﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2026-07-15T08:57:47+00:00</ReturnTs>
    <TaxPeriodEndDt>2025-08-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>440160260</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Forvis Mazars LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>14221 Dallas Parkway Suite 400</AddressLine1Txt>
        <CityNm>Dallas</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>75254</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-09-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>741471231</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Falls Community Hospital &amp; Clinic Inc</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>FALL</BusinessNameControlTxt>
      <PhoneNum>2548033561</PhoneNum>
      <USAddress>
        <AddressLine1Txt>PO Box 60</AddressLine1Txt>
        <CityNm>Marlin</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>76661</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Jessica Ford</PersonNm>
      <PersonTitleTxt>Administrator</PersonTitleTxt>
      <PhoneNum>2548033561</PhoneNum>
      <SignatureDt>2026-07-15</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Andrew J Gray</PreparerPersonNm>
      <PTIN>P01517705</PTIN>
      <PhoneNum>9727028262</PhoneNum>
      <PreparationDt>2026-07-15</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="IRS990" softwareId="24020961" softwareVersionNum="2024v5.1">
      <PrincipalOfcrBusinessName>
        <BusinessNameLine1Txt>Jessica Ford</BusinessNameLine1Txt>
      </PrincipalOfcrBusinessName>
      <USAddress>
        <AddressLine1Txt>PO Box 60</AddressLine1Txt>
        <CityNm>Marlin</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>76661</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>17450501</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>www.fallshospital.com</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1960</FormationYr>
      <LegalDomicileStateCd>TX</LegalDomicileStateCd>
      <ActivityOrMissionDesc>PROVIDING QUALITY CARE IN INPATIENT AND OUTPATIENT SERVICES, EMERGENCY SERVICES, RURAL HEALTH CLINIC AND ANCILLARY SERVICES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>3</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>3</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>113</TotalEmployeeCnt>
      <TotalVolunteersCnt>3</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>778422</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>1497894</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>14303635</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>15786176</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>46024</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>91842</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>454489</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>74589</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>15582570</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>17450501</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>19399</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>14219</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>6200285</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>7027888</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>10393228</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>9673802</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>16612912</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>16715909</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-1030342</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>734592</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>12102418</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>11596929</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>2867984</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1222919</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>9234434</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>10374010</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>PROVIDING QUALITY CARE IN INPATIENT AND OUTPATIENT SERVICES, EMERGENCY SERVICES, RURAL HEALTH CLINIC, AND ANCILLARY SERVICES.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>6485000</ExpenseAmt>
      <GrantAmt>14219</GrantAmt>
      <RevenueAmt>9939284</RevenueAmt>
      <Desc>WE HAVE RADIOLOGY, LAB, RESPIRATORY, PHYSICIAN, AND IV THERAPIES. TOTAL INPATIENT AND OUTPATIENT PROCEDURES INCLUDED: 11 EKG/EEG, 263 RESP. THERAPY, 4,364 RADIOLOGY, AND 35,696 LAB.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>3480998</ExpenseAmt>
        <RevenueAmt>2837061</RevenueAmt>
        <Desc>WE OPERATE 3 RURAL HEALTH CLINICS AND AN ADDITIONAL OUTPATIENT CLINIC THAT PROVIDE PRIMARY CARE AND SPECIALTY SERVICES INCLUDING WOMEN'S HEALTH, WELL CHILD CARE, PREVENTATIVE CARE, CARDIOLOGY, PODIATRY, PSYCHOLOGY, AND CHIROPRACTIC CARE.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>2329424</ExpenseAmt>
        <RevenueAmt>3017113</RevenueAmt>
        <Desc>WE OPERATE A 5 BED EMERGENCY ROOM. WE STABILIZE PATIENTS FOR TRANSFER WHEN HIGHER LEVEL CARE IS REQUIRED. WE HAVE THE CAPACITY TO PROVIDE PRECIPITOUS DELIVERY. WE PROVIDE TEL-PSYCH SERVICES WHEN REQUIRED. WE ALSO PROVIDE STROKE EVALUATION AND INTERVENTION.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>12295422</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>false</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="IRS990ScheduleC">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="IRS990ScheduleC">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
