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        <PersonNm>STEPHEN M FANTO MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>R CHRISTIAN HUDSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>SARA LARCH</PersonNm>
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        <PersonNm>MATTHEW LUKASIAK</PersonNm>
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        <PersonNm>JANET B MCCARTY</PersonNm>
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        <PersonNm>PAUL C PEET MD</PersonNm>
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        <PersonNm>ERIC C SUGRUE</PersonNm>
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        <PersonNm>MICHAEL L WILGUS</PersonNm>
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        <PersonNm>JACQUELYN O WILSON EDD</PersonNm>
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        <PersonNm>PAUL J PERNICE</PersonNm>
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        <PersonNm>RICHARD SCHAFFNER</PersonNm>
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        <PersonNm>WILLIAM CHASANOV</PersonNm>
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        <PersonNm>BRUCE LESHINE</PersonNm>
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        <PersonNm>CATHERINE HALEN</PersonNm>
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        <PersonNm>MICHAEL MAKSYMOW</PersonNm>
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        <PersonNm>LYNNE VOSKAMP</PersonNm>
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        <PersonNm>MARCY JACK</PersonNm>
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        <PersonNm>MARK LOUKIDES</PersonNm>
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        <PersonNm>CHRISTINA DEIDESHEIMER</PersonNm>
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        <PersonNm>LORETTA OSTROSKI</PersonNm>
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        <PersonNm>DIANE TAYLOR</PersonNm>
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        <PersonNm>PRAMOD VADLAMANI</PersonNm>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>6298402</TotalRevenueColumnAmt>
        <ExclusionAmt>6298402</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2553766</TotalRevenueColumnAmt>
        <ExclusionAmt>2553766</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PURCHASE DISCOUNTS/REBATES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>1405565</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1188031</TotalRevenueColumnAmt>
        <ExclusionAmt>1188031</ExclusionAmt>
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        <RelatedOrExemptFuncIncomeAmt>519447</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>5666809</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>565095604</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>526510092</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-1204</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>14359540</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1447614</TotalAmt>
        <ProgramServicesAmt>1447614</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>7523919</TotalAmt>
        <ProgramServicesAmt>796862</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6727057</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>161911961</TotalAmt>
        <ProgramServicesAmt>150016259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11895702</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>4105839</ProgramServicesAmt>
        <ManagementAndGeneralAmt>325918</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>30162655</TotalAmt>
        <ProgramServicesAmt>27945455</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2217200</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>10896795</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1019996</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>254322</TotalAmt>
        <ProgramServicesAmt>108783</ProgramServicesAmt>
        <ManagementAndGeneralAmt>145539</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>162732</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>18719</TotalAmt>
        <ManagementAndGeneralAmt>18719</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>199682</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>45953904</ProgramServicesAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>9491</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1439643</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8721730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1107715</ManagementAndGeneralAmt>
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        <TotalAmt>14827864</TotalAmt>
        <ProgramServicesAmt>1875181</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12952683</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>7796826</ProgramServicesAmt>
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        <ProgramServicesAmt>240628</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24353</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>217529</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19631</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>4412529</TotalAmt>
        <ProgramServicesAmt>4353613</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58916</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>18461792</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4680600</ManagementAndGeneralAmt>
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        <TotalAmt>4023897</TotalAmt>
        <ProgramServicesAmt>4023897</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PATIENT RELATED SUPPLIE</Desc>
        <TotalAmt>121487174</TotalAmt>
        <ProgramServicesAmt>121389946</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97228</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>13860378</TotalAmt>
