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          <AddressLine1Txt>451 W LOCKKE ST</AddressLine1Txt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - LITTLE RIVER MEDICAL CENTER, INC.. LRMH CONDUCTED THESE SURVEYS WITH THREE KEY INTERVIEWEES. THE INTERVIEWEES WERE ASKED TO PARTICIPATE BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH OR THEIR KNOWLEDGE OF UNDERSERVED AND MINORITY POPULATIONS. THE INTERVIEWS WERE CONDUCTED USING A STANDARD QUESTIONNAIRE. A COPY OF THE INTERVIEW INSTRUMENT IS INCLUDED IN APPENDICES. COMMENTS WERE PROVIDED ON THE FOLLOWING ISSUES: - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF LITTLE RIVER COUNTY - CURRENT STRENGTHS IN THE COMMUNITY AND PUBLIC HEALTH - OPINIONS REGARDING THE MOST IMPORTANT HEALTH ISSUES FACING COMMUNITY RESIDENTS - OPINIONS REGARDING THE TYPES OF SERVICES LITTLE RIVER COUNTY CURRENTLY LACKS - BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY RESPONDENTS FILLED OUT EACH SURVEY IN WRITING, ANSWERING OPEN-ENDED QUESTIONS. THE RESPONDENTS WERE ASSURED THAT PERSONAL IDENTIFIERS, SUCH AS NAMES OR ORGANIZATIONAL AFFILIATIONS, WOULD NOT BE CONNECTED IN ANY WAY TO THE INFORMATION PRESENTED IN THIS REPORT. THEREFORE, INFORMATION INCLUDED IN THE REPORT MAY HAVE BEEN ALTERED SLIGHTLY TO THE EXTENT NEEDED ONLY TO PRESERVE CONFIDENTIALITY. THIS DATA COLLECTION TECHNIQUE DOES NOT PROVIDE A QUANTITATIVE ANALYSIS OF THE RESPONDENT'S OPINIONS, BUT REVEALS SOME OF THE FACTORS AFFECTING THE VIEWS AND SENTIMENTS ABOUT OVERALL HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - LITTLE RIVER MEDICAL CENTER, INC.. BASED ON A REVIEW OF THE DATA GATHERED DURING THIS ASSESSMENT, INCLUDING LEADING CAUSES OF DEATH, RANKINGS OF HEALTH OUTCOMES AND FACTORS AS WELL AS SURVEYS AND INTERVIEWS, NUMEROUS HEALTH NEEDS WERE IDENTIFIED. THESE NEEDS WERE PRIORITIZED AND EVALUATED TO DETERMINE WHICH WERE SIGNIFICANT TO THE COMMUNITY. THE CRITERIA INCLUDED THE NUMBERS OF PERSONS AFFECTED, THE SERIOUSNESS OF THE ISSUE, WHETHER THE HEALTH NEED PARTICULARLY AFFECTED PERSONS LIVING IN POVERTY OR MEMBERS OF AN UNDERSERVED POPULATION, AND AVAILABILITY OF COMMUNITY RESOURCES TO ADDRESS THE NEED. AS A RESULT, THE FOLLOWING LIST OF SIGNIFICANT NEEDS WAS IDENTIFIED: 1. MENTAL HEALTH SERVICES/SUBSTANCE ABUSE A. CONTINUE TO WORK WITH NEIGHBORING FACILITIES - RIVERVIEW AND RIVER RIDGE - FOR TREATMENT AND PREVENTION B. INTRODUCE THE ABILITY TO WORK CLOSELY WITH LOCAL PRIVATE COUNSELORS IN THE COMMUNITY TO PROVIDE EDUCATION WHILE MOVING FORWARD IN PREVENTING BOTH MENTAL HEALTH AND SUBSTANCE ABUSE 2. IMPROVE THE WELLNESS AND HEALTH EDUCATION IN OUR COMMUNITIES A. CONTINUE EDUCATIONAL CLASSES ON DIABETES AND SUPPLY DIABETIC BOXES PROVIDED BY HARVEST FOOD BANK TO LOW INCOME/NO INSURANCE MEMBERS OF THE COMMUNITY SEEN AT HOSPITAL OR ATTENDING CLASSES. B. PROVIDE CLASSES ON OBESITY STRESSING IT IS A MAJOR, INDEPENDENT RISK FACTOR FOR HEART DISEASE, DRASTICALLY INCREASING THE LIKELIHOOD OF CORONARY ARTERY DISEASE, HEART FAILURE, AND EVEN STROKE. C. INCORPORATE AN INDIVIDUAL WHO IS ABLE TO EXPLAIN SERVICES PROVIDED BY MEDICARE AND INSURANCE BENEFITS; SUCH AS SCREENING EXAMS COVERAGE, AND EDUCATE TO BE AWARE OF SCAM CALLS. 