      <ConservationEasementsInd>false</ConservationEasementsInd>
      <CollectionsOfArtInd>false</CollectionsOfArtInd>
      <CreditCounselingInd>false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd>false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd>false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd>false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd>false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="IRS990ScheduleH">true</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="AuditedFinancialStatements">true</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EscrowAccountInd>false</EscrowAccountInd>
      <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>21</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>113</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>3</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>3</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <PoliciesReferenceChaptersInd>false</PoliciesReferenceChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <WrittenPolicyOrProcedureInd>false</WrittenPolicyOrProcedureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>Jessica Ford</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>2548033561</PhoneNum>
        <USAddress>
          <AddressLine1Txt>322 Coleman Street</AddressLine1Txt>
          <CityNm>Marlin</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76661</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>Justin Hay</PersonNm>
        <TitleTxt>Secretary / Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ken Tomlinson</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Roger Nutt</PersonNm>
        <TitleTxt>President</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jessica Ford</PersonNm>
        <TitleTxt>Administrator</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>132900</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5320</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lew Robbins</PersonNm>
        <TitleTxt>CFO (End: 05/25)</TitleTxt>
        <AverageHoursPerWeekRt>15.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>69123</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Bianca Bocka</PersonNm>
        <TitleTxt>Chiropractor</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>115468</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>160</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Danielle Janicek</PersonNm>
        <TitleTxt>Physician's Assistant</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>191328</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Helen Okeloloa</PersonNm>
        <TitleTxt>Nurse Practitioner</TitleTxt>
        <AverageHoursPerWeekRt>42.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>124517</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3778</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kristin Burnett</PersonNm>
        <TitleTxt>Director of Nursing</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>114421</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>978</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sabrina Cruz</PersonNm>
        <TitleTxt>Nurse Practitioner</TitleTxt>
        <AverageHoursPerWeekRt>42.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>134822</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9102</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>882579</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>19338</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AXEL ENRI MARTINEZ IRIZARRY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4103 SE 6TH AVE</AddressLine1Txt>
            <CityNm>OCALA</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34480</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN NURSING HOMES</ServicesDesc>
        <CompensationAmt>443866</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JEREMY REYNOLDS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3015 Sturgis Lane</AddressLine1Txt>
            <CityNm>Waco</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76708</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROVIDER ER</ServicesDesc>
        <CompensationAmt>255385</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CONNECTED HEALTHCARE SOL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>705B SE MELODY LN</AddressLine1Txt>
            <CityNm>LEES SUMMIT</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64063</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTANT FOR ADMINISTRATION</ServicesDesc>
        <CompensationAmt>200999</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLORINDA ZAWACKI</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6099 OLD HOWARD RD</AddressLine1Txt>
            <CityNm>TEMPLE</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76504</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN RURAL HEALTH CLINIC</ServicesDesc>
        <CompensationAmt>188419</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>1497894</GovernmentGrantsAmt>
