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        <ServicesDesc>PHYSICIAN SERV</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SOLOMON CONSULTING SERVICES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>119 W MAIN ST SUITE 20</AddressLine1Txt>
            <CityNm>MCMINNVILLE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37110</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERV</ServicesDesc>
        <CompensationAmt>1061750</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>54997377</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>54997377</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1020308</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1020308</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>56017685</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ProgramServicesAmt>694919</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142332</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>10091694</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2066974</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>2727999</ProgramServicesAmt>
        <ManagementAndGeneralAmt>558747</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>825175</ProgramServicesAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>6863954</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1405870</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>9978</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2044</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
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        <ProgramServicesAmt>29550320</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6052475</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1260216</ProgramServicesAmt>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>322607</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ManagementAndGeneralAmt>429565</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>350700</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71830</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES &amp; OTHER</Desc>
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        <ProgramServicesAmt>3659910</ProgramServicesAmt>
        <ManagementAndGeneralAmt>749620</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
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        <ProgramServicesAmt>1162122</ProgramServicesAmt>
        <ManagementAndGeneralAmt>238025</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TAXES &amp; ASSESSMENTS</Desc>
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        <ProgramServicesAmt>822479</ProgramServicesAmt>
        <ManagementAndGeneralAmt>168460</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER OPERATING EXPENSES</Desc>
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        <ProgramServicesAmt>728176</ProgramServicesAmt>
        <ManagementAndGeneralAmt>149144</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>58747642</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12784822</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>551757</EOYAmt>
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        <EOYAmt>31850232</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>776069</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>40146642</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>-27501006</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-15514779</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-7028427</PriorPeriodAdjustmentsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <BookValueAmt>810000</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>1190034</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>408691</DepreciationAmt>
        <BookValueAmt>781343</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>149604</DepreciationAmt>
        <BookValueAmt>95345</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>4804381</DepreciationAmt>
        <BookValueAmt>1134037</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>2820725</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>ROU ASSET</Desc>
        <BookValueAmt>1177369</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS</Desc>
        <BookValueAmt>56436</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>34042</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>1267847</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>776069</Amt>
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      <TotalLiabilityAmt>776069</TotalLiabilityAmt>
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    <IRS990ScheduleH documentId="RetDoc7">
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      <WrittenPolicyInd>true</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>false</FinancialAssistanceBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
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        <NetCommunityBenefitExpnsAmt>192549</NetCommunityBenefitExpnsAmt>
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      <UnreimbursedMedicaidGrp>