        <ProgramServicesAmt>13860378</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MAINTENANCE</Desc>
        <TotalAmt>12637372</TotalAmt>
        <ProgramServicesAmt>9988971</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2648401</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>EMPLOYEE RECRUITMENT</Desc>
        <TotalAmt>1144646</TotalAmt>
        <ProgramServicesAmt>1823</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1142823</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>1481645</TotalAmt>
        <ProgramServicesAmt>1014617</ProgramServicesAmt>
        <ManagementAndGeneralAmt>467028</ManagementAndGeneralAmt>
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        <TotalAmt>488143908</TotalAmt>
        <ProgramServicesAmt>433227933</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54915975</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>111626938</EOYAmt>
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        <EOYAmt>75748382</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>14269191</EOYAmt>
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        <EOYAmt>15912959</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>289237074</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>333400019</EOYAmt>
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        <EOYAmt>3104085</EOYAmt>
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        <EOYAmt>211084843</EOYAmt>
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        <EOYAmt>60687744</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>359332227</EOYAmt>
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        <EOYAmt>329341620</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>24149447</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>353491067</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>746962712</BOYAmt>
        <EOYAmt>712823294</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>76951696</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-19059673</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-13882593</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <AffiliatedGroupTotalAmt>0</AffiliatedGroupTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <AffiliatedGroupTotalAmt>0</AffiliatedGroupTotalAmt>
      </TotalDirectLobbyingGrp>
      <OtherExemptPurposeExpendGrp>
        <AffiliatedGroupTotalAmt>0</AffiliatedGroupTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>18719</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>18719</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1I</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER ACTIVITIES INCLUDE THE PERCENTAGE OF DELAWARE HEATLHCARE ASSOCIATION MEMBERSHIP DUES ALLOCATED TO LOBBYING.</ExplanationTxt>
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        <EndYearBalanceAmt>323475</EndYearBalanceAmt>
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        <EndYearBalanceAmt>320047</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
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        <EndYearBalanceAmt>336878</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>17568</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>327795</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.98900</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.01100</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>1</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>1</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>10534572</OtherCostOrOtherBasisAmt>
        <BookValueAmt>10534572</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>116824105</DepreciationAmt>
        <BookValueAmt>207167188</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>7754064</DepreciationAmt>
        <BookValueAmt>3753795</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>164658905</DepreciationAmt>
        <BookValueAmt>53307624</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>58636840</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>333400019</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INT IN FDN. RESTRICT NET ASSET</Desc>
        <BookValueAmt>25140622</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>7336882</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>INT IN FDN. UNRESTR NET ASSETS</Desc>
        <BookValueAmt>6276195</BookValueAmt>
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      <OtherAssetsOrgGrp>
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        <BookValueAmt>5367369</BookValueAmt>
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      <OtherAssetsOrgGrp>
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        <BookValueAmt>666185</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN PERPETUAL TRUST</Desc>
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        <Desc>EBRIGHT</Desc>
        <BookValueAmt>137818</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>EQUITY IN BEEBE PHYS. NETWORK</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RIGHT OF USE LIABILITY</Desc>
        <Amt>12090606</Amt>
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      <OtherLiabilitiesOrgGrp>
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        <Amt>9685098</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
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      <OtherLiabilitiesOrgGrp>
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        <Amt>4120895</Amt>
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      <OtherLiabilitiesOrgGrp>
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        <Amt>3187557</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATION NET</Desc>