      <TotalContributionsAmt>1497894</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Revenue</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>15765705</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15765705</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Pharmacy Income</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>11921</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11921</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Medical Office Rent</Desc>
        <BusinessCd>531120</BusinessCd>
        <TotalRevenueColumnAmt>8550</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8550</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>15786176</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>22853</TotalRevenueColumnAmt>
        <ExclusionAmt>22853</ExclusionAmt>
      </InvestmentIncomeGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>68989</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>68989</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>68989</TotalRevenueColumnAmt>
        <ExclusionAmt>68989</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>Cafeteria Sales</Desc>
        <BusinessCd>722320</BusinessCd>
        <TotalRevenueColumnAmt>67307</TotalRevenueColumnAmt>
        <ExclusionAmt>67307</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Medical Records</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>6793</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6793</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>489</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>489</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>74589</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>17450501</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15793458</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>159149</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>14219</TotalAmt>
        <ProgramServicesAmt>14219</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>216392</TotalAmt>
        <ManagementAndGeneralAmt>216392</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6156670</TotalAmt>
        <ProgramServicesAmt>5076446</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1080224</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>5811</TotalAmt>
        <ProgramServicesAmt>5263</ProgramServicesAmt>
        <ManagementAndGeneralAmt>548</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>212736</TotalAmt>
        <ProgramServicesAmt>173689</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39047</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>436279</TotalAmt>
        <ProgramServicesAmt>347807</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88472</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>310655</TotalAmt>
        <ProgramServicesAmt>187105</ProgramServicesAmt>
        <ManagementAndGeneralAmt>123550</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>125558</TotalAmt>
        <ProgramServicesAmt>75623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49935</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>617</TotalAmt>
        <ManagementAndGeneralAmt>617</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1522127</TotalAmt>
        <ProgramServicesAmt>917136</ProgramServicesAmt>
        <ManagementAndGeneralAmt>604991</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>11587</TotalAmt>
        <ProgramServicesAmt>7842</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3745</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>20255</TotalAmt>
        <ProgramServicesAmt>13708</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6547</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>215538</TotalAmt>
        <ProgramServicesAmt>145870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>69668</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>350991</TotalAmt>
        <ProgramServicesAmt>237540</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113451</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>5442</TotalAmt>
        <ProgramServicesAmt>3683</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1759</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>12706</TotalAmt>
        <ProgramServicesAmt>8599</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4107</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>856843</TotalAmt>
        <ProgramServicesAmt>856843</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>311715</TotalAmt>
        <ProgramServicesAmt>210959</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100756</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Bad Debt Expense</Desc>
        <TotalAmt>4772408</TotalAmt>
        <ProgramServicesAmt>3229824</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1542584</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>776451</TotalAmt>
        <ProgramServicesAmt>525479</ProgramServicesAmt>
        <ManagementAndGeneralAmt>250972</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Dues &amp; Fees</Desc>
        <TotalAmt>140666</TotalAmt>
        <ProgramServicesAmt>95199</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45467</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs &amp; Equipment</Desc>
        <TotalAmt>113513</TotalAmt>
