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      <Form990PartVIISectionAGrp>
        <PersonNm>JACKIE RABINOWITZ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK ROSSITER JR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>W REX TEMPLETON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN WILLETTS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET GILL MBA</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>927760</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RAMON V MEGUIAR MD</PersonNm>
        <TitleTxt>SENIOR VP &amp; CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>489129</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY CHATMAN PHD RN</PersonNm>
        <TitleTxt>COO &amp; CNO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>494588</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM LEE III MHA MBA</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>346564</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN MCCLELLAN</PersonNm>
        <TitleTxt>VP OF INFORMATION SERVICES &amp; CIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>237236</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4308</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA KEIGHTLEY</PersonNm>
        <TitleTxt>VP, CHIEF COMMUNICATIONS OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>199133</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA DOW MACC CPA</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>232974</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16150</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF WILSON JD THROUGH 916</PersonNm>
        <TitleTxt>SENIOR VP &amp; GENERAL COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>312925</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19018</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GUY PETRUZZELLI MD PHD MBA FACS</PersonNm>
        <TitleTxt>VP OF ONCOLOGY PROGRAMS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>487111</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN BOYER MHA MBA RN</PersonNm>
        <TitleTxt>VP OF PATIENT CARE SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES WATSON JR</PersonNm>
        <TitleTxt>VP OF REVENUE CYCLE &amp; PATIENT INTAKE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>238907</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALYSIA SHIRLEY CISA</PersonNm>
        <TitleTxt>VP OF COMPLIANCE &amp; AUDIT SERVICES</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>181698</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN SMALL</PersonNm>
        <TitleTxt>VP OF HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>296445</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEREMY LONDON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARCIA HUTCHINSON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LOUIS VON BRUENING</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CALEB PRICE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EVERETTE THOMBS JR</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>4768665</TotReportableCompRltdOrgAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CONIFER HEALTH SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1500 SOUTH DOUGLAS RD</AddressLine1Txt>
            <CityNm>ANAHEIM</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92806</ZIPCd>
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        <ServicesDesc>REVENUE CYCLE SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RIVES E WORRELL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>708 CHRISTOPHER DR</AddressLine1Txt>
            <CityNm>SAVANNAH</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31406</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>13032936</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MORRISON MANAGEMENT SPECIALIST INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 102289</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30368</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CROTHALL HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>13028 COLLECTION CENTER DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EVS SERVICES</ServicesDesc>
        <CompensationAmt>5051952</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE KICKLIGHTER COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1712 FROST DRIVE</AddressLine1Txt>
            <CityNm>SAVANNAH</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31404</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <GovernmentGrantsAmt>884056</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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        <Desc>EHR MEANINGFUL USE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <Desc>CONTRACT SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
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        <Desc>OTHER PROGRAM SERVICE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>131627</TotalRevenueColumnAmt>
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        <OtherAmt>3817172</OtherAmt>
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        <TotalRevenueColumnAmt>4164260</TotalRevenueColumnAmt>
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        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>2738434</TotalRevenueColumnAmt>