        <Amt>1556114</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>60687744</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER USES ITS ENDOWMENT FUNDS FOR CAPITAL ASSET ACQUISITIONS AND TO SUPPORT THE OPERATIONS OF THE MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FIN 48 (ASC 740) THE SYSTEM FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
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      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>0</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>12846816</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>9128741</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3718075</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00780</TotalExpensePct>
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      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>50023238</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>50656446</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
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      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>62870054</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>59785187</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3718075</NetCommunityBenefitExpnsAmt>
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      <CommunityHealthServicesGrp>
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        <NetCommunityBenefitExpnsAmt>1015480</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00210</TotalExpensePct>
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        <TotalExpensePct>0.06720</TotalExpensePct>
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      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>197710</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>197710</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00040</TotalExpensePct>
      </ResearchGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>276205</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>276205</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00060</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>33380457</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>33380457</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07030</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>96250511</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>59785187</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>37098532</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07810</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <PhysicalImprvAndHousingGrp>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </PhysicalImprvAndHousingGrp>
      <EconomicDevelopmentGrp>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </EconomicDevelopmentGrp>
      <CommunitySupportGrp>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </CommunitySupportGrp>
      <EnvironmentalImprovementsGrp>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </EnvironmentalImprovementsGrp>
      <LeadershipDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>430144</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>430144</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00090</TotalExpensePct>
      </LeadershipDevelopmentGrp>
      <CoalitionBuildingGrp>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </CoalitionBuildingGrp>
      <HealthImprovementAdvocacyGrp>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </HealthImprovementAdvocacyGrp>
      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>7682190</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>7682190</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01620</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <OtherCommuntityBuildingActyGrp>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </OtherCommuntityBuildingActyGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>8112334</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>8112334</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01710</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>13860378</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>203746017</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>286525163</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-82779146</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>BEEBE MEDICAL CENTER INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>424 SAVANNAH ROAD</AddressLine1Txt>
          <CityNm>LEWES</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19958</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.BEEBEHEALTHCARE.ORG</WebsiteAddressTxt>
        <StateLicenseNum>HSPTL-007</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>BEEBE HEALTHCARE SPECIALTY SURGICAL HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>19161 HEALTHY WAY</AddressLine1Txt>
          <CityNm>REHOBETH BEACH</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19971</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.BEEBEHEALTHCARE.ORG</WebsiteAddressTxt>
        <StateLicenseNum>HSPTL-018</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>FACILITY REPORTING GROUP - A</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</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>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.BEEBEHEALTHCARE.ORG/PATIENTS-VISITORS/COMMUNITY-OUTREACH</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>HTTPS://DELAWARESHIP.ORG/COMMUNITY-HEALTH-PLANS</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.BEEBEHEALTHCARE.ORG/PATIENTS-VISITORS/COMMUNITY-OUTREACH</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTPS://WWW.BEEBEHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/FIN</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://WWW.BEEBEHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/FIN</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTPS://WWW.BEEBEHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/FIN</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY REPORTING GROUP A</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP A CONSISTS OF:</FormAndLineReferenceDesc>