        <ProgramServicesAmt>76822</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36691</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>126730</TotalAmt>
        <ProgramServicesAmt>85766</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40964</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>16715909</TotalAmt>
        <ProgramServicesAmt>12295422</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4420487</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>933670</BOYAmt>
        <EOYAmt>545290</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>542052</BOYAmt>
        <EOYAmt>1008019</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>760943</BOYAmt>
        <EOYAmt>715026</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>145166</BOYAmt>
        <EOYAmt>136600</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>142171</BOYAmt>
        <EOYAmt>217861</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>22229712</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>14192621</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8583154</BOYAmt>
        <EOYAmt>8037091</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>995262</BOYAmt>
        <EOYAmt>937042</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>12102418</BOYAmt>
        <EOYAmt>11596929</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1923009</BOYAmt>
        <EOYAmt>1153743</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>42013</BOYAmt>
        <EOYAmt>13391</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>902962</BOYAmt>
        <EOYAmt>55785</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2867984</BOYAmt>
        <EOYAmt>1222919</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>9234434</BOYAmt>
        <EOYAmt>10374010</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>9234434</BOYAmt>
        <EOYAmt>10374010</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>12102418</BOYAmt>
        <EOYAmt>11596929</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>734592</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>33300</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>371684</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="24020961" softwareVersionNum="2024v5.1">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC" softwareId="24020961" softwareVersionNum="2024v5.1">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>617</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>617</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
        <ExplanationTxt>Texas Organization of Rural and Community Hospitals (Torch) - $3,085 x 20% = $617</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="24020961" softwareVersionNum="2024v5.1">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>261218</OtherCostOrOtherBasisAmt>
        <BookValueAmt>261218</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>13195342</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6641669</DepreciationAmt>
        <BookValueAmt>6553673</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>676193</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>265088</DepreciationAmt>
        <BookValueAmt>411105</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>8096959</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7285864</DepreciationAmt>
        <BookValueAmt>811095</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>8037091</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>THIE Surplus</Desc>
        <BookValueAmt>225537</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other Receivables</Desc>
        <BookValueAmt>0</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Due from Medicaid</Desc>
        <BookValueAmt>687048</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Right of Use Assets</Desc>
        <BookValueAmt>24457</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>937042</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal Income Taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Est Due to 3rd Party Payers</Desc>
        <Amt>42909</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CTWP Leases</Desc>
        <Amt>12876</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>55785</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>12711393</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>33300</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>33300</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>12678093</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>4772408</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>4772408</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>17450501</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>11943501</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>0</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>11943501</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>4772408</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>4772408</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>16715909</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt Expense - 4772408</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt Expense - 