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        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AARON ANDREWS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JORDAN ANDREWS DDS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEREMY HOPPER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSH CONLEE</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>25.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREGG MCELHANON</PersonNm>
        <TitleTxt>CFO SINCE 04/10/2023</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1687309</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>95405</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>11</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ST BERNARDS HEALTHCARE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 4060</AddressLine1Txt>
            <CityNm>JONESBORO</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72403</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>372548</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ST BERNARDS MEDICAL CENTER</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 4060</AddressLine1Txt>
            <CityNm>JONESBORO</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72403</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>395554</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NABHOLZ CONSTRUCTION CORP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 2090</AddressLine1Txt>
            <CityNm>CONWAY</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72033</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>2018632</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>QUALVIS LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12808 GLENFIELD DRIVE</AddressLine1Txt>
            <CityNm>LEAWOOD</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66209</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLINICAL STAFFING</ServicesDesc>
        <CompensationAmt>651900</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>EPPERSON EMERGENCY STAFFING</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>36 CR 7187</AddressLine1Txt>
            <CityNm>JONESBORO</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72401</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLINICAL STAFFING</ServicesDesc>
        <CompensationAmt>372548</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>13011</FundraisingAmt>
      <GovernmentGrantsAmt>3039901</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>49067</AllOtherContributionsAmt>
      <NoncashContributionsAmt>8616</NoncashContributionsAmt>
      <TotalContributionsAmt>3101979</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>12670056</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12670056</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>STAFFING FEES</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>2831664</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2831664</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>516636</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>516636</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL OFFICE BUILDING RENT</Desc>
        <BusinessCd>561320</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>24142</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>16042498</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>39180</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>5760</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>13011</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>7131</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
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        <ExclusionAmt>-1371</ExclusionAmt>
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      <GamingDirectExpensesAmt>500</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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        <ExclusionAmt>500</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2294941</TotalRevenueColumnAmt>
        <ExclusionAmt>2294941</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>VENDING MACHINE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3903</TotalRevenueColumnAmt>
        <ExclusionAmt>3903</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORD FEES</Desc>
        <BusinessCd>900999</BusinessCd>
        <TotalRevenueColumnAmt>3490</TotalRevenueColumnAmt>
        <ExclusionAmt>3490</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <ExclusionAmt>2676</ExclusionAmt>
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        <RelatedOrExemptFuncIncomeAmt>16042498</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>2343319</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>85393</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