        <ExclusionAmt>2738434</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>542413747</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>518838858</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>3143018</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>11027023</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>15000</TotalAmt>
        <ProgramServicesAmt>15000</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>242180</TotalAmt>
        <ManagementAndGeneralAmt>242180</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>468799</TotalAmt>
        <ProgramServicesAmt>468799</ProgramServicesAmt>
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        <TotalAmt>176618935</TotalAmt>
        <ProgramServicesAmt>172691869</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3927066</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>1573603</TotalAmt>
        <ProgramServicesAmt>1537051</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36552</ManagementAndGeneralAmt>
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        <TotalAmt>14246013</TotalAmt>
        <ProgramServicesAmt>13915101</ProgramServicesAmt>
        <ManagementAndGeneralAmt>330912</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>12358929</TotalAmt>
        <ProgramServicesAmt>12071851</ProgramServicesAmt>
        <ManagementAndGeneralAmt>287078</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
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        <TotalAmt>420</TotalAmt>
        <ManagementAndGeneralAmt>420</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>2927500</TotalAmt>
        <ProgramServicesAmt>607</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2926893</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>348</TotalAmt>
        <ManagementAndGeneralAmt>348</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>206225</TotalAmt>
        <ManagementAndGeneralAmt>206225</ManagementAndGeneralAmt>
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        <TotalCommunityBenefitExpnsAmt>43252</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>43252</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </CommunitySupportGrp>
      <EnvironmentalImprovementsGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>976</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>976</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </EnvironmentalImprovementsGrp>
      <CoalitionBuildingGrp>
        <ActivitiesOrProgramsCnt>4</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>10260</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>10260</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </CoalitionBuildingGrp>
      <WorkforceDevelopmentGrp>
        <ActivitiesOrProgramsCnt>4</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>4497</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>4497</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>18</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>94160</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>94160</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>41129247</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>161576830</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>157779753</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>3797077</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostAccountingSystemInd>X</CostAccountingSystemInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH UNIVERSITY MEDICAL CTR</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>4700 WATERS AVENUE</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31404</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.MEMORIALHEALTH.COM</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH UNIV MEDICAL CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
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        <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>
        <InformationGapsInd>X</InformationGapsInd>
        <CHNAConductedYr>13</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE DISCLOSURE FOR URL</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>13</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE DISCLOSURE FOR URL</StrategyWebsiteURLTxt>
        <StrategyAttachedInd>0</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>125.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>250.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <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>HTTP://MEMORIALHEALTH.COM/FINANCIAL-ASSISTANCE-POLICY.ASPX</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTP://MEMORIALHEALTH.COM/FINANCIAL-ASSISTANCE-POLICY.ASPX</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTP://MEMORIALHEALTH.COM/FINANCIAL-ASSISTANCE-POLICY.ASPX</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPNoticeDisplayedInd>X</FAPNoticeDisplayedInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitReportToCreditAgencyInd>X</PermitReportToCreditAgencyInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <AverageNegotiatedRatesInd>X</AverageNegotiatedRatesInd>