4772408</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="24020961" softwareVersionNum="2024v5.1">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent100Ind>X</Percent100Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent200DInd>X</Percent200DInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>242802</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>242802</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02033</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>652849</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3510672</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>278905</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>189482</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>89423</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00749</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1174556</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3700154</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>332225</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02782</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>103062</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>103062</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00863</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <ResearchGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>14219</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>14219</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00119</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>117281</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>117281</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00982</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1291837</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3700154</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>449506</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03764</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <PhysicalImprvAndHousingGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </PhysicalImprvAndHousingGrp>
      <EconomicDevelopmentGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </EconomicDevelopmentGrp>
      <CommunitySupportGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </CommunitySupportGrp>
      <EnvironmentalImprovementsGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </EnvironmentalImprovementsGrp>
      <LeadershipDevelopmentGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </LeadershipDevelopmentGrp>
      <CoalitionBuildingGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </CoalitionBuildingGrp>
      <HealthImprovementAdvocacyGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <OtherCommuntityBuildingActyGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </OtherCommuntityBuildingActyGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>0</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>0</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>4772408</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>4797058</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>3074112</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>1722946</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Falls Community Hospital &amp; Clinic Inc</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>322 Coleman Street</AddressLine1Txt>
          <CityNm>Marlin</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76661</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.fallshospital.com</WebsiteAddressTxt>
        <StateLicenseNum>00517</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Falls Community Hospital &amp; Clinic 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>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>24</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>www.fallshospital.com</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>www.fallshospital.com</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.0</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>https://fallshospital.com/patient-information/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>https://fallshospital.com/patient-information/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>https://fallshospital.com/patient-information/</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>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Falls Community Hospital &amp; Clinic, Inc.. IN 2024 THE HOSPITAL CONDUCTED A COMMUNITY HEALTH SURVEY AMONG A DIVERSE CROSS SECTION OF THE POPULATION LIVING AND WORKING IN FALLS COUNTY. THE SURVEY CONTAINED MULTIPLE QUESTIONS RELATED TO ACCESS TO HEALTHCARE AND CHRONIC ILLNESS AND DISEASE. RESPONSES WERE RECORDED FROM DIVERSE STAKE HOLDERS OF FALLS COUNTY AND SERVICE AREA REPRESENTING PRIVATE AND PUBLIC SECTORS, MULTI-CULTURAL POPULATIONS, VARIOUS OCCUPATIONAL CLASSIFICATIONS, ETC. ADDITIONALLY, FIVE FOCUS GROUP SESSIONS WERE HELD TO INTERVIEW STAKEHOLDERS REPRESENTING DIVERSE SEGMENTS OF THE SERVICE AREA, INCLUDING INDIVIDUALS, BUSINESS, EDUCATION, HOSPITAL, HEALTH AND MEDICAL PROVIDERS, FAITH LEADERS, ELECTED OFFICIALS, GOVERNING BODY, ETC. A TOTAL OF 22 DIVERSE PARTICIPANTS CONTRIBUTED TO THE COMMUNITY HEALTH SURVEY AND FOCUS GROUP SESSIONS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Falls Community Hospital &amp; Clinic Inc. THE CHNA IDENTIFIED THE FOLLOWING NEEDS TO ADDRESS IN THE IMPLEMENTATION STRATEGY: EMERGENCY MEDICAL SERVICES (EMS / AMBULANCE) - TIMELY RESPONSE IS CRITICAL IN EMERGENCY SITUATIONS. THE