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        <TotalRevenueColumn>12482878</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>12400299</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>29740</ExclusionAmount>
      </TotalRevenue>
      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <CompCurrentOfficersDirectors>
        <Total>508409</Total>
        <ProgramServices>432656</ProgramServices>
        <ManagementAndGeneral>75753</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>6882843</Total>
        <ProgramServices>5857474</ProgramServices>
        <ManagementAndGeneral>1025369</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>97573</Total>
        <ProgramServices>83035</ProgramServices>
        <ManagementAndGeneral>14538</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>601001</Total>
        <ProgramServices>511452</ProgramServices>
        <ManagementAndGeneral>89549</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>719107</Total>
        <ProgramServices>611960</ProgramServices>
        <ManagementAndGeneral>107147</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesAccounting>
        <Total>86671</Total>
        <ManagementAndGeneral>86671</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>1149119</Total>
        <ProgramServices>961050</ProgramServices>
        <ManagementAndGeneral>188069</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>5178</Total>
        <ManagementAndGeneral>5178</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>245373</Total>
        <ProgramServices>48725</ProgramServices>
        <ManagementAndGeneral>196648</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>8043</Total>
        <ManagementAndGeneral>8043</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>310992</Total>
        <ProgramServices>292146</ProgramServices>
        <ManagementAndGeneral>18846</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>55435</Total>
        <ProgramServices>25594</ProgramServices>
        <ManagementAndGeneral>29841</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>31974</Total>
        <ProgramServices>26673</ProgramServices>
        <ManagementAndGeneral>5301</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>1</Total>
        <ManagementAndGeneral>1</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>5230</Total>
        <ProgramServices>5230</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>162397</Total>
        <ProgramServices>112916</ProgramServices>
        <ManagementAndGeneral>49481</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>PROVISION FOR BAD DEBTS</Description>
        <Total>1361419</Total>
        <ProgramServices>1361419</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>977778</Total>
        <ProgramServices>977778</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>UPL PAYMENTS</Description>
        <Total>55093</Total>
        <ManagementAndGeneral>55093</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>4748</Total>
        <ProgramServices>4167</ProgramServices>
        <ManagementAndGeneral>581</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>13268384</Total>
        <ProgramServices>11312275</ProgramServices>
        <ManagementAndGeneral>1956109</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>2063355</BOY>
        <EOY>2080559</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>256857</BOY>
        <EOY>36704</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>2081645</BOY>
        <EOY>2301833</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>155813</BOY>
        <EOY>162080</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>57141</BOY>
        <EOY>49980</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>568458</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>503529</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>70159</BOY>
        <EOY>64929</EOY>
      </LandBuildingsEquipmentBasisNet>
      <TotalAssets>
        <BOY>4684970</BOY>
        <EOY>4696085</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>876992</BOY>
        <EOY>983702</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>0</BOY>
        <EOY>635100</EOY>
      </DeferredRevenue>
      <OtherLiabilities>
        <BOY>30000</BOY>