        <ExplanationTxt>- FACILITY 1: BEEBE MEDICAL CENTER, INC., - FACILITY 2: BEEBE HEALTHCARE SPECIALTY SURGICAL HOSPITAL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE HEALTHCARE RE-INITIATED ITS COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS IN JANUARY 2022 WITH THE COLLECTION OF QUANTITATIVE AND QUALITATIVE DATA. A SIGNIFICANT NUMBER OF COMMUNITY LEADERS REPRESENTING GOVERNMENT, EDUCATORS, HEALTH CARE PROFESSIONALS, AND HEALTH AND HUMAN SERVICES LEADERS IN BEEBE HEALTHCARE'S SERVICE AREA PARTICIPATED IN THE STUDY. DATA COLLECTED FROM A VARIETY OF SOURCES WERE INCLUDED AS PART OF THE ASSESSMENT. COUNTY DEMOGRAPHICS, HEALTH OUTCOMES, AND CHRONIC DISEASE PREVALENCE WERE GATHERED FROM LOCAL, STATE, AND FEDERAL DATABASES AND WERE PART OF A ROBUST SECONDARY DATA COMPILATION.INFORMATION RELATED TO HIGH-RISK BEHAVIORS, SOCIETAL ISSUES, AND BARRIERS WERE KEY THEMES THAT RESONATED WITHIN THE COLLECTION PROCESS. INFORMATION FROM FOCUS GROUPS WITH VULNERABLE POPULATIONS WAS ALSO INCLUDED IN THE COLLECTION PHASE. TRIPP UMBACH DIRECTED AND MANAGED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR BEEBE HEALTHCARE, RESULTING IN THE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS AT THE REGIONAL LEVEL.SECONDARY AND QUANTITATIVE DATA SOURCES WERE GATHERED TO CREATE A SNAPSHOT OF THE CURRENT HEALTH STATUS OF THE REGION.PRIMARY DATA IN THE FORM OF AN ONLINE COMMUNITY SURVEY WAS MADE AVAILABLE IN ENGLISH, SPANISH, AND HAITIAN CREOLE TO GAIN PARTICIPATION FROM COMMUNITY RESIDENTS. BEEBE HEALTHCARE COLLECTED COMMUNITY SURVEYS AT HEALTH AFFAIRS AND PROMOTED THE COMMUNITY SURVEY THROUGH SOCIAL MEDIA EFFORTS AND INTERNAL EMAIL COMMUNICATIONS. COMMUNITY STAKEHOLDER INTERVIEWS WERE IMPLORED TO COLLECT INFORMATION FROM LEADERS WHO HAVE A DEEP UNDERSTANDING OF THE REGION'S HEALTH AND SOCIAL FACTORS IMPACTING RESIDENTS' HEALTH AND WELL-BEING. THE DATA ALSO PROVIDED A DEEPER UNDERSTANDING OF COMMUNITY MATTERS AND COMMUNITY NEEDS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE HEALTHCARE ENGAGED TRIPP UMBACH TO DIRECT AND MANAGE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR BEEBE HEALTHCARE, RESULTING IN THE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS AT THE REGIONAL LEVEL. THROUGHOUT THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, TRIPP UMBACH REVIEWED PRIMARY AND SECONDARY DATA FROM LOCAL, STATE, AND NATIONAL RESOURCES, COMMUNITY STAKEHOLDER INTERVIEWS, COMMUNITY SURVEYS, FOCUS GROUPS, A PRIORITIZATION SESSION, AND A RESOURCE PROVIDER INVENTORY (HIGHLIGHTING ORGANIZATIONS AND AGENCIES THAT SERVE THE COMMUNITY) TO IDENTIFY THE REGIONAL HEALTH NEEDS OF RESIDENTS IN SUSSEX COUNTY. THE DATA PROVIDED A CROSS-SECTION OF INFORMATION ESSENTIAL TO THE IDENTIFICATION OF THE KEY COMMUNITY HEALTH NEEDS IN BEEBE HEALTHCARE'S COMMUNITY. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED NEEDS WERE PRIORITIZED BASED ON MULTIPLE DYNAMICS INCLUDING PRIMARY AND SECONDARY DATA, ALONG WITH CURRENT RESOURCES, COLLABORATIONS, PARTNERSHIPS, AND FEASIBILITY OF EFFECTIVE PROGRAMMING. THE PRIORITIZATION WAS AGREED UPON BY BEEBE HEALTHCARE'S CHNA STEERING COMMITTEE. THE THREE HIGHEST RANKING NEEDS, IN ORDER: (1) BEHAVIORAL HEALTH, INCLUSIVE OF MENTAL HEALTH AND SUBSTANCE USE DISORDER; (2) CHRONIC DISEASE, INCLUSIVE OF DIABETES, HEART DISEASE, CANCER, AND HYPERTENSION; (3) HEALTHY LIFESTYLES, INCLUSIVE OF OBESITY AND NUTRITION. ALL THE PRIORITIZED NEEDS ARE BEING EXAMINED THROUGH THE LENS OF SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY AS MANY DATA POINTS, PARTICULARLY THOSE CORRELATING TO THE PANDEMIC, HIGHLIGHTED THE HEALTH DISPARITIES EXPERIENCED BY MANY COMMUNITY MEMBERS. BEEBE HEALTHCARE'S IMPLEMENTATION PLAN INTEGRATES AND ADDRESSES THESE NEEDS, AS RELEVANT, THROUGHOUT THE THREE PRIORITY AREAS. BEEBE HEALTHCARE IS IMPLEMENTING STRATEGIES, PROGRAMS, AND SERVICES TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, ALONG WITH THE 2022 EXECUTIVE SUMMARY AND 2022 CHNA IMPLEMENTATION STRATEGY PLAN CAN BE FOUND AT THE FOLLOWING WEBSITE COMMUNITY OUTREACH | BEEBE HEALTHCARE: HTTPS://WWW.BEEBEHEALTHCARE.ORG/PATIENTS-VISITORS/COMMUNITY-OUTREACH THE BEEBE PRIORITIZES ITS LIMITED RESOURCES SO THAT IT CAN HAVE THE MOST IMPACT ON THE NEEDS IDENTIFIED IN THE CHNA BUT IS UNABLE TO ADDRESS ALL IDENTIFIED NEEDS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16J:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE CURRENTLY PUBLISHES POLICIES AND PROCEDURES VIA ITS WEBSITE WITH THE ABILITY TO APPLY ONLINE, AT COMMUNITY OUTREACH EVENTS COORINATED BY POPULATION HEALTH TO INCLUDE ANNUAL HEALTH FAIR AND ONSITE VIA PATIENT FINANCIAL SERVICES. BEEBE ALSO SENDS THE FAP NOTIFICATION TO ALL PATIENTS WITHIN OUR CHARITY RESIDENTIAL AREA TO MAKE THEM AWARE OF THE PROGRAM AS WELL AS EDUCATE THEM VIA PHONE CALLS WHEN MAKING ARRANGEMENTS. BEEBE HAS REGISTRATION PERSONNEL WHO REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE POLICY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>12</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - TUNNEL CANCER CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18947 JOHN J WILLIAMS HWY</AddressLine1Txt>
            <CityNm>REHOBOTH BEACH</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19971</ZIPCd>
          </USAddress>
          <FacilityTxt>CANCER CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - SOUTH COASTAL HEALTH CAMPUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>32750 ROXANA RD</AddressLine1Txt>
            <CityNm>FRANKFORD</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19945</ZIPCd>
          </USAddress>