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        <DirectOffsettingRevenueAmt>8942205</DirectOffsettingRevenueAmt>
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      <TotalFinancialAssistanceTyp>
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      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>9778023</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>8942205</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>835818</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01340</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>9297174</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>2478335</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>2087290</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>391045</MedicareSurplusOrShortfallAmt>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>RUSSELLVILLE HOSPITAL INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>15155 HIGHWAY 43</AddressLine1Txt>
          <CityNm>RUSSELLVILLE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35653</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>RUSSELLVILLEHOSPITAL.COM</WebsiteAddressTxt>
        <StateLicenseNum>H3001</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>RUSSELLVILLE HOSPITAL INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>RUSSELLVILLEHOSPITAL.COM</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>RUSSELLVILLEHOSPITAL.COM</StrategyWebsiteURLTxt>
        <StrategyAttachedInd referenceDocumentId="RetDoc1">false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <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>RUSSELLVILLEHOSPITAL.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>RUSSELLVILLEHOSPITAL.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>RUSSELLVILLEHOSPITAL.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, RUSSELLVILLE HOSPITAL, INC. - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOAL OF ESTABLISHING THE COMMUNITY HEATH COMMITTEE WAS TO SOLICIT INPUT FROM RESIDENTS OF THE COMMUNITY AND TO PROMOTE THE BROAD INTEREST OF THOSE SERVED BY THE HOSPITAL. THE COMMITTEE MET TO ULTIMATELY IDENTIFY THE TOP HEALTH ISSUES FACING THE COMMUNITY AND THE DEVELOPMENT OF THE HOSPITAL'S IMPLEMENTATION STRATEGY TO ADDRESS THE FINDINGS OF THE CHNA. AN ONLINE SURVEY WAS THE PRIMARY MEANS TO DETERMINE PUBLIC PERCEPTION ABOUT THE NEEDS OF THE COMMUNITY. INPUT WAS REQUESTED REGARDING DEMOGRAPHICS AND HEALTH STATUS. IN ORDER TO RECEIVE INPUT FROM THE MEDICALLY UNDERSERVED, CHRONICALLY ILL AND LOW INCOME INDIVIDUALS, AND TO ENSURE DATA FROM THE OVERALL POPULATION, THE SURVEY WAS ADVERTISED BY VARIOUS COMMUNITY PARTNERS. THESE PARTNERS ALSO HELPED DISTRIBUTE THROUGH THEIR EMAIL LIST SERVICES. THE SURVEY WAS AVAILABLE TO THE PUBLIC THROUGH RUSSELLVILLEHOSPITAL.COM FOR A FIVE WEEK PERIOD.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>RUSSELLVILLE PHYSICIANS LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15155 HIGHWAY 43</AddressLine1Txt>
            <CityNm>RUSSELLVILLE</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>35653</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE PHYSICIAN FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS ARE EVALUATEDD FOR COLLECTABILITY ON A MONTHLY BASIS USING AGED PAYOR ACCOUNT CLASSIFICATIONS AND HISTORICAL COLLECTION EXPERIENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS ARE EVALUATED FOR COLLECTABILITY ON A MONTHLY BASIS USING AGED PAYOR ACCOUNT CLASSIFICATION AND HISTORICAL COLLECTION EXPERIENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A NON-PROFIT ORGANIZATION, THE HOSPITAL ACCEPTS ALL PATIENTS WITHOUT REGARD TO INSURANCE OR ABILITY TO PAY. AMOUNTS ARE BASED ON THE MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>RUSSELLVILLE HOSPITAL OFFERS FINANCIAL ASSISTANCE TO PATIENTS AND GUARANTORS THROUGH A CHARITY POLICY BASED ON THE CURRENT FEDERAL POVERTY GUIDELINES (FPG). THOSE APPROVED FOR FINANCIAL ASSISTANCE ARE ELIGIBLE FOR DISCOUNTS APPLIED TO BALANCES OWED AFTER INSURANCE. SELF- PAY BALANCES REMAINING AFTER THE UNINSURED DISCOUNT ARE ALSO ELIGIBLE FOR FINANCIAL ASSISTANCE IF THE FAMILY INCOME OF THE PATIENT IS BETWEEN 0% AND 200% OF THE FPG A 100% DISCOUNT MAY BE APPLIED (CHARITY CARE). IF THE FAMILY INCOME OF THE PATIENT IS BETWEEN 201% AND 250% OF THE FPG, A 60% DISCOUNT MAY BE APPLIED (FINANCIAL ASSISTANCE). IF THE FAMILY INCOME OF THE PATIENT IS BETWEEN 251% AND 300% OF THE FPG, A 40% DISCOUNT MAY BE APPLIED (FINANCIAL ASSISTANCE). THIS POLICY IS PUBLICIZED IN PATIENT REGISTRATION AREAS, INCLUDED IN BILLING STATEMENTS, AND IS AVAILABLE ON TEH HOSPITAL'S WEBSITE. PATIENTS WITH A BALANCE REMAINING AFTER APPLICATION OF DISCOUNTS ARE SENT STATEMENTS AND/OR COLLECTION LETTERS EVERY 30 DAYS UNTIL THE BALANCE IS PAID OR PAYMENT ARRANGEMENTS ARE MADE. ACCOUNTS THAT DO NOT HAVE SUFFICIENT PAYMENT ARRANGEMENTS ESTABLISHED ARE ELIGIBLE TO BE REFERRED TO OUTSIDE COLLECTIONS. ALL PATIENTS ARE NOTIFIED OF POSSIBLE COLLECTION ASSIGNMENT AT LEAST 30 DAYS BEFORE AN ASSIGNMENT IS MADE. IF A REQUEST FOR FINANCIAL ASSISTANCE IS MADE AFTER STATEMENTS ARE SENT, THE ACCOUNT IS PLACED ON