        <EOY>84811</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>906992</BOY>
        <EOY>1703613</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>3776791</BOY>
        <EOY>2992472</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>1187</BOY>
        <EOY>0</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3777978</BOY>
        <EOY>2992472</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>4684970</BOY>
        <EOY>4696085</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-785506</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>94</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>94</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1:</ReturnReference>
        <Explanation>THE ORGANIZATION IS A MEMBER OF NEVADA HOSPITAL ASSOCIATION. A PORTION OF MEMBERSHIP DUES TO NEVADA HOSPITAL ASSOCIATION IS USED FOR LOBBYING. THE NEVADA HOSPITAL ASSOCIATION ADVOCATES ON BEHALF OF ITS MEMBERS FOR IMPROVING EFFICIENCY AND ACCESSIBILITY OF THE HEALTHCARE DELIVERY SYSTEMS AND THE HEALTH STATUS OF NEVADA'S POPULATION.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>106503</OtherCostOrOtherBasis>
        <Depreciation>55171</Depreciation>
        <BookValue>51332</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>461955</OtherCostOrOtherBasis>
        <Depreciation>448358</Depreciation>
        <BookValue>13597</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>64929</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>DUE TO MEDICARE</Description>
        <Amount>84811</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>84811</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>11121459</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>11121459</RevenueSubtotal>
      <OtherRevenuesNotIncluded>1361419</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>1361419</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>12482878</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>11906965</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>11906965</ExpensesSubtotal>
      <OtherExpensesNotIncluded>1361419</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>1361419</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>13268384</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, INCOME TAXES, REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THE ORGANIZATION HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN 2013 OR 2012. FEDERAL RETURNS FOR THE YEARS ENDED 2010 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>PROVISION FOR BAD DEBTS 1,361,419.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>PROVISION FOR BAD DEBTS 1,361,419.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>0</AmountsBudgetedForCharityCare>
      <AnnualCommunityBenefitReport>0</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>91443</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>91443</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00770</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>906691</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>503489</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>403202</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03390</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>998134</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>503489</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>494645</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04160</PercentOfTotalExpense>
      </TotalCharityCare>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>998134</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>503489</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>494645</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04160</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1361419</BadDebtExpenseAmount>
      <AmountAttributableTo>905171</AmountAttributableTo>
      <AmountReimbursedByMedicare>1712303</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>935788</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>776515</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>SOUTH LYON MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>PO BOX 940</AddressLine1>
          <City>YERINGTON</City>
          <State>NV</State>