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        <ProgramServicesAmt>6420967</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1932658</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>54219</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>18669</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>117327</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35315</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>2593568</ProgramServicesAmt>
        <ManagementAndGeneralAmt>780643</ManagementAndGeneralAmt>
        <FundraisingAmt>3869</FundraisingAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>32913</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9907</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>266331</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80163</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>220538</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66380</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>7802</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2348</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>24100</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7254</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>46845</TotalAmt>
        <ProgramServicesAmt>36007</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10838</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>947263</ProgramServicesAmt>
        <ManagementAndGeneralAmt>285118</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>188422</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56714</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>1426634</TotalAmt>
        <ProgramServicesAmt>1096574</ProgramServicesAmt>
        <ManagementAndGeneralAmt>330060</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>DIETARY SUPPLEMENTS</Desc>
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        <ProgramServicesAmt>458020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>137860</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
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        <ProgramServicesAmt>405263</ProgramServicesAmt>
        <ManagementAndGeneralAmt>121981</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>194472</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58534</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>172493</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>14609576</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4482755</ManagementAndGeneralAmt>
        <FundraisingAmt>3869</FundraisingAmt>
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        <EOYAmt>152156</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1013369</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>237392</EOYAmt>
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        <EOYAmt>11611096</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>116444</EOYAmt>
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        <EOYAmt>2064689</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>20362829</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2134870</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>0</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>342028</BOYAmt>
        <EOYAmt>26404</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>583420</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>146579</BOYAmt>
        <EOYAmt>22611</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>3398651</BOYAmt>
        <EOYAmt>2767305</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>15175096</BOYAmt>
        <EOYAmt>17566692</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>28832</BOYAmt>
        <EOYAmt>28832</EOYAmt>
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        <BOYAmt>15203928</BOYAmt>
        <EOYAmt>17595524</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>18602579</BOYAmt>
        <EOYAmt>20362829</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>2391596</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
        <OtherCostOrOtherBasisAmt>207716</OtherCostOrOtherBasisAmt>
        <BookValueAmt>207716</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>9365019</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1447262</DepreciationAmt>
        <BookValueAmt>7917757</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>46331</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>14737</DepreciationAmt>
        <BookValueAmt>31594</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2412019</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1551477</DepreciationAmt>
        <BookValueAmt>860542</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2963395</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>369908</DepreciationAmt>
        <BookValueAmt>2593487</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>11611096</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM THIRD PARTIES</Desc>
        <BookValueAmt>1001284</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SALES TAX RECEIVABLE</Desc>