          <FacilityTxt>ED, DI, LAB, CANCER CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - BOOKHAMMER OUTPATIENT CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>18941 JOHN J WILLIAMS HWY</AddressLine1Txt>
            <CityNm>REHOBOTH BEACH</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19971</ZIPCd>
          </USAddress>
          <FacilityTxt>DI, LAB, REHAB, SURG, WC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - BEEBE HOME HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>232 MITCHELL ST SUITE 200</AddressLine1Txt>
            <CityNm>MILLSBORO</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19966</ZIPCd>
          </USAddress>
          <FacilityTxt>HOME HEALTH AGENCY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - GEORGETOWN HEALTH CAMPUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>21635 BIDEN AVENUE</AddressLine1Txt>
            <CityNm>GEORGETOWN</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19947</ZIPCd>
          </USAddress>
          <FacilityTxt>DI, LAB DRAWS, REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - MILLVILLE HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>32550 DOCS PLACE UNIT 1</AddressLine1Txt>
            <CityNm>MILLVILLE</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19967</ZIPCd>
          </USAddress>
          <FacilityTxt>DI, LAB DRAWS, REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - BEEBE SCOOL OF NURSING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>420 MARKET STREET</AddressLine1Txt>
            <CityNm>LEWES</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19958</ZIPCd>
          </USAddress>
          <FacilityTxt>CERTIFIED NURSING SCHOOL</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - REHOBOTH SPECIALTY SURGICAL HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19161 HEALTHY WAY</AddressLine1Txt>
            <CityNm>REHOBOTH BEACH</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19971</ZIPCd>
          </USAddress>
          <FacilityTxt>SPECIALTY HOSPITAL</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - BEEBE PHYSICAL REHAB CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19324 LIGHTHOUSE PLAZA BLVD</AddressLine1Txt>
            <CityNm>REHOBOTH BEACH</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19971</ZIPCd>
          </USAddress>
          <FacilityTxt>REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - MILLSBORO HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>28538 DUPONT BLVD</AddressLine1Txt>
            <CityNm>MILLSBORO</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19966</ZIPCd>
          </USAddress>
          <FacilityTxt>DI, LAB DRAWS, REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - MILTON IMAGING LAB</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>614 MULBERRY STREET</AddressLine1Txt>
            <CityNm>MILTON</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19968</ZIPCd>
          </USAddress>
          <FacilityTxt>DI, LAB DRAWS, REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - LONG NECK LAB EXPRESS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>32060 LONG NECK ROAD</AddressLine1Txt>
            <CityNm>MILLSBORO</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19966</ZIPCd>
          </USAddress>
          <FacilityTxt>LAB DRAWS</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>RATIO OF COST TO CHARGES WAS USED TO CALCULATE THE AMOUNTS REPORTED INTHE TABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBSIDIZED HEALTH SERVICES INCLUDES $31,506,277 RELATED TO THE LOSS IN BEEBE PHYSICIAN NETWORK (BPN). BPN IS A NOT-FOR-PROFIT TAX-EXEMPT CORPORATION THAT OPERATES A PHYSICIAN NETWORK PROVIDING INTEGRATED PHYSICIAN SERVICES IN COORDINATION WITH THE MEDICAL CENTER.PART I, LINE 7, COLUMN (F) BEEBE HAS REMOVED A BAD DEBT EXPENSE FIGURE OF $13,860,378 FROM THE PERCENT OF TOTAL EXPENSE CALCULATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING FISCAL YEAR 2022 COMMUNITY BUILDING ACTIVITIES INCLUDED: LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERSCOMMUNITY HEALTH IMPROVEMENT AND ADVOCACYEMPOWERMENT AND EDUCATION ARE INTEGRAL COMPONENTS IN THE PROMOTION OF SELF-ADVOCACY AND SELF-CARE. THESE OFFERINGS CREATE OPPORTUNITIES FOR OUR RESIDENTS TO ENGAGE IN KNOWLEDGE-BUILDING AND SKILL-BUILDING EXPERIENCES THAT TEACH WAYS TO BETTER SELF-MANAGE THEIR CONDITIONS AND IMPROVE THEIR HEALTH OUTCOMES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S METHODOLOGY FOR REPORTING BAD DEBT ON SCHEDULE, H, LINE 2 IS GROSS CHARGES. SEE PART III, LINE 4 FOR FURTHER DETAIL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE EXPLANATION UNDER PART III, LINES 2 AND 4.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER THE PROVISIONS OF ASU-2014-09, WHEN THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO PASSAGE OF TIME, THE RIGHT IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS, WHICH HAVE THE UNCONDITIONAL RIGHT TO PAYMENT AND ESTIMATED AMOUNTS DUE FROM THIRD PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECORDED AS RECEIVABLES SINCE THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE RECORDED AS A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE RATHER THAN AN ALLOWANCE FOR DOUBTFUL ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER (BMC) SERVES THE COMMUNITY AS A WHOLE. IT IS THE ONLY HOSPITAL WITHIN 23 MILES AND IS THE ONLY TERTIARY HOSPITAL WITHIN 40 MILES. BMC ACCEPTS ALL PATIENTS REGARDLESS OF ABILITY TO PAY. BEEBE MEDICAL CENTER'S PRIMARY SERVICE AREA IS RURAL WITH A VERY HIGH MEDICARE POPULATION. MEDICARE REPRESENTS 62% OF HOSPITAL BUSINESS. MEDICARE RATES DO NOT KEEP UP WITH HEALTHCARE COSTS AND WITH THE HIGH PERCENTAGE OF MEDICARE VOLUMES. THE MEDICARE SHORTFALL OF $(82,779,146) IS CONSIDERED A COMMUNITY BENEFIT.RATIO OF COST TO CHARGES WAS USED TO DETERMINE