HENEGAR MD</NamePerson>
        <BaseCompensationFilingOrg>196688</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>17510</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>15500</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6595</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7862</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JEANNIE LOOPER</NamePerson>
        <BaseCompensationFilingOrg>164204</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>31724</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5186</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4613</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>205727</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHARLES R ARMSTRONG</NamePerson>
        <BaseCompensationFilingOrg>819892</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7350</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7486</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>834728</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KEVIN CROWE MD</NamePerson>
        <BaseCompensationFilingOrg>634309</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>16500</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1404</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6312</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>658525</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ALAN TROY MD</NamePerson>
        <BaseCompensationFilingOrg>608719</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7703</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>616422</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JEFFREY SILVERMAN MD</NamePerson>
        <BaseCompensationFilingOrg>525585</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7350</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9740</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>542675</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID DENENNY MD</NamePerson>
        <BaseCompensationFilingOrg>516040</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6884</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>522924</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>BONUS DETERMINATION</Identifier>
        <ReturnReference>SCHEDULE J, PART 1, LINE 7</ReturnReference>
        <Explanation>SENIOR MANAGEMENT'S BONUS IS BASED ON A SET OF CORPORATE AND INDIVIDUAL STRATEGIC GOALS THAT ARE WEIGHTED AND ASSIGNED A VALUE. EACH INDIVIDUAL'S POTENTIAL BONUS AMOUNT IS BASED ON THEIR SALARY. THE PERCENTAGE ABOVE OR BELOW THE POTENTIAL BONUS THAT THEY RECEIVE IS IN RELATION TO THE COMPLETION OF THE GOAL AND THE WEIGHT GIVEN TO THAT GOAL. THEY CAN EARN 110% - 0% OF THE POTENTIAL GOAL.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>GAINESVILLE INVESTORS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V.</Relationship>
        <AmountOfTransaction>242400</AmountOfTransaction>
        <DescriptionOfTransaction>PROPERTY RENTAL</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>HIGHLAND PARK</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V.</Relationship>
        <AmountOfTransaction>185551</AmountOfTransaction>
        <DescriptionOfTransaction>RENT AND CAM FEES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SHANDI BRINKMAN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V.</Relationship>
        <AmountOfTransaction>31024</AmountOfTransaction>