        <BookValueAmt>1065971</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>-27642</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ALATU CASH</Desc>
        <BookValueAmt>25076</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2064689</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>22611</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>22611</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>21495427</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>7631</OtherRevenueAmt>
      <RevenueNotReportedAmt>7631</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>21487796</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>21487796</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>19103831</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>7631</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>7631</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>19096200</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>19096200</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>GAMING EXPENSE 500 FUNDRAISING EXPENSE 7,131 ---------------------------------------- TOTAL 7,631</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>GAMING EXPENSE 500 FUNDRAISING EXPENSE 7,131 ---------------------------------------- TOTAL 7,631</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <FundraisingEventInformationGrp>
        <Event1Nm>GALA</Event1Nm>
        <GrossReceiptsEvent1Amt>18771</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>13011</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>5760</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>300</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>1000</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>4850</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>400</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>581</OtherDirectExpensesEvent1Amt>
        <OtherEventsTotalCnt>0</OtherEventsTotalCnt>
        <GrossReceiptsTotalAmt>18771</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>13011</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>5760</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>300</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>1000</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>4850</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>400</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>581</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>7131</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-1371</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent350Ind>X</Percent350Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <PersonsServedCnt>2663</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>310000</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>310000</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01620</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <PersonsServedCnt>8473</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>2265855</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2742354</DirectOffsettingRevenueAmt>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <PersonsServedCnt>11136</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>2575855</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2742354</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>310000</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01620</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>2902659</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2183728</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>718931</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03760</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>2902659</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2183728</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>718931</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03760</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <PersonsServedCnt>11136</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>5478514</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>4926082</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1028931</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05380</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>1027550</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>545629</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>3239913</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>3227144</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>12769</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>LAWRENCE MEMORIAL HEALTH FOUNDATION</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1309 WEST MAIN</AddressLine1Txt>
          <CityNm>WALNUT RIDGE</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>72476</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.LAWRENCEMEMORIAL.INFO/</WebsiteAddressTxt>