SINGLE BIGGEST NEED ECHOED THROUGHOUT THE COUNTY IS FASTER EMS RESPONSE TO EMERGENCIES. FCHC IS LOOKING INTO OPTIONS THROUGH COLLABORATION WITH OTHER FALLS COUNTY OFFICES, GRANTS, AND/OR OTHER MEANS TO IMPROVE THE EMS SERVICE IN FALLS COUNTY. COMMUNITY COMMUNICATION, AWARENESS, &amp; COLLABORATION - THE CITY OF MARLIN AND FALLS COUNTY OFFERS DEDICATED PEOPLE, LOCAL BUSINESSES, AND GROUPS WHO ARE ACTIVELY ENGAGED IN PROVIDING GOOD SERVICES. LIKE MOST COMMUNITIES, HOWEVER, THESE GROUPS OFTEN WORK INDEPENDENTLY WITH LITTLE INTERACTION, COLLABORATION, OR JOINT PLANNING AMONG EACH OTHER. ENTHUSIASTIC DISCUSSION BROKE OUT DURING THE COMMUNITY FOCUS GROUP SESSIONS AS PARTICIPANTS BEGAN LEARNING FROM EACH OTHER ABOUT RESOURCES THAT EACH OFFERED. A DESIRE WAS CREATED TO CONTINUE THESE DISCUSSIONS AND COLLABORATE ON WAYS THAT THEY MAY COLLECTIVELY ENGAGE IN EFFORTS TO IMPROVE THE LIFE, HEALTH, AND WELLBEING OF THOSE LIVING IN FALLS COUNTY. INFORMAL NETWORKS FOR COLLABORATION CAN BE VERY EFFECTIVE. COMMUNITY HEALTH EDUCATION, OUTREACH, AND COLLABORATION - COMMUNITY HEALTH EDUCATION AND EXPANDED OUTREACH IS OFFERED AS A PRIMARY RECOMMENDATION. FCHC HAS RECEIVED SEVERAL GRANTS TO PROMOTE HEALTH AND VACCINE AWARENESS AND IS UTILIZING THE FUNDS TO PROVIDE EDUCATION AND BUILD VACCINE CONFIDENCE. IN ADDITION, FCHC IS COLLABORATING WITH FALLS COUNTY AG EXTENSION OFFICE, COMMUNITIES IN SCHOOLS, AND OTHER AGENCIES TO PARTICIPATE IN JOINT EVENTS PROMOTING HEALTH AND WELLNESS. MENTAL HEALTH - BASED UPON COMMUNITY RESPONSE AND PUBLIC DATA, MENTAL HEALTH RANKS AS A PRIORITY HEALTH NEED IN FALLS COUNTY. ISSUES OF MENTAL HEALTH ARE COMPLEX AND TYPICALLY LINKED TO ENVIRONMENTAL FACTORS BEYOND THE SCOPE OF THE HOSPITAL, MEDICAL PROVIDERS, OR ANY SINGLE ORGANIZATION. THE ROOT CAUSES OR RESULTS OF MENTAL HEALTH ISSUES ARE OFTEN LINKED TO SOCIAL ISSUES LIKE UNEMPLOYMENT, POVERTY, NUTRITION, DRUG ABUSE, FAMILY DISFUNCTION, EDUCATION, HOUSING, AND OTHER FACTORS. MENTAL HEALTH, REGARDLESS OF CAUSES, IMPACTS THE PHYSICAL HEALTH AND WELLBEING OF INDIVIDUALS. A NEED EXISTS FOR BOTH IMPROVED AWARENESS OF AND LOCAL ACCESS TO MENTAL HEALTH COUNSELING SERVICES IN MARLIN. FCHC HIRED A BEHAVIORAL HEALTH COUNSELOR TO ASSIST WITH PATIENT INTERVENTIONS. THESE INTERVENTIONS ASSIST PATIENTS WITH OBTAINING SERVICES FOR HEALTHCARE, HOUSING, FOOD, MENTAL HEALTH, ETC. FCHC RETAINED A RECRUITER TO SEARCH FOR A PHYSICAL THERAPIST, PRIMARY CARE PHYSICIAN, AND ADDITIONAL APRN PROVIDERS. DURING 2025, THREE APRNS WERE PLACED IN CLINICS TO FURTHER THE GOAL OF PROMOTING COMMUNITY HEALTH. FALLS COMMUNITY HOSPITAL HAS PARTNERED WITH TEXAS A&amp;M TO PROVIDE FREE BEHAVIORAL HEALTH SERVICES THROUGH TELEMEDICINE AT OUR CLINIC IN ROSEBUD. TELEHEALTH IS ALSO BEING USED EFFECTIVELY IN COUNTIES ACROSS TEXAS TO EXPAND ACCESS TO PSYCHIATRY AND OTHER MENTAL HEALTH SERVICES. CONSULTATIVE SERVICES CAN BE ACCESSED LOCALLY BY PATIENTS WHILE LINKED TO REMOTE PROVIDERS. EXPANSION OF TELEHEALTH SHOULD BE CONSIDERED AS AN OPTION FOR EXPANDING LOCAL ACCESS TO MENTAL HEALTH. CHRONIC DISEASE SELF-MANAGEMENT - THE PROGRAMS SEEK TO TEACH PATIENTS TO TAKE CHARGE OF THEIR OWN HEALTH THROUGH EDUCATION, ACTIVE MONITORING, AND BEHAVIORAL ADJUSTMENTS. MANY WHO SUFFER FROM CHRONIC DISEASE SUCH AS DIABETES, HYPERTENSION, COPD, CHF, AND OTHER ILLNESSES HAVE LOW INCOME AND LACK INSURANCE TO AFFORD A PERSONAL PRIMARY CARE PRACTITIONER OR PURCHASE MEDICATION. EACH NEW PATIENT RECEIVES A BASELINE EVALUATION WITH AN ADVANCED PRACTICE PROVIDER (NURSE PRACTITIONER OR PHYSICIAN ASSISTANT) AND A "MEDICAL HOME" PLACE TO RETURN FOR MONITORING AND CHECK-UP. THE PROGRAM PROVIDES THE PATIENT WITH NUTRITIONAL CONSULTS AND PERSONALIZED EDUCATION ON HOW TO MANAGE THEIR SPECIFIC DISEASE. THE GOAL IS TO ENGAGE THE PATIENT IN IMPROVING THEIR OVERALL HEALTH AND WELLBEING AND PROVIDE A MEANINGFUL CONTINUUM OF CARE WITH AN ESTABLISHED PROVIDER. AN ADDED BENEFIT IS TO REDUCE UNFUNDED UTILIZATION OF THE ED FOR CHRONIC CARE VISITS THAT CAN BE MORE APPROPRIATELY MANAGED IN A LOWER COST SETTING. MARLIN RHC'S PHYSICIANS ARE IMPLEMENTING NEW PROGRAMS TO EDUCATE PATIENTS DURING THEIR VISIT AND TRAINING PROVIDERS AND STAFF ON THE IMPORTANCE OF PATIENT EDUCATION. DRUG ABUSE - DRUG ABUSE IS WIDELY RECOGNIZED AS A MAJOR PROBLEM IN FALLS COUNTY, AS WELL AS THE STATE OF TEXAS. ILLEGAL DRUG USAGE ADVERSELY IMPACTS THE ENTIRE COUNTY, BOTH THE PUBLIC SECTOR AND PRIVATE SECTOR. THERE IS NO SINGLE SOURCE SOLUTION TO REDUCING ILLEGAL DRUG USAGE. THE PROBLEM MUST BE ADDRESSED AS A COMMUNITY PROBLEM AND RECEIVE INPUT FROM MULTIPLE SECTORS OF THE COUNTY. FALLS COMMUNITY HOSPITAL HAS CREATED NEW POLICIES REGARDING ADMINISTRATION OF NARCOTICS AND PAIN MANAGEMENT. WATER - SUPPLY AND DISTRIBUTION OF SAFE HOUSEHOLD WATER SHOULD BE CONTINUED FOR IMPROVEMENT BY THE CITY OF MARLIN. ACCESS TO SAFE WATER IS A BASIC ESSENTIAL TO COMMUNITY HEALTH. THE CITY OF MARLIN IS CONSTANTLY WORKING TO MAKE UPGRADES TO THE WATER SYSTEM IN MARLIN. FCHC REPRESENTATIVES ARE ATTENDING CITY WATER MEETINGS TO STAY UP TO DATE ON IMPROVEMENTS AND CURRENT CONDITIONS. ECONOMIC DEVELOPMENT AND SOCIAL INFRASTRUCTURE - COMMUNITY HEALTH IS HEAVILY IMPACTED BY SOCIAL AND ECONOMIC FACTORS SUCH AS JOBS, INCOME, HOUSING, EDUCATION. IT IS RECOMMENDED THAT LEADERS FROM THE PUBLIC AND PRIVATE SECTORS ASSESS NEEDS, RESOURCES AVAILABLE, AND OPPORTUNITIES TOGETHER IN AN EFFORT TO EXPAND JOBS, LOCAL EMPLOYMENT, AND TAX BASE. CREATING JOBS AND IMPROVING ECONOMIC DEVELOPMENT WILL HELP TO IMPROVE THE SOCIAL INFRASTRUCTURE, REDUCE GENERATIONAL POVERTY, AND INCREASE LOCAL TAX REVENUE THAT WILL ENABLE THE CITY AND COUNTY TO AFFORD TO PROVIDE MORE SERVICES. DUE TO LIMITED RESOURCES THE HOSPITAL HAS NOT ADDRESSED COMMUNITY COMMUNICATION, AWARENESS, &amp; COLLABORATION AND ECONOMIC DEVELOPMENT AND SOCIAL INFRASTRUCTURE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>3</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FCHC Rural Health Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>307 LIVE OAK STREET</AddressLine1Txt>