        <DescriptionOfTransaction>COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ALLEN BRINKMAN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V.</Relationship>
        <AmountOfTransaction>36177</AmountOfTransaction>
        <DescriptionOfTransaction>COMPENSATION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BOYCE BYNUM</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V.</Relationship>
        <AmountOfTransaction>114120</AmountOfTransaction>
        <DescriptionOfTransaction>PROFESSIONAL FEES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS</Identifier>
        <ReturnReference>SCHEDULE L, PART IV, LINES 1, 2, 3, 4, &amp; 5</ReturnReference>
        <Explanation>1. MR. EDWARD HENEGAR, AN OFFICER, HAS A GREATER THAN 5% FINANCIAL INTEREST IN GAINESVILLE INVESTORS. 2. HIGHLAND PARK IS GREATER THAN 35% OWNED BY WALTER R. HOLLOWAY, MD, A BOARD MEMBER. 3. SHANDI BRINKMAN IS RELATED TO GARY DUGGINS, A BOARD MEMBER AND OFFICER. 4. ALLEN BRINKMAN IS RELATED TO GARY DUGGINS, A BOARD MEMBER AND OFFICER. 5. DR. GIDEON MORRISON IS RELATED TO TRAVIS MORRISON, A BOARD MEMBER. HE IS COMPENSATED THROUGH BOYCE &amp; BYNUM FOR PROFESSIONAL SERVICES HE PROVIDES TO OMC. HIS OWNERSHIP PERCENTAGE IN BOYCE &amp; BYNUM IS GREATER THAN 5%.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>SIGNIFICANT NEW PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 2</ReturnReference>
        <Explanation>EXPANSION/NEW SERVICES: -THE NEW EMERGENCY DEPARTMENT OPENED WITH 16-BED, STATE-OF-THE-ART FACILITY IN JULY 2010. -OMC BEGINS OFFERING INTERVENTIONAL CARDIOLOGY SERVICES 24 HOURS A DAY, SEVEN DAYS A WEEK ALONG WITH A 9 ROOM CARDIAC STEP DOWN UNIT. -OMC OPENED THE NEW SURGICAL SPECIALISTS CLINIC WHICH OFFERS MANY TYPES OF SURGERIES, INCLUDING LAPAROSCOPIC AND ENDOSCOPIC SURGERIES. - OMC AND FULTON COUNTY HOSPITAL ENTER INTO AN AFFILIATION TO ENHANCE HEALTH CARE IN BOTH HOSPITALS' SERVICE AREA PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4 OZARKS MEDICAL CENTER (OMC) IN 2010 COMMUNITY OUTREACH OMC IS COMMITTED TO THE COMMUNITY AND AS PART OF THAT COMMITMENT, HOSTS A NUMBER OF OUTREACH SERVICES AND PROGRAMS EACH YEAR. IN 2010, OMC GAVE $112,764 OF COMMUNITY BENEFIT EXPENSE AND $6,505,750 IN CHARITY CARE AT GROSS CHARGES ($2,103,777 AT COST) TO ASSIST THE UNINSURED OR UNDERINSURED AND TO PROVIDE OTHER ASSISTANCE BASED ON NEED. OMC ALSO PROVIDED ACTIVITIES FOR COMMUNITY MEMBERS OF ALL AGES. HUNDREDS OF AREA CHILDREN ATTEND OMC'S ANNUAL EASTER EGG HUNT AND 301 PEOPLE PARTICIPATED IN THE OMC FUN RUN TO BENEFIT PATIENTS AT THE CANCER TREATMENT CENTER. DURING THE ANNUAL DOCS VS. JOCKS, OMC REHABILITATION SERVICES RAISED $3,904 TO BENEFIT 6-YEAR-OLD ALLISON CSISZER OF WEST PLAINS. AND, OMC HOSTED A NUMBER OF FREE SCREENINGS THAT REACHED MORE THAN 1,197 PEOPLE. 2010 YEAR IN REVIEW 174 CLASSES WERE OFFERED BY OMC EDUCATION SERVICES WITH APPROXIMATELY 1,240 PARTICIPANTS. CLASSES INCLUDED FIRST AID, BASIC LIFE SUPPORT, ADVANCE CARDIAC LIFE SUPPORT, PEDIATRIC ADVANCE LIFE SUPPORT, NON-VIOLENT CRISIS INTERVENTION AND BASIC CARDIAC DYSRHYTHMIA. 