          <ZIPCode>89447</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>SOUTH LYON MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>1</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>1</TakeIntoAccount>
        <OtherFacilities>0</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <OtherMethod>X</OtherMethod>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <AdoptBudget>X</AdoptBudget>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>1</AllNeedsAddressed>
        <OrganizationIncurExciseTax>0</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>200.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>400.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <LowestNegotiatedRates>X</LowestNegotiatedRates>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>4</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>LONG TERM CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>213 S WHITACRE STREET</AddressLine1>
            <City>YERINGTON</City>
            <State>NV</State>
            <ZIPCode>89447</ZIPCode>
          </Address>
          <FacilityType>LONG TERM CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PHYSICIAN'S CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>311 SURPRISE STREET</AddressLine1>
            <City>YERINGTON</City>
            <State>NV</State>
            <ZIPCode>89447</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BARNETT CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>213 S WHITACRE STREET</AddressLine1>
            <City>YERINGTON</City>
            <State>NV</State>
            <ZIPCode>89447</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SMITH VALLEY CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>445 STATE HWY 338</AddressLine1>
            <City>WELLINGTON</City>
            <State>NV</State>
            <ZIPCode>89444</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: THE COSTING METHODOLOGY IS THE COST TO CHARGES RATIO. THE COST-TO-CHARGES RATIO IS USED FOR ALL PATIENT SEGMENT LINE INPATIENT, OUTPATIENT, AND EMERGENCY ROOM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, L7 COL(F): THE AMOUNT REPORTED IN THE FORM 990, PART IX, LINE 25, COLUMN (A); $1,361,419 IS EXCLUDED FROM THE DENOMINATOR ON SCHEDULE H, PART I, LINE 7 COLUMN F.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART II: THERE ARE A VARIETY OF ACTIVITIES THAT SLMC DOES TO PROMOTE HEALTH IN THE COMMUNITY, INCLUDING HOLDING COMMUNITY HEALTH FAIRS (OFFERING REDUCED COST OR FREE SERVICES), PROVIDING SPACE FOR MEDICAL SPECIALISTS FOR LOCAL VISITS, PROVIDING ACCESS TO MEDICAL INFORMATION VIA THE CARES COTTAGE, PROVIDING DIABETIC EDUCATION TO COMMUNITY MEMBERS AND VIA OUTREACH PROGRAMS WITH THE LOCAL SCHOOLS. MANY OF THESE PROGRAMS ARE NOT EASY OR COST EFFECTIVE TO TRACK IN OUR ACCOUNTING SYSTEM AND THEREFORE ARE NOT REPORTED.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: THE ORGANIZATION DOES NOT HAVE A SEPARATE BAD DEBT FOOTNOTE. THE FOOTNOTE INCLUDED HERE IS THE PATIENT RECEIVABLES AND CREDIT POLICY NOTE.IN EVALUATING THE COLLECTABILITY OF PATIENT RECEIVABLES, THE ORGANIZATION ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST REPORTED IN THE MEDICARE COST REPORT IS THE COST TO CHARGE RATIO.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: EMERGENCY ROOM PATIENTS WITHOUT A PAYMENT SOURCE MAY BE CLASSIFIED AS CHARITY IF THEY DO NOT HAVE A JOB, MAILING ADDRESS, RESIDENCE, OR INSURANCE. CONSIDERATION MUST ALSO BE GIVEN TO CLASSIFYING EMERGENCY ROOM ONLY PATIENTS WHO DO NOT PROVIDE ADEQUATE INFORMATION AS TO THEIR FINANCIAL STATUS. IN MANY INSTANCES, THESE PATIENTS ARE HOMELESS AND HAVE FEW RESOURCES TO COVER THE COST OF THEIR CARE.IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE HOSPITAL'S CHARITY CARE ELIGIBILITY CRITERIA, THEIR PATIENT ACCOUNT MAY BE CONSIDERED CHARITY CARE, EVEN IF THEY WERE ORIGINALLY CLASSIFIED AS A BAD DEBT. COLLECTION AGENCY PATIENT ACCOUNTS MEETING CHARITY CARE CRITERIA SHOULD BE RETURNED TO THE HOSPITAL BILLING OFFICE AND REVIEWED FOR CHARITY CARE ELIGIBILITY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>PART III, LINE 3</ReturnReference>
        <Explanation>MUCH OF BAD DEBT IS UNINSURED/UNDER INSURED PRIVATE PAY WHO ARE NOT ELIGIBLE FOR OUR CHARITY CARE PROGRAMS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SOUTH LYON MEDICAL CENTER</Identifier>