3. NEED FOR URGENT CARE CLINICS A. CONTINUE PROVIDING PROMPT 24-7 SERVICE THROUGH OUR ER AND BE MORE CONSCIENTIOUS OF NON-CRITICAL VERSUS CRITICAL AND SEE BOTH PATIENTS PROMPTLY THROUGH OUR TRIAGE SYSTEM. B. MAKE THE PUBLIC AWARE WE HAVE A CLINIC WITHIN OUR HEALTH CARE SYSTEM THAT WELCOMES WALK-IN PATIENTS FOR NON-LIFE-THREATENING ILLNESSES. C. ADVERTISE LOCALLY IN THE NEWSPAPER AND POST ON SOCIAL MEDIA INFORMING THE PUBLIC OF OUR SERVICES INCLUDING OUR FULLY STAFFED, WELL-EQUIPPED, EMERGENCY ROOM THAT PROVIDES; QUICK ASSESSMENT AND RESPONSE TIME FOR STROKE PROTOCOL AND CARDIAC PROTOCOL. D. RESEARCH AND IMPLEMENT AN AFTER-HOURS/URGENT CARE CLINIC IF PROVEN NECESSARY TO ADDRESS UNMET NEEDS IN OUR COMMUNITY FOR NEEDED HEALTH CARE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - LITTLE RIVER MEDICAL CENTER, INC.. THE PRESENCE OF AN APPLICABLE RECENT BANKRUPTCY OF A PATIENT OR THIRD-PARTY PROVIDING COVERAGE FOR THE PATIENT WILL RESULT IN A CONSIDERATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF THE HOSPITAL IS UNABLE TO OBTAIN ADEQUATE INFORMATION REGARDING ABILITY TO PAY FOR ANY PATIENT TREATED IN THE ED, THE PATIENT MAY BE GRANTED 100% FINANCIAL ASSISTANCE AFTER APPROPRIATE BILLING AND/OR OTHER ATTEMPTS TO COLLECT INFORMATION. IN CERTAIN SITUATIONS, SERVICES DENIED OR NON-COVERED BY MEDICAID OR OTHER PROGRAMS WHICH PROVIDE CARE TO LOW-INCOME PATIENTS, MAY BE CONSIDERED UNDER THE FAP.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - LITTLE RIVER MEDICAL CENTER, INC.. LITTLE RIVER MEMORIAL HOSPITAL WILL MAKE REASONABLE EFFORTS TO VERBALLY COMMUNICATE WITH THE PATIENT OR GUARANTOR ABOUT THE HOSPITAL'S FINANCIAL POLICY ASSISTANCE APPLICATION AND HOW ASSISTANCE MAY BE OBTAINED WITH THE APPLICATION AND WHAT NECESSARY QUALIFICATIONS MUST BE MET. THE FIRST BILLING STATEMENT ALSO INCLUDES A PHONE NUMBER TO CALL IF ONE BELIEVES THEY WILL NEED FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MEMORIAL MEDICAL CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>450 WEST LOCKE STREET</AddressLine1Txt>
            <CityNm>ASHDOWN</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>71822</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>LRMH HOME HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>450 WEST LOCKE STREET</AddressLine1Txt>
            <CityNm>ASHDOWN</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>71822</ZIPCd>
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          <FacilityTxt>HOME HEALTH</FacilityTxt>
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      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE SCHEDULE H, PART V FOR FURTHER INFORMATION ON CRITERIA USED FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST TO CHARGE RATIO (CALCULATED USING WORKSHEET 2) WAS USED FOR LINE 7 AMOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO COLLECT ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND AS SUCH ARE RECORDED AS A DEDUCTION FROM GROSS PATIENT REVENUE. THE HOSPITAL INTERNALLY TRACTS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>NONE OF THE MEDICARE SHORTFALL WAS TREATED