            <CityNm>Marlin</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76661</ZIPCd>
          </USAddress>
          <FacilityTxt>Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FCHC Bremond Medical Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201 S Main</AddressLine1Txt>
            <CityNm>Bremond</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76629</ZIPCd>
          </USAddress>
          <FacilityTxt>Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FCHC Rosebud Medical Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>312 N Stallworth</AddressLine1Txt>
            <CityNm>Rosebud</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76570</ZIPCd>
          </USAddress>
          <FacilityTxt>Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I Part I, Line 7, Column F</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE IN THE AMOUNT OF $4,772,08 WAS INCLUDED ON FORM 990, PART IX, LINE 25 IN TOTAL EXPENSES. HOWEVER, THIS AMOUNT WAS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF PATIENT CARE COST TO CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B Compliance with 501r</FormAndLineReferenceDesc>
        <ExplanationTxt>Falls Community Hospital &amp; Clinic, Inc. (the ganization") operates Falls Community Hospital &amp; Clinic (the "Hospital Facility"). During the fiscal year ended August 31, 2025, the Organization identified a non-willful, non-egregious failure to fully satisfy the written Financial Assistance Policy ("FAP") requirements under IRC §501(r)(4) and Reg. §1.501(r)-4. The failure occurred at the Hospital Facility and related to the content of the written FAP in effect during the fiscal year ended August 31, 2025. The FAP did not include all required information, specifically: (1) a description of the method used to calculate amounts generally billed ("AGB") for emergency and other medically necessary care; (2) a list of providers, or an adequate description of departments, clinics, practices, or other provider categories, delivering emergency or other medically necessary care in the Hospital Facility and whether such care was covered or not covered by the FAP; and (3) language identifying extraordinary collection actions ("ECAs") that may be taken in the event of nonpayment, or an adequate cross-reference to a separate written billing and collections policy. The failure resulted from an incomplete update of the FAP to conform to the final IRC §501(r) regulations. The Organization has not identified any specific patient account, patient class, or dollar amount adversely affected solely as a result of the FAP content omissions. If any affected person is identified, the Organization will take reasonable and appropriate corrective action, including corrected billing statements, reversal or suspension of improper collection activity, and refunds of any FAP overpayment of $5 or more, as applicable pursuant to Rev. Proc. 2015-21. The Organization is correcting the failure by amending, adopting, and implementing a revised FAP to comply with the requirements under IRC §501(r)(4) and Reg. §1.501(r)-4. The Organization will revise its compliance procedures to prevent recurrence and to identify and correct any future IRC §501(r) failure promptly. These procedures include annual monitoring by top management, periodic review of the FAP and related patient-facing materials, regular updates to the provider list, assignment of responsibility for IRC §501(r) compliance to appropriate management personnel, and correction of any additional failures as they are identified.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Financial Assistance and Certain Other Community Benefits at Cost</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. THE COST COMPUTED ON WORKSHEET 6 AND 8 WAS FROM THE HOSPITAL'S INCOME STATEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE CARE: - MEDICAL INDIGENCY - INSURANCE STATUS - RESIDENCY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>4772408</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE END OF EACH INTERIM PERIOD AND AT YEAR END, WE CALCULATE AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS USING AGGREGATED INFORMATION ABOUT PATIENT ACCOUNTS RECEIVABLE AND RECENT HISTORICAL STATISTICS ABOUT THE AMOUNTS THAT WE HAVE COLLECTED ON SIMILAR ACCOUNTS AS DEFINED BY PAYER CLASSIFICATION AND THE AGE OF THE RECEIVABLE. BAD DEBT EXPENSE/RECOVERY IS THE AMOUNT OF THE ADJUSTMENT NECESSARY AT THE END OF EACH PERIOD BASED ON OUR ANALYSIS PLUS THE SUM OF THE AMOUNTS ACTUALLY WRITTEN OFF TO BAD DEBT DURING THE PERIOD. WRITE OFFS FOR PATIENTS THAT QUALIFY FOR CHARITY AND INDIGENT CARE WILL NOT BE INCLUDED IN BAD DEBT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS LEFT IT BLANK.