        <Explanation>PART V, SECTION B, LINE 3: THE HOSPITAL ALONG WITH THE NEVADA STATE OFFICE OF RURAL HEALTH (NSORH) UTILIZED A SURVEY TO SOLICIT COMMUNITY INPUT ON LOCAL AND HEALTH CARE NEEDS IN YERINGTON AND SOUTH LYON COUNTY, NEVADA. THERE WERE SEVERAL HEARINGS AND MEETINGS PRIOR TO DISTRUBUTION OF THE SURVEYS TO THE COMMUNITY. PRIOR TO THE SURVEY, THERE WAS A PRESENTATION TO THOSE TAKING THE SURVEY TO DESCRIBE THE PURPOSE AND BACKGROUND. AT THE CONCLUSION OF THE PRESENTATION, ATTENDEES RECEIVED COMMUNITY INPUT QUESTIONNAIRES AND IF AMENDABLE, WERE GIVEN STACKS OF QUESTIONNAIRES BUNDLED IN GROUPS OF 20 TO DISTRIBUTE TO ADDITIONAL COMMUNITY MEMBERS OR ORGANIZATIONS. A LINK TO AN IDENTICAL ONLINE VERSION OF THE SURVEY WAS ALSO PROVIDED. CONFIDENTIALITY WAS ASSURED AND EACH PAPER SURVEY HAD A CORRESPONDING POSTAGE-PAID ENVELOPE ADDRESSED TO THE NSORH OFFICE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SOUTH LYON MEDICAL CENTER</Identifier>
        <Explanation>PART V, SECTION B, LINE 5C: HOSPITALS WEBSITE WHERE THE CHNA CAN BE FOUND:WWW.SOUTHLYONMEDICALCENTER.ORG/IMAGES/DOCUMENTS/SLMC-CHNA-FINAL-REPORT-2012JUN26.PDF</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: IN 2012, SOUTH LYON COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT TO ASSESS THE HEALTH CARE NEEDS.THIS CHNA INVOLVED COMMUNITY FOCUS GROUP SESSIONS AND KEY INFORMANT INTERVIEWS. PRIMARY DATA COLLECTION INCLUDED THE COMMUNITY HEALTH SURVEY ADMINISTRATION AND REPORTS. SECONDARY DATA INCLUDED COUNTY-LEVEL AND SUB-COUNTY-LEVEL COMMUNITY HEALTH PROFILES GENERATED FROM THE 2011 EDITION OF THE NEVADA RURAL AND FRONTIER HEALTH DATA BOOK, ENVIRONMENTAL SYSTEMS RESEARCH INSTITUTE (ESRI), NRHP AND CENTER FOR HEALTH INFORMATION ANALYSIS (CHIA), A RESEARCH CENTER AT THE UNIVERSITY OF NEVADA LAS VEGAS THE FINAL REPORT WAS DEVELOPED FROM COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS, RECOMMENDATIONS AND ACTION PLANS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: PUBLIC NOTICE OF THE AVAILABILITY OF ASSISTANCE THROUGH THE CHARITY CARE POLICY ARE MADE THROUGH EACH OF THE FOLLOWING MEANS:1. POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION, SUCH AS EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMITTING OFFICES, AND HOSPITAL OUTPATIENT SERVICE SETTINGS.2. INCLUDING INFORMATION IN THE BILLS SENT TO UNINSURED PATIENTS STATEMENTS INDICATING: A.) IF THE PATIENT MEETS CERTAIN INCOME REQUIREMENTS, THE PATIENT MAY BE ELIGIBLE FOR A GOVERNMENT-SPONSORED PROGRAM OR FOR FINANCIAL ASSISTANCE FROM THE HOSPITAL. B.) A HOSPITAL PHONE NUMBER THAT PATIENTS MAY CALL FOR FURTHER INFORMATION.3. POSTING NOTICE OF THE AVAILABILITY OF ASSISTANCE AND A CONTACT PHONE NUMBER ON THE SLMC WEB SITE.4. PROVIDING UNINSURED PATIENTS INFORMATION OUTLINING THE TYPES OF FINANCIAL ASSISTANCE AVAILABLE.POSTED NOTICES (AS LISTED ABOVE) SHALL BE IN THE PRIMARY LANGUAGE(S) OF SLMC'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. POSTED NOTICES SHALL CONTAIN THE FOLLOWING INFORMATION:1. A STATEMENT INDICATING THAT THE HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME UNINSURED PATIENTS WHO MAY NOT BE ABLE TO PAY THEIR BILL AND THAT THIS POLICY PROVIDES FOR FULL OR PARTIAL CHARITY CARE WRITE-OFF.2. IDENTIFICATION OF A HOSPITAL CONTACT PHONE NUMBER THAT THE PATIENT CAN CALL TO OBTAIN MORE INFORMATION ABOUT THE POLICY AND ABOUT HOW TO APPLY FOR ASSISTANCE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: THE AREA SERVED BY OUR FACILITY CONSISTS OF THE CITY OF YERINGTON, AND COMMUNITIES OF MASON, SMITH, WELLINGTON AND SCHURZ. THE TOTAL POPULATION OF THE MASON VALLEY-YERINGTON AREA IS APPROXIMATELY 10,000. THE MEDIAN AGE IS 40.9 WITH 12% OF THE POPULATION OVER 65. 75% OF THE POPULATION IS WHITE WITH OVER 12% HISPANIC. THE MEDIAN SALARY IS $32,000 PER HOUSEHOLD. THE PRIMARY INDUSTRY IS AGRICULTURE WITH THE LARGEST EMPLOYERS BEING PUBLIC (CITY, COUNTY AND STATE) WITH THE SCHOOL SYSTEM AND HOSPITAL IN THE TOP 4.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 5: SOUTH LYON MEDICAL CENTER HAS A COMMUNITY BASED BOARD OF DIRECTORS; AN OPEN MEDICAL STAFF AND USES SURPLUS FUNDS TO PAY FOR COMMUNITY SERVICES SUCH AS HEALTH FAIRS, SPACE FOR MEDICAL SPECIALISTS FOR LOCAL VISITS, PROVIDING ACCESS TO MEDICAL INFORMATION VIA THE CARES COTTAGE, PROVIDING DIABETIC EDUCATION TO COMMUNITY MEMBERS AND VIA OUTREACH PROGRAMS WITH THE LOCAL SCHOOLS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>STATE FILING OF COMMUNITY BENEFIT REPORT</Identifier>