AS COMMUNITY BENEFIT. THE SHORTFALL WAS CALCULATED USING THE COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>LRMH SENDS PATIENTS ACCOUNT STATEMENTS ON A MONTHLY (35-DAY) CYCLE. GENERALLY, IF THE ACCOUNT IS NOT PAID, LRMH WILL SEND THREE STATEMENTS, WITH THE FINAL STATEMENT SERVING AS FINAL NOTICE THAT THE ACCOUNT MAY BE REFERRED TO A THIRD-PARTY COLLECTION AGENCY IF PAYMENT IS NOT RECEIVED WITHIN 30 DAYS AFTER THE DATE OF THE FINAL NOTICE. LRMH REQUIRES ANY COLLECTION AGENCY IT USES TO AGREE TO REFRAIN FROM ABUSIVE COLLECTION PRACTICES. LRMH WILL NOT ENGAGE IN "EXTRAORDINARY COLLECTION ACTIONS" UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THIS POLICY. EXTRAORDINARY COLLECTION ACTIONS INCLUDE SELLING DEBT TO THIRD PARTIES (EXCEPT AS LEGALLY ALLOWED), REPORTING TO CONSUMER CREDIT REPORTING AGENCIES AND CREDIT BUREAUS, DENYING FUTURE MEDICAL CARE BECAUSE OF NONPAYMENT, FILING LAWSUITS, FORECLOSING ON REAL ESTATE, ATTACHING OR SEIZING BANK ACCOUNTS OR PERSONAL PROPERTY, PLACING LIENS ON RESIDENCES, ARRESTS, BODY ATTACHMENTS, AND SIMILAR ACTIVITIES, UNLESS ALL COLLECTION ACTIVITIES HAVE BEEN EXHAUSTED AND THE ACCOUNT HAS BEEN TURNED OVER TO A COLLECTION AGENCY. IF A PATIENT ACCOUNT HAS BEEN REFERRED TO A COLLECTION AGENCY, THAT PATIENT MAY STILL APPLY FOR FINANCIAL ASSISTANCE FOR A PERIOD OF 120 DAYS. WHILE THE APPLICATION IS BEING COMPLETED AND WHILE THE DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS PENDING, COLLECTION EFFORTS WILL BE SUSPENDED. LRMH RECOGNIZES THAT SOME PATIENTS WILL RECEIVE MULTIPLE EPISODES OF CARE OR CARE ON MULTIPLE OCCASIONS. IN THAT EVENT, LRMH WILL ONLY INITIATE AN EXTRAORDINARY COLLECTION ACTION ON THE AGGREGATE OF THE PATIENT'S OUTSTANDING BILLS AFTER 120 DAYS HAVE PASSED SINCE LRMH PROVIDED THE FIRST POST-DISCHARGE BILLING STATEMENT FOR THE PATIENT'S MOST RECENT EPISODE OF CARE. DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS PENDING; COLLECTION EFFORTS WILL BE SUSPENDED. LRMH MAY INITIATE AN EXTRAORDINARY COLLECTION ACTION UNDER CERTAIN CIRCUMSTANCES. FIRST, LRMH MAY INITIATE EXTRAORDINARY COLLECTION ACTIONS WHEN IT PROVIDES THE PATIENT WITH AT LEAST 30 DAYS' WRITTEN NOTICE THAT THE ACTION IS BEING INITIATED AND PROVIDES A DEADLINE FOR THE PATIENT TO BRING HIS OR HER ACCOUNT CURRENT. WITH THAT NOTICE, LRMH WILL PROVIDE A PLAIN LANGUAGE SUMMARY OF THIS POLICY. LRMH WILL ALSO MAKE REASONABLE EFFORTS TO PROVIDE THE PATIENT WITH NOTICE THAT IT IS INITIATING AN EXTRAORDINARY COLLECTION ACTION. ACCOUNT CURRENT. WITH THAT NOTICE, LRMH WILL PROVIDE A PLAIN LANGUAGE SUMMARY OF THIS POLICY. LRMH WILL ALSO MAKE REASONABLE EFFORTS TO PROVIDE THE PATIENT WITH NOTICE THAT IT IS INITIATING AN EXTRAORDINARY COLLECTION ACTION. SUMMARY OF THIS POLICY. LRMH WILL ALSO MAKE REASONABLE EFFORTS TO PROVIDE THE PATIENT WITH NOTICE THAT IT IS INITIATING AN EXTRAORDINARY COLLECTION ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- LITTLE RIVER MEDICAL CENTER, INC.: Line 16a URL: https://lrmh.org/public-disclosures/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- LITTLE RIVER MEDICAL CENTER, INC.: Line 16b URL: https://lrmh.org/public-disclosures/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- LITTLE RIVER MEDICAL CENTER, INC.: Line 16c URL: https://lrmh.org/public-disclosures/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL ATTENDS AND PARTICIPATES IN COMMUNITY HEALTH FAIRS. IN ADDITION, HOSPITAL EMPLOYEES SPEAK AT VARIOUS FUNCTIONS THROUGHOUT THE YEAR SUCH AS ROTARY, CHURCHES AND COUNTY MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS WILL BE OFFERED, AS PART OF THE REGISTRATION AND/OR DISCHARGE PROCESS, A COPY OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. ADDITIONALLY, ALL PATIENTS IDENTIFIED AS POTENTIAL FINANCIAL ASSISTANCE RECIPIENTS OR ANYONE REQUESTING FINANCIAL ASSISTANCE WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE. IF THIS EVALUATION IS NOT CONDUCTED UNTIL AFTER THE PATIENT LEAVE THE FACILITY, OR IN CASE OF OUTPATIENTS OR EMERGENCY PATIENTS, THE BUSINESS OFFICE WILL MAIL A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT FOR COMPLETION. IN ADDITION, LRMH WILL PROVIDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY TO THE PATIENT UPON REQUEST, FOLLOWING THE FIRST BILLING STATEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>LRMH IS THE SINGLE LARGEST PROVIDER OF ACUTE CARE SERVICES AND IS PART OF THE BROADER LITTLE RIVER MEDICAL CENTER INC. GROUP. RMH'S DEFINED COMMUNITY IS THE OVERALL POPULATION OF LITTLE RIVER COUNTY, ARKANSAS. THE COMMUNITY SERVED BY THE LRMH IS A PRIMARILY RURAL AREA IN SOUTHWEST ARKANSAS. ACCORDING TO THE MOST RECENT U.S. CENSUS BUREAU ESTIMATES, APPROXIMATELY 12,000 PEOPLE LIVE IN LITTLE RIVER COUNTY. ACCORDING TO THE U.S. CENSUS BUREAU, APPROXIMATELY 22.2% OF THE POPULATION IS UNDER 18 YEARS OF AGE, 28.4% IS BETWEEN 18 AND 44 YEARS OF AGE, AND APPROXIMATELY 49.4% IS 45 YEARS OF AGE OR OLDER, COMPARED WITH 43% IN ARKANSAS AND 42% IN THE UNITED STATES AS A WHOLE. THE COMMUNITY SERVED BY THE LRMH IS SIMILAR TO MANY OTHER PARTS OF RURAL ARKANSAS. ABOUT 17% OF THE POPULATION AGE 25 OR OLDER HAS OBTAINED A BACHELOR'S DEGREE OR HIGHER, COMPARED TO ABOUT 36% OF THE U.S. AND 26% OF ARKANSAS. ABOUT 9% OF THE POPULATION AGED 25 OR OLDER DOES NOT HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO ABOUT 10% IN THE COUNTRY AS A WHOLE AND 11% IN ARKANSAS. THE AVERAGE MEDIAN HOUSEHOLD INCOME IN THE LRMH'S COMMUNITY IS $53,344, COMPARED WITH $60,773 FOR THE STATE OF ARKANSAS AND $80,734 FOR THE UNITED STATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>LRMH PARTNERS WADLEY HOSPITAL AS WELL AS PROGRAMS AT CHURCHES THAT ADDRESS HEART DISEASE (BLOOD PRESSURES, PULSE AND BMI) AND DISCUSS THE IMPORTANCE OF NUTRITIONAL GUIDELINES, WHICH ADDRESSES OBESITY ISSUES. LRMH PARTICIPATES IN SEVERAL HEALTH FAIRS. THE WADLEYSCAN IS A SCREENING FOR STROKE, ABDOMINAL AORTIC ANEURYSM, PERIPHERAL ARTERIAL DISEASE AND ATRIAL FIBRILATION WHICH IS OFFERED BY LRMH TWICE A YEAR. LRMH'S CLINIC SPONSORS AN ANNUAL WOMEN'S DAY WHERE THE FOCUS IS ON BREAST HEALTH, WHICH ALSO HAS NUTRITIONAL DISCUSSIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE MEDICAL CENTER'S BOARD OF DIRECTORS ALSO SERVE ON THE BOARD OF GOVERNORS OF LITTLE RIVER NURSING &amp; REHAB, A COMPONENT UNIT OF LITTLE RIVER COUNTY, ARKANSAS (THE NURSING HOME), AND AS SUCH, THE NURSING HOME AND THE MEDICAL CENTER ARE CONSIDERED RELATED PARTIES AND HAVE A COLLABORATIVE RELATIONSHIP IN THE PROVISION OF HEALTH CARE SERVICES. THE MEDICAL CENTER PROVIDES REHABILITATION SERVICES TO PATIENTS OF THE NURSING HOME AND PAYS CERTAIN VENDORS ON BEHALF OF THE NURSING HOME. THE MEDICAL CENTER ALSO PROVIDES MANAGEMENT SUPPORT TO THE NURSING HOME.