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT APPLICABLE DUE TO THE ADOPTION OF ASU TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ANCILLARY COSTS BASED ON MEDICARE OR MEDICAID COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. IN ADDITION, THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COLLECTION POLICY STATES THAT AN ITEMIZED STATEMENT IS SENT TO THE COLLECTIONS COUNSELOR FOR VERIFICATION OF CHARITY COVERAGE AND ADJUSTMENT FOR THOSE WHO HAVE QUALIFIED FOR CHARITY ASSISTANCE. ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR THE HOSPITAL'S CHARITY ASSISTANCE POLICY, NO ADDITIONAL COLLECTION EFFORTS WILL BE MADE ON THAT ACCOUNT IN EXCESS OF THE CO-PAY REQUIRED OF THAT PATIENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Falls Community Hospital &amp; Clinic Inc: Line 16a URL: https://fallshospital.com/patient-information/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Falls Community Hospital &amp; Clinic Inc: Line 16b URL: https://fallshospital.com/patient-information/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Falls Community Hospital &amp; Clinic Inc: Line 16c URL: https://fallshospital.com/patient-information/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>FALLS COMMUNITY HOSPITAL PERFORMS A REGULAR ASSESSMENT OF THE COMMUNITY POPULATION AND FACILITIES TO DETERMINE NEEDS IN THEIR AREA. FALLS COMMUNITY HOSPITAL THEN IDENTIFIES STRATEGIES TO MEET THOSE NEEDS THROUGH IMPROVED PHYSICIAN RECRUITING, ADDITIONAL SERVICES, OR INCREASING PUBLIC AWARENESS OF SERVICES AND PROGRAMS OFFERED BY THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE FOR PATIENTS UNABLE TO PAY FOR HEALTH CARE IS AVAILABLE AND PUBLICIZED. IT IS POSTED IN THE LOCAL NEWSPAPER AT LEAST ANNUALLY AND IS POSTED NEAR THE ADMISSION DESKS OF THE HOSPITAL AND CLINICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>FALLS COUNTY IS A RURAL COUNTY WITH A POPULATION OF APPROXIMATELY 17,286 PEOPLE. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $47,500 AND 21% OF THE POPULATION LIVE IN POVERTY. THE MEDIAN RESIDENT AGE IS 39.9 YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL ANNUALLY HOSTS A COUNTY HEALTH FAIR THAT PROVIDES FREE CHOLESTEROL, PSA AND GLUCOSE SCREENINGS AS WELL AS NUTRITION EDUCATION. THESE SCREENINGS HELP IMPROVE THE DIETS OF THE COMMUNITY IN AN EFFORT TO DECREASE OBESITY AND ENCOURAGE PREVENTIVE TESTING. ADDITIONALLY, THE ORGANIZATION OFFERS A PEDIATRIC IMMUNIZATION CLINIC AND PROVIDES TEXAS HEALTH STEP EXAMS TO MEDICAID RECIPIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>TX</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="24020961" softwareVersionNum="2024v5.1">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <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>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Danielle Janicek</PersonNm>
        <TitleTxt>Physician's Assistant</TitleTxt>
        <BaseCompensationFilingOrgAmt>190895</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>433</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>191328</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PROVIDES NON-FIXED PAYMENTS TO EMPLOYEES AS BONUS PAYMENTS DETERMINED BY THE DISCRETION OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY ALL OFFICERS AND ACCOUNTING PERSONNEL OF FALLS COMMUNITY HOSPITAL. ANY QUESTIONS OR CONCERNS ARE ADDRESSED AND ANY NEEDED CORRECTIONS OR CLARIFICATIONS ARE MADE. THE 990 IS REVIEWED BY THE BOARD OF TRUSTEES WITH THE ADMINISTRATOR AND FINANCIAL COUNSELOR PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS, OFFICERS, AND EMPLOYEES ARE REQUIRED TO PROMPTLY REPORT IN WRITING ANY POTENTIAL CONFLICTS OF INTEREST TO THE ADMINISTRATOR OR BOARD CHAIRPERSON. THE BOARD IS ALSO REQUIRED TO SIGN AN ANNUAL STATEMENT REGARDING ANY POTENTIAL CONFLICTS. THE BOARD CONSIDERS THE CONFLICT AND DIRECT THE PROPER ACTION TO BE TAKEN DEPENDING UPON WHETHER THE HOSPITAL'S INTERESTS WILL BE AFFECTED ADVERSELY. ANY MEMBER OF THE BOARD OF TRUSTEES SHALL ABSTAIN FROM VOTING ON A MATTER WHEN A CONFLICT OF INTEREST WITH THAT BOARD MEMBER EXISTS. WHEN A MEMBER DETERMINES THAT NO CONFLICT EXISTS, SUCH MEMBER SHALL SO ANNOUNCE IT TO THE BOARD OF TRUSTEES AND SUCH ANNOUNCEMENT SHALL BE PLACED IN THE MINUTES OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD HAS A COMPENSATION COMMITTEE TO MAKE RECOMMENDATIONS REGARDING THE CEO/ADMINISTRATOR'S COMPENSATION. THESE RECOMMENDATIONS ARE THEN APPROVED ANNUALLY BY THE BOARD CHAIRMAN AND OTHER BOARD MEMBERS. ALL DOCUMENTATION OF THE REVIEW IS KEPT IN THE HUMAN RESOURCES' EMPLOYEE FILES. THE MOST RECENT REVIEW WAS CONDUCTED IN NOVEMBER OF 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD HAS A COMPENSATION COMMITTEE TO MAKE RECOMMENDATIONS REGARDING THE OTHER OFFICERS COMPENSATION. THESE RECOMMENDATIONS ARE THEN APPROVED ANNUALLY BY THE BOARD CHAIRMAN AND OTHER BOARD MEMBERS. ALL DOCUMENTATION OF THE REVIEW IS KEPT IN THE HUMAN RESOURCES' EMPLOYEE FILES. THE MOST RECENT REVIEW WAS CONDUCTED IN NOVEMBER OF 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Revenue - Total Revenue: 489, Related or Exempt Function Revenue: 489, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>