THE AMOUNT ON LINE 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER COLLECTION POLICY INCLUDES INFORMATION ABOUT OUR FINANCIAL ASSISTANCE POLICY (FAP) AND HOW TO FIND THE FAP. THE DEBT COLLECTION POLICY APPLIES TO ALL PATIENTS. ADDITIONALLY, OUR COLLECTION POLICY INSTRUCTIONS THAT EXTRAORDINARY COLLECTION ACTIONS (ECA) WILL BE SUSPENDED WHEN A PATIENT REQUESTS INFORMATION ON OUR FAP OR SUBMITS A FINANCIAL ASSISTANCE APPLICATION WITHIN 240 DAYS OF THE FIRST POST-DISCHARGE BILLING STATEMENT. OUR POLICY DESCRIBES WHAT TO DO IF THE FINANCIAL ASSISTANCE APPLICATION IS INCOMPLETE AND WHAT IS REQUIRED TO BE REFUNDED IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE AFTER MAKING A PAYMENT. WE INCLUDE DATES IN WHICH SERVICES ARE INCLUDE IN THE FINANCIAL ASSISTANCE SO THAT WE UNDERSTAND WHEN NORMAL COLLECTIONS EFFORTS ARE APPROPRIATE.WITHIN OUR COLLECTION POLICY WE DESCRIBE THAT A PATIENT DENIED FINANCIAL ASSISTANCE MAY REQUEST A RECONSIDERATION. FOR DATES OF SERVICES APPROVED FOR FINANCIAL ASSISTANCE COLLECTIONS PROCESSES ARE HALTED AS THE ACCOUNT IS ADJUSTED TO ZERO DUE FROM PATIENT. THE POLICY STATES HOW TO PROCESS THE PATIENT BALANCE WHEN ONLY A PORTION OF THE CHARGE QUALIFIED FOR FINANCIAL ASSISTANCE, COLLECTIONS WILL ONLY BE PURSUED ON THE AMOUNT THAT DID NOT QUALIFY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER HAS VARIOUS METHODS FOR ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES: - COMMUNITY-BASED BOARD OF DIRECTORS - NON-DIRECTOR MEMBERS OF THE BUILDING AND EQUIPMENT COMMITTEE, SAFETY AND QUALITY COMMITTEE AND COMMUNITY HEALTH WORKGROUP - CONSUMER PERCEPTION SURVEY - NEIGHBORS' COMMITTEE - PATIENT FAMILY ADVISORY COUNCIL - WELLNESS NEEDS ASSESSMENTS WITHIN PARTNERED COMMUNITIES - PRESS-GANEY PATIENT SATISFACTION SURVEY - POST-PARTICIPATION PROGRAM SURVEYS - PUBLIC DATA - COMMUNITY FOCUS GROUPS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER (BMC) IS A NOT-FOR-PROFIT, COMMUNITY-BASED HEALTHCARE FACILITY. IT IS HOSPITAL POLICY THAT NO ONE WILL BE DENIED MEDICALLY NECESSARY HOSPITAL SERVICES BASED UPON THE PATIENT'S ABILITY TO PAY FOR THOSE SERVICES.. BEEBE HEALTHCARE POSTS ITS FINANCIAL ASSISTANCE POLICY, OR A SUMMARY THEREOF, APPLICATIONS FOR FINANCIAL ASSISTANCE, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY ROOMS, POINT OF DISCHARGE AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. SIGNS ARE LOCATED IN THE ED'S (LEWES AND SOUTH COASTAL), SPECIALTY SURGICAL HOSPITAL, AND SDS. FLYERS AND BROCHURES ARE AVAILABLE AT ALL POINTS OF REGISTRATION. ADMISSION PACKETS INCLUDE FLYERS AND BROCHURES AND SELF-PAY INPATIENTS ARE SCREENED FOR MEDICAID, HCC AND FINANCIAL ASSISTANCE BY THE MEDICAID ELIGIBILITY VENDOR, HRSI. BEEBE MEDICAL CENTER COMPLIES WITH ALL FEDERAL, STATE AND CONTRACTUAL LAWS, REGULATIONS AND REQUIREMENTS. BEEBE HEALTHCARE INFORMS AND EDUCATES PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS. UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY MATERIALS ARE PROVIDED IN THE FOLLOWING MANNER:BROCHURES AND FLYERS LOCATED IN ADMISSIONS AREAS, EMERGENCY ROOMS, POINT OF DISCHARGE AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENTCHARITY ASSISTANCE LETTER IS SENT TO ALL PATIENTS WITH A PATIENT BALANCE AND INCLUDE FEDERAL POVERTY LEVEL WITH MEDICAID ELIGIBILITY LEVEL BY FAMILY SIZE, CONTACT # AND WEBSITE WITH POLICY AND DOWNLOADABLE APPLICATIONPATIENT STATEMENTS INCLUDES PATIENT FINANCIAL SERVICES PHONE NUMBER FOR SCREENING AS WELL AS WEBSITE WITH APPLICATION GUIDELINES AND APPLICATION PROCESS TO DETERMINE IF PATIENTS ARE ELIGIBLEWEBSITE WWW.BEEBEHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/FINANCIAL-AND-CHARITY-ASSISTANCE-POLICY -INCLUDES POLICY, PHONE NUMBERS, DOWNLOADABLE APPLICATION AND OTHER AGENCY INFORMATION FOR HEALTH CARE CONNECTIONS AND SCREENING FOR LIFE (HCC/SFL), MEDICAID, DELAWARE CANCER TREATMENT PROGRAM AND GOOD DAYS LINKACD CALLS - PATIENTS ARE SCREENED FOR MEDICAID, HCC AND BEEBE HEALTHCARE'S FINANCIAL ASSISTANCE PROGRAMS DMAB - (DELAWARE MEDICARE ASSISTANCE BUREAU) RACK AND BUSINESS CARDS AVAILABLE AT POINTS OF REGISTRATIONMEDICAID ELIGIBILITY VENDER HRSI IS AVAILABLE UPON REQUEST FOR INSURANCE MARKET PLACE ASSISTANCE, MEDICAID, LONG TERM CARE, BEEBE FINANCIAL ASSISTANCE, HCC AND DELAWARE CANCER TREATMENT PROGRAMFINANCIAL COUNSELORS ARE AVAILABLE IN PATIENT FINANCIAL SERVICES DEPARTMENT OR PATIENTS CAN ASK TO SPEAK WITH A HEALTHCARE CONNECTION HEALTH PROMOTION ADVOCATE. BMC COOPERATES WITH AND ASSISTS ALL PATIENTS IN THE FULFILLMENT OF THEIR FINANCIAL RESPONSIBILITY. THIS COOPERATION INCLUDES ASSISTANCE WITH ENROLLMENT IN PUBLIC OR PRIVATE INSURANCE PROGRAMS, CHARITY-BASED PROGRAMS, FINANCIAL ASSISTANCE PROGRAMS, OR OTHER THIRD PARTY PAYMENT PROGRAMS. PATIENTS HAVE THE RESPONSIBILITY TO PROVIDE TIMELY AND ACCURATE INFORMATION WHEN SEEKING CONSIDERATION UNDER THE BMC CHARITY AND FINANCIAL AID POLICY AND THE PATIENT OR GUARANTOR HAS THE ULTIMATE FINANCIAL RESPONSIBILITY FOR CARE RECEIVED FROM BEEBE MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICAL CENTER IS LOCATED IN SUSSEX COUNTY, THE SOUTHERN-MOST OF THREE DELAWARE COUNTIES, WHICH CONSISTS OF 938 SQUARE MILES, OR 48% OF DELAWARE'S ENTIRE LAND AREA. BECAUSE OF ITS CLIMATE AND LOW PROPERTY TAXES, SUSSEX COUNTY HAS BECOME AN ATTRACTIVE RETIREMENT COMMUNITY. ALL OF THE COUNTY'S GROWTH OVER THE NEXT DECADE IS POJECTED TO COME FROM PERSONS MOVING INTO THE COUNTY.TRADITIONALLY, SUSSEX COUNTY HAS BEEN REGARDED AS A RURAL AGRICULTURAL AREA. HOWEVER, THE EASTERN EDGE OF SUSSEX COUNTY THAT FRONTS ON THE DELAWARE BAY AND ATLANTIC OCEAN HAS BECOME A MAJOR TOURIST RESORT AND, MOST RECENTLY, A FAVORED RETIREMENT AREA, RETAIL, AND HOSPITALITY CENTER. EASTERN AND SOUTHEASTERN SUSSEX COUNTY, WHICH IS BEEBE MEDICAL CENTER'S PRIMARY SERVICE AREA, IS PARTICULARLY ATTRACTIVE DUE TO ITS PROXIMITY TO THE ATLANTIC OCEAN AND DELAWARE BAY. AS A RESULT, THE MEDICAL CENTER GENERALLY EXPERIENCES A SIGINIFICANT INCREASE IN PATIENT VISITS DURING THE SUMMER PERIODS.ACCORDING TO THE U.S. CENSUS BUREAU, THE ESTIMATED POPULATION OF DELAWARE IN 2019 WAS 957,248. THE ESTIMATED POPULATION FOR SUSSEX COUNTY IN 2019 WAS 224,384 WITH A POPULATION OF 60,583 (27.0%) OVER THE AGE OF 65. THE PERCENTAGE IN POVERTY IS LISTED AT 11.3%. (BEEBE HEALTHCARE COMMUNITY HEALTH NEEDS ASSESSMENT JUNE 2022).