190 VOLUNTEERS CONTRIBUTED APPROXIMATELY 30,207 HOURS TO OMC, THE EQUIVALENT OF 14 FULL-TIME EMPLOYEES. OMC OFFERED X-RAY, LAB SERVICES, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH-LANGUAGE PATHOLOGY, MASSAGE THERAPY AND COUNSELING SERVICES IN ITS OUTLYING CLINICS, SAVING TRAVEL FOR MANY PEOPLE LIVING THROUGHOUT THE 11-COUNTY AREA SERVED BY OMC. THE CLINIC SYSTEM PROVIDED APPROXIMATELY 329,300 VISITS, INCLUDING MENTAL HEALTH APPOINTMENTS AND PHYSICIAN CLINIC VISITS. OMC PROVIDED A TOTAL OF $87,346 IN SCHOLARSHIPS AND TUITION REIMBURSEMENTS TO RECIPIENTS WHO ARE FUTURE HEALTH CARE PROVIDERS, INCLUDING PHYSICIANS. OMC EMPLOYED MORE THAN 1,350 INDIVIDUALS IN 2010, PROVIDING A TOTAL ECONOMIC IMPACT OF $47,445,065 MILLION IN ANNUAL WAGES FOR THE LOCAL AREA. OMC STATISTICS: 114 BEDS 11-COUNTY SERVICE AREA MORE THAN 100 DOCTORS ON MEDICAL STAFF 20 RURAL HEALTH &amp; SPECIALTY CLINICS VOLUME NUMBERS: ADMISSIONS............................ 5,946 VISITS BY RIVERWAYS AIDES.............76,972 BIRTHS...................................720 RIVERWAYS HOSPICE VISITS..............12,292 EMERGENCY DEPARTMENT VISITS...........21,121 BEHAVIORAL HEALTHCARE CLINIC VISITS..189,176 INPATIENT SURGERIES....................1,103 PHYSICIAN CLINIC VISITS..............140,122 OUTPATIENT SURGERIES.................. 1,788 REHABILITATION SERVICES PROCEDURES...126,135 RIVERWAYS HOME HEALTH VISITS..........15,784</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS/STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINES 6, 7A, &amp; 7B</ReturnReference>
        <Explanation>OZARKS MEDICAL CENTER HAS ONE CLASS OF MEMBERSHIP. ALL INTERESTED PARTIES ARE ELIGIBLE FOR MEMBERSHIP UPON PAYMENT OF THE MEMBERSHIP FEES SET BY THE BOARD OF DIRECTORS. MEMBERSHIP IS NOT TRANSFERABLE OR ASSIGNABLE. MEMBERS, AFTER BEING A MEMBER FOR AT LEAST THIRTY DAYS, SHALL BE ELIGIBLE TO VOTE ON ANY BUSINESS OF THE CORPORATION. EACH MEMBER IS ENTITLED TO ONE VOTE. THE BOARD OF DIRECTORS CONSISTS OF 15 DIRECTORS. TEN OF THE CORPORATION'S BOARD MEMBERS, ELECTED FROM OZARKS MEDICAL CENTER'S SERVICE AREA, ARE ELECTED BY THE MEMBERS OF THE CORPORATION. ANY DIRECTOR PREVIOUSLY ELECTED BY THE MEMBERS MAY BE REMOVED FROM OFFICE BY THE MEMBERS AT AN ANNUAL MEETING OR ANY PROPERLY CALLED SPECIAL MEETING, BY THE VOTE OF TWO-THIRDS OF THE MEMBERS PRESENT, IN WHICH EVENT THE MEMBERS PRESENT WILL ELECT A SUCCEEDING DIRECTOR TO SERVE THE UNEXPIRED TERM OF THE REMOVED DIRECTOR. EACH MEMBER HAS ONE VOTE. ANY VACANCY DUE TO DEATH OR RESIGNATION SHALL BE FILLED BY ELECTION BY THE REMAINING MEMBERS OF THE BOARD. TWO DIRECTORS ARE ELECTED BY THE MEDICAL STAFF OF THE ORGANIZATION AND MUST BE A MEDICAL STAFF MEMBER THAT IS ALSO A MEMBER OF THE CORPORATION TO BE ELIGIBLE TO BE ELECTED TO THE BOARD. ANY VACANCIES OF THESE TWO BOARD POSITIONS ARE FILLED BY THE MEDICAL STAFF. THE REMAINING THREE BOARD OF DIRECTORS ARE DESIGNATED BY THEIR POSITION IN THE ORGANIZATION. THE CHIEF OF THE MEDICAL STAFF, THE IMMEDIATE PAST CHIEF OF THE MEDICAL STAFF, AND THE CHIEF ELECT OF THE MEDICAL STAFF ARE ALL BOARD MEMBERS FOR AS LONG AS THEY HOLD THOSE TITLES. THE BYLAWS OF THE CORPORATION MAY BE AMENDED AT AN ANNUAL OR PROPERLY CALLED SPECIAL MEETING OF THE MEMBERS OF THE CORPORATION BY TWO-THIRDS OF THE VOTE CAST OR A MAJORITY OF THE VOTING POWER, WHICHEVER IS LESS. THE BYLAWS MAY ALSO BE AMENDED BY THE BOARD PROVIDED THAT THE AMENDMENT DOES NOT RELATE TO THE NUMBER OF DIRECTORS, THE COMPOSITION OF THE BOARD, THE TERM OF OFFICE OF DIRECTORS, OR THE METHOD OR WAY IN WHICH DIRECTORS ARE ELECTED OR SELECTED, OR PROVIDED THAT THE BASIC PURPOSE OF THE CORPORATION SHALL NOT BE CHANGED OR ALTERED. IF ANY OF THOSE CONDITIONS DOES NOT APPLY, THE AMENDMENT MUST BE VOTED ON BY THE MEMBERS OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW OF FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11A</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE 990 IS REVIEWED BY THE FINANCE COMMITTEE WHO WILL PRESENT IT TO THE BOARD OF DIRECTORS. THE BOARD WILL REVIEW THE FORM AND RECORD IN THE MEETING MINUTES THEIR ACCEPTANCE OF THE DRAFT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>CONFLICT STATEMENTS ARE REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE TO DETERMINE IF NEW ITEMS WERE DISCLOSED. IF A BOARD MEMBER DID HAVE A CONFLICT OF INTEREST, HE/SHE WOULD ABSTAIN FROM VOTING ON ANY TRANSACTIONS RELATED TO THAT CONFLICT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</ReturnReference>
        <Explanation>DURING THE 2009-2010 YEAR, A COMPENSATION REVIEW WAS COMPLETED BY A BOARD COMPENSATION COMMITTEE BY USING AN OUTSIDE CONSULTING FIRM TO OBTAIN COMPARABILITY DATA. FOR CEO COMPENSATION, THE APPROVAL WAS DOCUMENTED IN BOARD MINUTES. DURING 2010, THE BOARD PERFORMED ITS ANNUAL REVIEW OF THE VP'S COMPENSATION USING THE MISSOURI HEALTH ASSOCIATION (MHA), THE AMERICAN HEALTH ASSOCIATION (AHA), AND THE HFMA DATA.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DOCUMENT DISCLOSURE</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO VIEW UPON WRITTEN REQUEST AT THE ADMINISTRATIVE OFFICE OF THE HOSPITAL DURING REGULAR BUSINESS HOURS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>BOARD MEMBER COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>BOARD MEMBERS CHARLES MORGAN, MD, AND CHRISTOPHER NICHOLAS, MD, RECEIVE COMPENSATION FOR THEIR ROLES AS PHYSICIANS. NO BOARD MEMBERS RECEIVE ANY COMPENSATION FOR THEIR DUTIES AS A MEMBER OF THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>UNREALIZED GAINS/LOSSES 173,982</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OZARKS MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>401 WASHINGTON AVE</AddressLine1>
          <City>WEST PLAINS</City>
          <State>MO</State>
          <ZIPCode>65775</ZIPCode>
        </AddressUS>
        <EIN>431834356</EIN>
        <PrimaryActivities>SUPPORT OMC</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 A I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>RIVERWAYS SUPPORT SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>114 WEST MAIN ST</AddressLine1>
          <City>WEST PLAINS</City>
          <State>MO</State>
          <ZIPCode>65775</ZIPCode>
        </AddressUS>
        <EIN>431051533</EIN>
        <PrimaryActivities>SUPPORT SRVCS</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WEST PLAINS HEALTH SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1703 WEST EIGHTH ST</AddressLine1>
          <City>WEST PLAINS</City>
          <State>MO</State>
          <ZIPCode>65775</ZIPCode>
        </AddressUS>
        <EIN>431329201</EIN>
        <PrimaryActivity>DURABLE MED EQUIP</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>1598969</ShareOfTotalIncome>
        <ShareOfEOYAssets>2067776</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OZARKS MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>796146</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OZARKS MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>206725</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WEST PLAINS HEALTH SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>105246</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WEST PLAINS HEALTH SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>217000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>