        <StateLicenseNum>AR5522</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>LAWRENCE MEMORIAL HEALTH FOUNDATION</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>20</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>20</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>350.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Dialogues with key interviewees were conducted from March 2021 through May 2021. Interviewees were determined based on their specialized knowledge or expertise in public health or their involvement with underserved and minority populations. All interviews were conducted using a standard questionnaire. A copy of the interview instrument is included in Appendix A. A summary of their opinions is reported without judging the truthfulness or Accuracy of their remarks. Community leaders provided comments on the following issues: - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY - BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY - OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES - DELINEATION OF THE MOST IMPORTANT HEALTH CARE ISSUES OR SERVICES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES Interview data was initially recorded in narrative form. Interviewees were assured that personal identifiers such as name or organizational affiliations would not be connected in any way to the information presented in this report. This technique does not provide a quantitative analysis of the leaders' opinions but reveals community input for some of the factors affecting the views and sentiments about overall health and quality of life within the community.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A &amp; 10A</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.lawrencememorial.info/COMMUNITY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on a review of the data gathered during this assessment, factors as well as surveys and interviews were conducted to identify numerous health needs. These needs were prioritized and evaluated to determine which were significant to the community. The criteria included the numbers of persons affected, the seriousness of the issue, whether the health need particularly affected persons that were children, adults, or seniors, and what needs to be done to address these issues. As a result, the following list of significant health and quality of life issues were identified: 1. ACCESS TO PRIMARY CARE SERVICES - RECRUIT ADDITIONAL PRIMARY CARE PROVIDERS TO BETTER SERVE OUR COMMUNITY. - INCREASE EDUCATION OF COMMUNITY MEMBERS REGARDING EXISTING PRIMARY CARE SERVICES PROVIDED AT LAWRENCE HEALTHCARE. - HIRE A COMMUNITY RELATIONS COORDINATOR TO ACT AS LIAISON TO OUR COMMUNITY - INCREASE PRIMARY CARE SERVICE ACCESS POINTS AT LAWRENCE HEALTHCARE - EXPAND TELEHEALTH SERVICES - EXPLORE THE FEASIBILITY OF ESTABLISHING PRIMARY CARE CLINIC SERVICES DURING "OFF HOURSWEEKENDS. - INCREASE AWARENESS OF EXISTING HEALTH SCREENING SERVICES AT LAWRENCE HEALTHCARE (VACCINATIONS, PROSTATE SCREENING, MAMMOGRAPHY'S, LOW DOSE CT LUNG SCREENING, ETC.) AND DETERMINE IF NEW SERVICES ARE NEEDED. - IDENTIFY TRANSPORATION SERVICES AND NEEDS IN OUR COMMUNITY AND WORK TO DECREASE TRANSPORTATION CONCERNS BEING A PRIMARY DRIVER FOR NOT SEEKING HEALTHCARE. 2. ACCESS TO MENTAL HEALTH CARE SERVICES - IDENTIFY SPECIFIC MENTAL HEALTH NEEDS IN OUR COMMUNITY. - IDENTIFY EXISITNG COMMUNITY MENTAL HEALTH RESOURCES. - PARTNER WITH EXISTING COMMUNITY MENTAL HEALTH PROVIDERS TO INCREASE CONTINUITY OF CARE FOR LAWRENCE HEALTHCARE PATIENTS. - INCREASE MENTAL HEALTH SERVICES AT LAWRENCE HEALTHCARE. - EXPAND TELE-BEHAVIORAL HEALTH SERVICES - EXPLORE THE FEASIBLITY OF ESTABLISHING ONSITE MENTAL HEALTH SERVICES. 3. HEALTH AND WELLNESS EDUCATION - IDENTIFY SPECIFIC HEALTH AND WELLNESS TOPICS AND TARGETS IN OUR COMMUNITY AND TAILOR PROGRAMMATIC EFFORTS. EXAMPLES INCLUDE: SMOKING/TOBACCO USE, HEALTHY NUTRITION, OBESITY, DIABETES, HYPERTENSION, MENTAL HEALTH. - INCREASE EDUCATION OF COMMUNITY MEMBERS REGARDING EXISTING HEALTH AND WELLNESS EDUCATION SERVICES PROVIDED AT LAWRENCE HEALTHCARE. - HIRE A COMMUNITY RELATIONS COORDINATOR TO ACT AS LIAISON TO OUR COMMUNITY - INCREASE AWARENESS OF HEALTH SCREENING SERVICES AT LAWRENCE HEALTHCARE (VACCINATIONS, PROSTATE SCREENING, MAMMOGRAPHS, LOW DOSE CT LUNG SCREENING, ETC.) - PARTNER WITH COMMUNITY BUSINESSES, SCHOOLS, AND CIVIC GROUPS TO INCREASE EDUCATIONAL SERVICES OUTREACH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, &amp; 16C</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.lawrencememorial.info/pay-my-bill</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>LAWRENCE HEALTH SVCS SPECIALITY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1309 WEST MAIN</AddressLine1Txt>
            <CityNm>WALNUT RIDGE</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72476</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>LMHF FAMILY MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1309 WEST MAIN</AddressLine1Txt>