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER'S MISSION IS ROOTED IN THREE ACTIONS, EMPOWERING HEALTHY LIVING, PREVENTING ILLNESS AND RESTORING OPTIMAL HEALTH WITH THE PEOPLE RESIDING, WORKING, OR VISITING THE COMMUNITIES WE SERVE. BEEBE MEDICAL CENTER'S BOARD IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AREA AND THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL PHYSICIANS IN ITS COMMUNITY.ADDITIONALLY, AS A COMMUNITY ORGANIZATION, BEEBE HEALTHCARE IS CONTINUOUSLY PARTICIPATING IN COMMUNITY EVENTS AND PARTICIPATING WITH COMMUNITY ORGANIZATIONS TO OFFER NO-COST SEMINARS, WORKSHOPS AND ACTVITITES DEDICATED TO EDUCATING AND SUPPORT THE COMMUNITY ALONG WITH THE CONTINUUM OF CARE. EMPOWERMENT AND EDUCATION ARE INTEGRAL COMPONENTS IN THE PROMOTION OF SELF-ADVOCACY AND SELF-CARE. THESE OFFERINGS CREATE OPPORTUNITIES FOR OUR RESIDENTS TO ENGAGE IN KNOWLEDGE-BUILDING AND SKILL-BUILDING EXPERIENCES THAT TEACH WAYS TO BETTER SELF-MANAGE THEIR CONDITIONS AND IMPROVE THEIR HEALTH OUTCOMES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER (BMC) IS A MEMBER OF AN AFFILIATED HEALTH CARE SYSTEM THAT INCLUDES BEEBE PHYSICIAN NETWORK (BPN), A NOT-FOR-PROFIT TAX-EXEMPT CORPORATION THAT OPERATES A PHYSICIAN NETWORK PROVIDING INTEGRATED PHYSICIAN SERVICES IN COORDINATION WITH THE MEDICAL CENTER. BMC IS LOCATED IN A COMMUNITY THAT HAS BEEN DESIGNATED AS A PHYSICIAN UNDER-SERVED AREA SINCE 1976 AND BPN WAS ORGANIZED TO ENCOURAGE PHYSICIANS TO PRACTICE IN THE AREA TO ENSURE ACCESS TO CARE FOR THE SURROUNDING COMMUNITIES.IN MAY 2013 BMC'S HEALTH CARE SYSTEM ADDED DELMARVA HEALTHCARE NETWORK, LLC (DHN). DHN IS AN ACCOUNTABLE CARE ORGANIZATION (ACO) WITH BEEBE AS THE SOLE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF DELAWARE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>BEEBE MEDICAL FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>902 SAVANNAH ROAD</AddressLine1Txt>
          <CityNm>LEWES</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19958</ZIPCd>
        </USAddress>
        <RecipientEIN>510319455</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1447614</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICAL CENTER ONLY MAKES GRANTS TO ITS RELATED, TAX-EXEMPT FOUNDATION BEEBE MEDICAL FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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        <PersonNm>JEFFREY M FRIED</PersonNm>
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        <PersonNm>PRAMOD VADLAMANI</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CATHERINE HALEN</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL MAKSYMOW</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LYNNE VOSKAMP</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARCY JACK</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK LOUKIDES</PersonNm>
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        <PersonNm>CHRISTINA DEIDESHEIMER</PersonNm>
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        <PersonNm>LORETTA OSTROSKI</PersonNm>
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        <PersonNm>JEFFREY HAWTOF</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE COMPENSATION FROM THE FILING ORGANIZATION DURING THE 2021 CALENDAR YEAR: JEFFREY M. FRIED : 696,000.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVES AND MANAGEMENT TEAM MEMBERS ARE ELIGIBLE FOR BONUSES IF THEY MEET SPECIFIC ORGANIZATIONAL OBJECTIVES INCLUDING QUALITY AND SAFETY ISSUES, PATIENT SATISFACTION SCORES, AND CERTAIN FINANCIAL GOALS. FOR VICE PRESIDENTS, 80% OF THEIR ELIGIBLE INCENTIVE IS BASED UPON ORGANIZATION - WIDE GOALS AND 20% IS BASED UPON INDIVIDUAL GOALS. FOR THE CEO, 100% OF THE ELIGIBLE INCENTIVE IS BASED UPON ORGANIZATION - WIDE OR TEAM GOALS. CERTAIN PHYSICIANS ARE ELIGIBLE FOR AN INCENTIVE BASED ON THE PHYSICIAN'S INDIVIDUAL PRACTICE NUMBER OF WORKED RVUS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, COL C</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE A FEW INDIVIDUALS WITH A START DATE PRIOR TO 2014 AND THEY ARE INCLUDED IN BEEBE HEALTHCARE'S PENSION PLAN. THE ANNUAL ACCRUALS WERE NOT AVAILABLE AT THE TIME OF FILING.</ExplanationTxt>
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        <Form8038TFiledInd>0</Form8038TFiledInd>
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        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
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        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
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        <ExceptionToRebateInd>1</ExceptionToRebateInd>
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        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, LINE A. COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF PURPOSE: REFUNDING BOND ISSUE TO FINANCE CURRENT REFINANCING OF THE DELAWARE HEALTH FACILITIES AUTHORITY'S $25,825,000 REVENUE BONDS. BEEBE MEDICAL CENTER SERIES 2014A ISSUE DATE 6/2/2014</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I. LINE B, COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF PURPOSE: REFUNDING BOND ISSUE TO FINANCE CURRENT REFINANCING OF THE DELAWARE HEALTH FACILITIES AUTHORITY'S $3,370,000 REVENUE BONDS. BEEBE MEDICAL CENTER SERIES 2014B ISSUE DATE 6/2/2014</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, LINE C. COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF PURPOSE: REFUNDING BOND ISSUE TO CURRENT REFUND THE DELAWARE HEALTH FACILITIES AUTHORITY'S $23,450,000 REVENUE BONDS. BEEBE MEDICAL CENTER PROJECT SERIES 2005A ISSUE DATE 9/21/2005</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, LINE D. COLUMN (F):</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF PURPOSE: BOND ISSUE TO FINANCE PLANNED EXPANSION AND CAPITAL EQUIPMENT EXPENDITURES TO HEALTH CARE FACILITIES IN SUSSEX COUNTY, DE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SALIBA FAMILY LLC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>351599</TransactionAmt>