HOLD UNTIL A DETERMINATION OF ELIGIBILITY IS MADE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PERFORMS OUTREACH SERVICES AND HEALTH EDUCATION OPPORTUNITIES FOR THE COMMUNITY. FEEDBACK FROM THESE SERVICES AS WELL AS EVALUATION OF THE PATIENTS SERVED ARE USED TO ASSESS THE COMMUNITY'S HEALTH CARE NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>BOTH INPATIENT AND OUTPATIENT SERVICES ARE ELIGIBLE FOR FINANCIAL ASSISTANCE OR CHARITY UPON APPLICATION BY THE PATIENT OR GUARANTOR. THERE IS SIGNAGE IN REGISTRATION AREAS, INFORMATION INCLUDED IN MONTHLY STATEMENTS, AND INFORMATION ON THE HOSPITAL WEBSITE WITH THE PHONE NUMBER TO CALL FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>RUSSELLVILLE HOSPITAL PRIMARILY SERVES RESIDENTS OF RUSSELLVILLE, ALABAMA AND FRANKLIN COUNTY, ALABAMA. RUSSELLVILLE IS A RURAL COMMUNITY WITH POPULATION OF JUST BELOW 10,000 AND APPROXIMATELY 22% OF THE POPULATION IS BELOW POVERTY LEVEL. THE MOST RECENT CENSUS INDICATES THE POPULATION IS 73% CAUCASIAN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS A VOLUNTEER BOARD OF DIRECTORS AND IS SERVED BY AN OPENN MEDICAL STAFF. THE HOSPITAL ACTIVELY RECRUITS PRIMARY CARE PHYSICIANS AND SPECIALISTS TO MEET MEDICAL NEEDS IN THE COMMUNITY. THE HOSPITAL ALSO PERFORMS OUTREACH SERVICES AND PROVIDES HEALTH EDUCATION OPPORTUNITIES FOR THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN ALMIROL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>354165</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>146733</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>1361</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>502259</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRIS WARE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>232423</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>210722</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>18433</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>461578</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BOYDE HARRISON</PersonNm>
        <TitleTxt>PHY FAMILY PRACTICE</TitleTxt>
        <BaseCompensationFilingOrgAmt>291782</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>4507</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>296289</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KARI FRETWELL</PersonNm>
        <TitleTxt>MEDICAL STAFF COORD</TitleTxt>
        <BaseCompensationFilingOrgAmt>62725</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>186920</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>4985</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4671</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>259301</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBRA LUTHER</PersonNm>
        <TitleTxt>RN FLOAT POOL</TitleTxt>
        <BaseCompensationFilingOrgAmt>135736</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1315</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>13664</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5570</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>156285</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GREGORY CRANE</PersonNm>
        <TitleTxt>DIRECTOR OF PHARMACY</TitleTxt>
        <BaseCompensationFilingOrgAmt>147545</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4426</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3171</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>155142</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART IV, LINE 12B: THE AUDIT OF THE FINANCIAL STATEMENTS OF THE CURRENT TAX YEAR HAVE NOT BEEN COMPLETED AS OF THE FILING DATE OF THE TAX RETURN. FORM 990, PART IV, LINE 20B: THE AUDIT OF THE FINANCIAL STATEMENTS OF THE CURRENT TAX YEAR HAVE NOT BEEN COMPLETED AS OF THE FILING OF THE TAX RETURN. THE MOST RECENTLY COMPLETED AUDIT REPORT HAS BEEN ATTACHED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT SERVICES WERE PERFORMED BY JAVA MEDICAL GROUP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS EMAILED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH GOVERNING BOARD MEMBERS AND A CONFLICT OF INTEREST STATEMENT IS COMPLETED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD APPROVES THE OPERATING BUDGET WHICH INCLUDES CEO AND TOP MANAGEMENT COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF OTHER OFFICERS IS INCLUDED IN THE ANNUAL OPERATING BUDGET AND APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES 1,776,327 363,826 0 CONTRACT SERVICES 27,773,993 5,688,649 0 TOTAL 29,550,320 6,052,475 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc6">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RUSSELLVILLE PHYSICIANS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>15155 HIGHWAY 43</AddressLine1Txt>
          <CityNm>RUSSELLVILLE</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35653</ZIPCd>
        </USAddress>
        <EIN>472497573</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <TotalIncomeAmt>1448002</TotalIncomeAmt>
        <EndOfYearAssetsAmt>125431</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RUSSLL HOS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>