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <PersonNm>JAMES OGLESBY</PersonNm>
        <TitleTxt>DOCTOR - MD</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 20b</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS NOT AN AUDIT REPORT AVAILABLE FOR LITTLE RIVER MEMORIAL HOSPITAL'S 6/30/2025 TAX YEAR. THE MOST RECENT AUDITED FINANCIALS ARE FOR TAX YEAR 6/30/2016 AND THEY HAVE BEEN ATTACHED TO THE FILED RETURN. THE HOSPITAL'S FINANCIAL STATEMENTS WERE REVIEWED BY AN INDEPENDENT ACCOUNTANT FOR TAX YEAR ENDING 6/30/2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST STATEMENT IS PROVIDED ANNUALLY FOR SIGNATURE. THE ADMINISTRATIVE ASSISTANT INVESTIGATES ANY POTENTIAL CONFLICTS AND DETERMINES THE NATURE OF THE CONFLICT. IF A CONFLICT OF INTEREST ARISES, A SUBCOMMITTE REVIEWS ANY CONFLICTS AND DETERMINES THE APPROPRIATE ACTION DEPENDING ON THE NATURE OF THE CONFLICT. BOARD MEMBERS ABSTAIN FROM VOTING IF CONFLICT EXISTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 A&amp;B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR TOP MANAGEMENT OFFICIALS, OFFICERS, AND HIGHEST COMPENSATED EMPLOYEES ARE REVIEWED AND APPROVED BY THE BOARD. THE CEO'S COMPENSATION IS SET BY THE BOARD OF DIRECTORS UTILIZING SALARY DATA FOR GENERAL MANAGER'S STATEWIDE AND NATIONALLY. SURVEY DATA IS GATHERED THROUGH THE AMERICAN HOSPITAL ASSOCIATION, ARKANSAS HOSPITAL ASSOCIATION, AND OTHER HOSPITAL SURVEYS UTILIZED TO SET COMPENSATION LEVELS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE CEO AND BOARD OF DIRECTORS BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES - Total Expense: 1090767, Program Service Expense: 993273, Management and General Expenses: 97494, Fundraising Expenses: 0; PURCHASED SERVICES - Total Expense: 513598, Program Service Expense: 467692, Management and General Expenses: 45906, Fundraising Expenses: 0; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
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          <BusinessNameLine1Txt>LITTLE RIVER NURSING HOME</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 69</AddressLine1Txt>
          <CityNm>ASHDOWN</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>71822</ZIPCd>
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        <EIN>710469480</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>115</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
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          <BusinessNameLine1Txt>LITTLE RIVER NURSING HOME</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Little River Nursing Home</BusinessNameLine1Txt>
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        <InvolvedAmt>289475</InvolvedAmt>
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