            <CityNm>WALNUT RIDGE</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72476</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART I, LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>LMH will give a 40% discount from billed gross charges per individual account to patients without insurance. Following a determination of the Financial Assistance Policy (FAP) eligibility, an eligible individual will not be charged more for emergency, medically necessary care, or other medical care covered under the FAP than the Amounts Generally Billed (AGB) to individuals who have insurance covering such care. LMH has calculated the current AGB to be 60% of gross charges. Therefore, LMH will give the following discount from GROSS billed charges (before 40% discount stated earlier) to eligible FAP individuals for inpatient or outpatient gross charges: The method of calculation of the Amounts Generally Billed to individuals who have insurance covering such care was the look-back method. LMH reviewed claims allowed during the 12-month period ending January 31, 2021 for this calculation. A more detailed explanation of how this percentage was calculated is available free of charge by contacting the Financial Counselors at the Lawrence Memorial Hospital at (870) 886-1264, Monday through Friday, 8:00 a.m. to 4:30 p.m. LMH will provide direct financial assistance (charity) using a sliding scale based upon income levels up to 350% of the current Federal Income Poverty Guidelines as established by the Department of Health and Human Services. Eligibility for financial assistance (direct, payment plan or discount) will be subject to a review of assets, income, and reasonable expenses for the purposes of: . Establishing proof of income and indigence . Standardizing and equalizing the process of granting assistance . Assuring that all relevant considerations are made in reviewing the request for assistance</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNTS ON LINE 7A WERE CALCULATED USING THE COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO COLLECT ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND AS SUCH ARE RECORDED AS A DEDUCTION FROM GROSS PATIENT REVENUE. THE HOSPITAL INTERNALLY TRACTS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BENEFIT IS DETERMINED BY ANALYZING ACCOUNTS THAT HAVE BEEN DENIED FINANCIAL ASSISTANCE DUE TO A LACK OF DOCUMENTATION. MANY TIMES, WE ARE UNABLE TO GET PATIENTS WHO WE THINK WOULD QUALIFY FOR CHARITY TO COMPLETE OUR CHARITY APPLICATION. OFTEN TIMES WE DON'T CLASSIFY SOMEONE AS CHARITY WHO WOULD EASILY QUALIFY IF THEY WOULD JUST COMPLETE THE PAPERWORK. SOMETIMES, DUE TO FAULTY ADDRESSES, WE CANNOT CONTACT THESE PATIENTS TO ATTEMPT TO QUALIFY THEM AS CHARITY. THERE IS A SIGNIFICANT AMOUNT OF BAD DEBT THAT IS, IN REALITY, CHARITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED AUDIT REPORT FOOTNOTE #1.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNTS WERE PULLED FROM THE MOST RECENT MEDICARE COST REPORT. THE ORGANIZATION FOLLOWS CHA COMMUNITY BENEFIT GUIDELINES AND DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS WHICH ARE DEEMED UNCOLLECTIBLE ARE REFERRED TO AN OUTSIDE AGENCY FOR COLLECTING. AN ACCOUNT IS CONSIDERED UNCOLLECTIBLE WHEN THE GUARANTOR HAS HAD SUFFICIENT NOTICE AND TIME TO PAY A BILL OR MAKE ARRANGEMENTS TO PAY A BILL BUT HAS FAILED TO DO SO. MEDICARE BAD DEBT IS DEFINED ACCORDING TO CENTERS FOR MEDICARE AND MEDICAID SERVICES GUIDELINES. CHARITY CARE AND OTHER FINANCIAL ASSISTANCE IS PROVIDED WHEN ELIGIBLE AND COLLECTION EFFORTS CEASE ONCE ELIGIBILITY IS DETERMINED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>LMHF ASSESS THE HEALTHCARE NEEDS OF OUR COMMUNITY IN VARIOUS WAYS. WE ANALYZE OUR OWN PATIENT DATA AND REFERRALS TO DETERMINE WHAT HEALTH CONDITIONS MAY BE THE MOST PREVALENT IN OUR PATIENT POPULATION, WHICH LIVE PREDOMINATELY IN LAWRENCE COUNTY. WE ALSO REVIEW PUBLIC HEALTH DATA PROVIDED BY VARIOUS INSTITUTIONS SUCH AS THE ARKANSAS DEPARTMENT OF HEALTH, ROBERT WOODS JOHNSON FOUNDATION, AND OTHER REGIONAL PARTNERS. LMHF PROVIDES REGULAR FREE COMMUNITY OUTREACH EVENTS THROUGHOUT THE COUNTY PROVIDING FREE HEALTH SCREENING AND HEALTH EDUCATION. LMHF USES ALL OF THESE SOURCES OF INFORMATION TO ASSESS THE NEEDS OF OUR COMMUNITIES AND PROVIDE THE APPROPRIATE HEALTHCARE TO THE COMMUNITIES WE SERVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>LMH WILL MAKE ALL REASONABLE EFFORTS TO ORALLY COMMUNICATE WITH THE PATIENT/GUARANTOR ABOUT ITS FINANCIAL ASSISTANCE POLICY AND ABOUT HOW ASSISTANCE MAY BE OBTAINED WITH THE FINANCIAL ASSISTANCE POLICY APPLICATION PROCESS BEFORE AN ACCOUNT IS TURNED OVER TO A COLLECTION AGENCY. THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE FREE OF CHARGE ON THE LMH WEBSITE OR UPON REQUEST. A FINANCIAL ASSISTANCE SUMMARY IS AVAILABLE FREE OF CHARGE ON THE LMH WEBSITE, DISPLAYED AT THE FACILITY, INCLUDED IN THE SELF-PAY ADMISSION PACKET, AND AVAILABLE UPON REQUEST. ADDITIONALLY, THE FINANCIAL ASSISTANCE APPLICATION IS AVAILABLE FREE OF