        <TransactionDesc>SEE PART V</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CARRIE SNYDER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>145342</TransactionAmt>
        <TransactionDesc>WAGES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ELLEN BAHTIARIAN MD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>51576</TransactionAmt>
        <TransactionDesc>MED DIR FEES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CARDIOVASCULAR INTERV ASSOC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OWNED BY BOARD MEM.</RelationshipDescriptionTxt>
        <TransactionAmt>459960</TransactionAmt>
        <TransactionDesc>CALL PAY</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE TRANSACTIONS WITH SALIBA FAMILY LLC, ANIS SALIBA, MD, AN EMERITUS MEMBER OF THE BOARD OF BEEBE MEDICAL CENTER, IS A MEMBER OF THE LLC. ANSI SALIBA, MD, LAST SERVED AS A VOTING MEMBER OF THE BOARD DURING FISCAL YEAR JUNE, 30, 2019. BEEBE MEDICAL CENTER RENTS OFFICE SPACE FROM THE LLC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS JOSEPH R. HUDSON AND R. CHRISTIAN HUDSON HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED INTERNALLY BY MANAGEMENT OF BEEBE MEDICAL CENTER, INC. THE RETURN IS REVIEWED BY A THIRD PARTY ACCOUNTING FIRM, GRANT THORNTON LLP. A COPY OF THE FORM 990 WAS PROVIDED TO THE GOVERNING BODY BEFORE IT WAS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BEEBE MEDICAL CENTER REQUIRES ANNUAL COMPLETION OF A CONFLICT OF INTEREST STATEMENT FOR ALL BOARD MEMBERS, EXECUTIVES, AND MANAGEMENT TEAM MEMBERS. NON-MANAGEMENT TEAM MEMBERS ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST STATEMENT UPON HIRE. CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE BOARD AND AUDIT COMMITTEE FOR THE EXISTENCE OF ANY ADVERSE INTEREST. ANY MEMBER WITH AN ACTUAL OR PERCEIVED CONFLICT RECUSES HIMSELF OR HERSELF FROM ANY DELIBERATIONS ON THE CONFLICTED MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS GOVERNS AND CONTROLS EXECUTIVE COMPENSATION. PAY IS DETERMINED BY COMPARING LIKE POSITIONS TO OTHER TAX-EXEMPT HEALTH SYSTEMS SIMILAR TO BEEBE MEDICAL CENTER IN SIZE AND COMPLEXITY LOCATED REGIONALLY AND THROUGHOUT THE UNITED STATES. PAY IS POSITIONED AT A RANGE AROUND THE 50TH PERCENTILE OF BEEBE MEDICAL CENTER'S PEER GROUP, ON A NATIONAL BASIS. THE EXECUTIVE COMMITTEE UTILIZES A CONSULTANT FOR EXECUTIVE COMPENSATION ADVICE. MINUTES OF MEETINGS ARE MAINTAINED TO DOCUMENT DELIBERATION AND DECISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>FEES FOR OTHER SERVICES: PROGRAM SERVICE EXPENSES 27,408,435. MANAGEMENT AND GENERAL EXPENSES 6,851,128. TOTAL EXPENSES 34,259,563. NURSING CONTRACT LABOR: PROGRAM SERVICE EXPENSES 15,213,354. TOTAL EXPENSES 15,213,354. ANESTHESIA SERVICES: PROGRAM SERVICE EXPENSES 3,332,115. TOTAL EXPENSES 3,332,115.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY LOSSES IN CONSOLIDATED AFFILIATES -31,825,232. CHANGE IN INTEREST IN FOUNDATION NET ASSETS WITH DONOR RESTRICTIONS -4,143,270. OTHER CHANGES IN ACCRUED RETIREMENT BENEFITS 19,620,022. OTHER CHANGES IN UNRESTRICTED NET ASSETS -65,364. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -36,814. CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUSTS -204,617. OTHER ACCRUED RETIREMENT BENEFITS 2,772,682.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>DELMARVA HEALTH NETWORK LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>424 SAVANNAH ROAD</AddressLine1Txt>
          <CityNm>LEWES</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19958</ZIPCd>
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        <PrimaryActivitiesTxt>ACO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <EndOfYearAssetsAmt>749821</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BEEBE MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>BEEBE PHYSICIAN NETWORK INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 760</AddressLine1Txt>
          <CityNm>LEWES</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19958</ZIPCd>
        </USAddress>
        <EIN>212011066</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>BEEBE MEDICAL CENTER</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>BEEBE MEDICAL FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>902 SAVANNAH ROAD</AddressLine1Txt>
          <CityNm>LEWES</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19958</ZIPCd>
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        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>BEEBE MEDICAL CENTER</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>PERPETUAL TRUST</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>BEEBE MEDICAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>1447614</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>BEEBE MEDICAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>BEEBE PHYSICIAN NETWORK INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>BEEBE PHYSICIAN NETWORK INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>106066666</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>BEEBE PHYSICIAN NETWORK INC</BusinessNameLine1Txt>
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        <InvolvedAmt>29750000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