        <ReturnReference>PART VI, LINE 7</ReturnReference>
        <Explanation>NONE</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
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      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>DR DAVID BUSTER</NamePerson>
        <Title>DIRECTOR/CHIEF OF STAFF</Title>
        <BaseCompensationFilingOrg>197600</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KIM CRANDELL</NamePerson>
        <Title>CHIEF EXECUTIVE DIRECTOR</Title>
        <BaseCompensationFilingOrg>135000</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
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        <DeferredCompFilingOrg>1352</DeferredCompFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>MARGARET RUSSELL</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>170475</BaseCompensationFilingOrg>
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        <DeferredCompFilingOrg>3409</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LORIANA CIRLIG MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>188169</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>2981</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13845</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>204995</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBIN L TITUS</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>237625</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4833</DeferredCompFilingOrg>
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        <TotalCompensationFilingOrg>260918</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SHARON MALOTTE</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>252541</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5125</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>17813</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE ORGANIZATION HAS 116 MEMBERS. THERE IS ONLY ONE CLASS OF MEMBERS, ALL MEMBERS ARE VOTING MEMBERS. MEMBERSHIP IS LIMITED TO RESIDENTS OF THE SOUTH LYON HOSPITAL DISTRICT. MEMBERS ARE ACCEPTED ANNUALLY UPON COMPLETION OF AN APPLICATION AND PAYMENT OF ANNUAL DUES. MEMBERS MAY HAVE A MOTION CONSIDERED BY THE BOARD OF DIRECTORS. ANY WRITTEN MOTION THAT IS SECONDED WILL BE PRESENTED TO THE BOARD AND THERE WILL BE A DETERMINATION WITHIN 90 DAYS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>MEMBERS HAVE UNLIMITED TERMS AND ARE ACCEPTED UPON YEARLY COMPLETION OF THE CORPORATION APPLICATION AND PAYMENT OF DUES. THE MEMBERS ARE REQUIRED TO MEET ANNUALLY AND MUST BE RESIDENTS OF THE SOUTH LYON HOSPITAL DISTRICT. MEMBERSHIP IS NOT TRANSFERABLE OR ASSIGNABLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>FORM 990 IS REVIEWED BY THE CEO OF THE ORGANIZATION. THE BOARD RECEIVED A COPY OF THE FORM 990 PRIOR TO SUBMISSION WITH THE INTERNAL REVENUE SERVICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY. ADMINISTRATION AND RISK MANAGEMENT REVIEW FILES FOR SIGNATURES AND DISCLOSURES. IF CONFLICT ARISES, SAID BOARD MEMBER WILL ABSTAIN FROM VOTING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>COMPENSATION OF THE CEO, TOP MANAGEMENT AND OFFICERS OF THE ORGANIZATION IS DETERMINED BY USING SURVEYS FROM THE NEVADA HOSPITAL ASSOCIATION, NEVADA RURAL HOSPITAL PARTNERS, MGMA, MERRITT HAWKINS AND OTHER PROFESSIONAL SURVEY INSTRUMENTS. THE CEO'S COMPENSATION IS THEN APPROVED BY THE BOARD OF DIRECTORS ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AND ANNOUNCES SUCH AT BOARD MEETINGS AND THE ANNUAL SOUTH LYON HOSPITAL DISTRICT CORPORATION MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>ER SERVICES : PROGRAM SERVICE EXPENSES 227,211. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 227,211. MRI SERVICES : PROGRAM SERVICE EXPENSES 166,946. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166,946. LABORATORY SERVICES : PROGRAM SERVICE EXPENSES 120,801. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120,801. OTHER HEALTH AND ADMIN SERVICES : PROGRAM SERVICE EXPENSES 446,092. MANAGEMENT AND GENERAL EXPENSES 188,069. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 634,161.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>