CHARGE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES ROUTINE HOSPITAL CARE, LONG-TERM CARE AND OUTPATIENT AND CLINICAL SERVICES TO PATIENTS IN AND AROUND LAWRENCE COUNTY. EDUCATIONALLY, THE COMMUNITY SERVED BY THE HOSPITAL IS RANKING LOWER THAN THE STATE OF ARKANSAS AS A WHOLE. ABOUT 15.41% OF THE POPULATION AGE 25 OR OLDER HAS OBTAINED A BACHELOR'S DEGREE OR HIGHER, COMPARED TO ABOUT 32.15% OF THE U.S. AND 23.03% IN ARKANSAS. APPROXIMATELY 15.87% OF THE POPULATION AGE 25 OR OLDER DOES NOT HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO ABOUT 12.00% IN THE COUNTRY AS A WHOLE. LAWRENCE COUNTY IS LOCATED IN NORTHEAST ARKANSAS. ITS COUNTY SEAT IS WALNUT RIDGE. ACCORDING TO THE U.S. CENSUS BUREAU, LAWRENCE COUNTY, AR HAS A POPULATION OF 16,406. ABOUT 45.25% OF THE COMMUNITY'S POPULATION IS OVER THE AGE OF 45. THESE AGE GROUPS USE MORE HEALTH SERVICES THAN ANY OTHER. THE AVERAGE MEDIAN HOUSEHOLD INCOME IN THE HOSPITAL'S COMMUNITY IS $50,907 WHICH IS LOWER THAN THE STATE AVERAGE OF $59,455 AND SIGNIFICANTLY LOWER THAN THE NATIONAL AVERAGE OF $77,263.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>WE BELIEVE A FACILITY SHOULD DO MORE THAN PROVIDE HEALTH CARE SERVICES; AFTER ALL, OUR JOB IS ALL ABOUT BUILDING A HEALTHY COMMUNITY. FOR OVER 50 YEARS, LAWRENCE MEMORIAL HEALTH FOUNDATION, INC. HAS BEEN COMMITTED TO DELIVERING EMPLOYMENT, PUBLIC HEALTH EDUCATION AND QUALITY HEALTH CARE SERVICES TO THE RESIDENTS OF LAWRENCE COUNTY AND SURROUNDING COUNTIES. LAWRENCE MEMORIAL HEALTH FOUNDATION, INC. HAS A VISION OF COMMITTING THE RESOURCES TO MEET THE NEEDS AND EXPECTATIONS OF OUR PATIENTS, OUR STAFF, AND THE COMMUNITIES WE SERVICE. WE STRIVE TO BE A LEADER IN EFFICIENTLY AND CONTINUOUSLY IMPROVING THE ECONOMICS, ACCESSIBILITY AND QUALITY OF HEALTH CARE IN LAWRENCE COUNTY. AS A HEALTH CARE PROVIDER, WE ARE COMMITTED TO THOROUGHLY ASSESSING THE NEEDS OF THE COMMUNITIES THAT WE SERVE. EVERY YEAR, WE SERVE THOSE NEEDS THROUGH THE DELIVERY OF VOLUNTEERING, CHARITY CARE AND OTHER BENEFITS, SUCH AS EDUCATIONAL EVENTS AND FREE HEALTH SCREENINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>LAWRENCE MEMORIAL HEALTH FOUNDATION, INC. (THE FOUNDATION) IS A LEGALLY SEPARATE, TAX-EXEMPT ORGANIZATION THAT WAS FORMED TO FOSTER, SUPPORT AND ENCOURAGE THE ACTIVITIES AND PURPOSES OF THE HOSPITAL FACILITY PREVIOUSLY OPERATED BY LAWRENCE MEMORIAL HOSPITAL (LMH), A COMPONENT UNIT OF LAWRENCE COUNTY (THE COUNTY). LAWRENCE HALL HEALTH &amp; REHABILITATION (THE NURSING HOME) IS A LEGALLY SEPARATE, TAX-EXEMPT ORGANIZATION THAT WAS FORMED ON OCTOBER 16, 2018, TO OPERATE THE NURSING HOME FACILITY PREVIOUSLY OPERATED BY LMH. THE FOUNDATION OWNS 100% OF NORTHEAST ARKANSAS SERVICE COMPANY (NEA) D/B/A HOME MEDICAL EQUIPMENT (HME), A FOR-PROFIT ENTITY IN THE BUSINESS OF DURABLE MEDICAL EQUIPMENT RENTAL, SALES AND MAINTENANCE SERVICES. THE FOUNDATION DISCONTINUED ITS DURABLE MEDICAL EQUIPMENT BUSINESS ON JULY 2, 2018.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS AN AGREEMENT WITH ST. BERNARDS HEALTHCARE, INC. (SBHC) TO PROVIDE CONSULTING AND ADMINISTRATIVE SUPPORT SERVICES, AS WELL AS AN ADMINISTRATOR TO OVERSEE THE DAY-TO-DAY OPERATIONS OF THE ORGANIZATION. ADDITIONALLY, SBHC MANAGES THE LICENSES FOR THE INFORMATION SYSTEMS UTILIZED BY THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE FOLLOWING PERSON OR GROUPS PRIOR TO FILING: BOARD AND PRESIDENT OF LAWRENCE MEMORIAL HEALTH FOUNDATION AND CFO OF LAWRENCE MEMORIAL HEALTH FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH BOARD MEMBER, PRINCIPAL OFFICER, MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, DIRECTOR OR MANAGER ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY, AND; (D) UNDERSTANDS THAT THE FACILITY IS A NON-PROFIT ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. MANAGEMENT INVESTIGATES ANY POTENTIAL CONFLICTS AND TAKES APPROPRIATE ACTION DEPENDING ON THE NATURE OF THE CONFLICT. LEGAL COUNSEL ALSO REVIEWS ANY POTENTIAL CONFLICT OF INTEREST AND ADVISES MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>ST BERNARDS HEALTHCARE, INC. MANAGES LAWRENCE MEMORIAL HEALTH FOUNDATION AND AS SUCH HAS A COMMITTEE TO REVIEW LMHF'S COMPENSATION ANNUALLY WITH COMPENSATION SURVEYS AND COMPARABILITY OF COMPENSATION MODELS AT LIKE-SIZE HOSPITALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A</FormAndLineReferenceDesc>
        <ExplanationTxt>JOSH CONLEE AND GREGG MCELHANNON ARE PAID BY ST. BERNARDS HEALTHCARE, AN UNRELATED ORGANIZATION, THROUGH A MANAGEMENT FEE CONTRACT, SO NO COMPENSATION IS REQUIRED TO BE REPORTED FOR THEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:1376778</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT LABOR TOTAL FEES:1217650</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCHASED SERVICES TOTAL FEES:710407</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:LAB FEES TOTAL FEES:73245</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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