        <MedicareRatesInd>X</MedicareRatesInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MEMORIAL HEALTH UNIV. MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: THE HOSPITAL RECEIVED ASSISTANCE FROM FOUR COMMUNITY COLLABORATIVES THAT REPRESENT VULNERABLE, UNDERSERVED MEMBERS OF THE COMMUNITY AND THE UNITED WAY OF THE COASTAL EMPIRE. WE ALSO COMPLETED A COMMUNITY SURVEY WITH RESPONDENTS FROM ALL ZIP CODES IN CHATHAM COUNTY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MEMORIAL HEALTH UNIV. MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: THE CHNA WAS COMPLETED WITH ST. JOSEPH'S HOSPITAL AND CANDLER HOSPITAL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MEMORIAL HEALTH UNIV. MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: PLEASE SEE THE IMPLEMENTATION PLAN AT THE WEBSITE LINK BELOW FOR EACH NEED AND THE SPECIFIC REASON THE FACILITY DID NOT ADDRESS THE NEED. MOST OF THE NEEDS WERE ALREADY BEING ADDRESSED BY ANOTHER COMMUNITY ORGANIZATION.HTTPS://WWW.MEMORIALHEALTH.COM/COMMUNITY-NEEDS-ASSESSMENT.ASPX</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, CHNA AND IMPLEMENTATION STRATEGY WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.MEMORIALHEALTH.COM/COMMUNITY-NEEDS-ASSESSMENT.ASPX</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST WAS DERIVED USING THE COST ACCOUNTING SYSTEM TRENDSTAR, A DECISION SUPPORT SOFTWARE, WHICH ADDRESSES ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY ROOM, COMMERICAL INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF PAY. A COST-TO-CHARGE RATIO WAS USED TO DETERMINE CHARITY CARE. THE TOTAL OPERATING EXPENSE WAS DIVIDED BY PATIENT REVENUES TO CALCULATE AN OVERALL RATIO THAT WAS THEN APPLIED TO INDIGENT AND CHARITY CARE CHARGES TO ARRIVE AT COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(B), COLUMN (A) IS $41,785,509. MHUMC EXCLUDED $41,129,247, FOR PURPOSES OF CALCULATING THE PERCENTAGE IN COLUMN (F) ON PART I, LINE 7.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>NARRATIVE FOR COMMUNITY BUILDING SECTION2015 COMMUNITY BUILDING ACTIVITIES - $94,160PHYSICAL IMPROVEMENTS/HOUSING - $0 NOTHING TO REPORT FOR 2015ECONOMIC DEVELOPMENT - $35,175MHUMC PROVIDED SUPPORT FOR THREE LARGE COMMUNITY EVENTS THAT CONTRIBUTE TO THE LOCAL ECONOMY.SAVANNAH MUSIC FESTIVALTHE SAVANNAH MUSIC FESTIVAL IS GEORGIA'S LARGEST MUSICAL ARTS EVENT AND ATTRACTS VISITORS FROM THE UNITED STATES AND AROUND THE WORLD.SAVANNAH FILM FESTIVALEACH YEAR MORE THAN 40,000 PEOPLE ATTEND THE EIGHT DAY SAVANNAH FILM FESTIVAL. THE FESTIVAL IS HOST TO A WIDE VARIETY OF COMPETITION FILM SCREENINGS, SPECIAL SCREENINGS, WORKSHOPS, PANELS, AND LECTURES. ST. PATRICK'S DAYTHE ST. PATRICK'S DAY CELEBRATION IN SAVANNAH IS THE CITY'S LARGEST ANNUAL CELEBRATION AND THE SECOND LARGEST ST. PATRICK'S DAY EVENT IN THE UNITED STATES. APPROXIMATELY, 400,000 IRISH AND HONORARY IRISH VISITORS TRAVEL TO SAVANNAH EVERY YEAR FOR THE CELEBRATION. OTHER ECONOMIC DEVELOPMENT ACTIVITIESMHUMC SUPPORTS OTHER ECONOMIC DEVELOPMENT ACTIVITIES AND ORGANIZATIONS THAT BENEFIT THE COMMUNITY INCLUDING THE SAVANNAH ECONOMIC DEVELOPMENT AUTHORITY, SAVANNAH AREA CHAMBER OF COMMERCE, AND THE SAVANNAH PHILHARMONIC ORCHESTRA. COMMUNITY SUPPORT - $43,252CEMA EMERGENCY SUPPORT FUNCTION (ESF) 6 &amp; 8MHUMC IS A VOTING MEMBER OF THE PUBLIC HEALTH DEPARTMENT ESF 6 &amp; 8 - MASS CARE, EMERGENCY ASSISTANCE, HOUSING, AND HUMAN SERVICES. ESF 6 &amp; 8 COORDINATES THE DELIVERY OF FEDERAL MASS CARE, EMERGENCY ASSISTANCE, HOUSING, AND HUMAN SERVICES WHEN LOCAL, TRIBAL, AND STATE RESPONSE AND RECOVERY NEEDS EXCEED THEIR CAPABILITIES. THE MHUMC SAFETY OFFICER PARTICIPATES IN MONTHLY MEETINGS AND COMMUNITY EVENTS FOR A TOTAL OF 24 HOURS OR $976.COASTAL HEALTHCARE COALITION (RCH)MHUMC'S RCH IS A VOTING MEMBER OF THE GEORGIA DEPARTMENT OF PUBLIC HEATH COASTAL HEALTHCARE COALITION. THE HEALTHCARE COALITION SERVES AS A MULTI-AGENCY COORDINATING GROUP THAT ASSISTS EMERGENCY MANAGEMENT AND EMERGENCY SUPPORT FUNCTION (ESF) 6 &amp; 8 WITH PREPAREDNESS, RESPONSE, RECOVERY, AND MITIGATION ACTIVITIES RELATED TO HEALTHCARE ORGANIZATION DISASTER OPERATIONS. THE MHUMC SAFETY OFFICER PARTICIPATES IN QUARTERLY MEETINGS AND REGIONAL COMMUNITY EVENTS FOR A TOTAL OF 1040 HOURS OR $42,276.ENVIRONMENTAL IMPROVEMENTS - $976LOCAL EMERGENCY PLANNING COMMITTEEMHUMC IS A VOTING MEMBER OF THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC). THE LEPC OF CHATHAM COUNTY WAS CREATED TO ADDRESS MANY OF THE PUBLIC SAFETY CONCERNS OF INDUSTRY AND THE COMMUNITY WITH A SPECIFIC FOCUS ON HAZARDOUS MATERIALS AND OTHER ENVIRONMENTAL CONCERNS. THE MHUMC SAFETY OFFICER PARTICIPATES IN QUARTERLY MEETINGS AND THREE COMMUNITY EVENTS FOR A TOTAL OF 24 HOURS OR $976.LEADERSHIP DEVELOPMENT AND TRAINING - $0NOTHING TO REPORT FOR 2015COALITION BUILDING - $10,260CHATHAM COUNTY SAFETY NET PLANNING COUNCIL MHUMC WAS A FOUNDING MEMBER OF THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL. THIS COUNCIL SERVES AS A COUNTYWIDE PLANNING GROUP FOR HEALTHCARE FOR THE UNINSURED AND UNDERINSURED CITIZENS OF CHATHAM COUNTY. THE SAFETY NET PROVIDER NETWORK IS COMPOSED OF PRIMARY CARE PROVIDERS AND OTHER AGENCIES THAT SUPPORT THE DELIVERY OF HEALTHCARE BY TARGETING A SPECIFIC POPULATION OR SERVICE. COASTAL GEORGIA INDICATORS COALITIONTHE PURPOSE OF THIS COMMUNITY COALITION IS TO IMPROVE COMMUNITY WELL-BEING BY ENGAGING AND LEADING THE COMMUNITY TO WORK COLLECTIVELY IN THE DEVELOPMENT OF STRATEGIC PRIORITIES THAT GUIDE POLICY, PROGRAMS, AND RESOURCE ALLOCATION. HEALTHY SAVANNAH THE HEALTHY SAVANNAH INITIATIVE IS DEDICATED TO MAKING SAVANNAH A HEALTHIER PLACE TO LIVE. THE AIM OF THIS GROUP IS TO INCREASE OPPORTUNITIES FOR CITIZENS TO ENGAGE IN PHYSICAL ACTIVITY AND CONSUME A NUTRITIOUS, BALANCED DIET. STEP-UP SAVANNAHSTEP UP SAVANNAH, INC. WORKS TO ELIMINATE POVERTY IN SAVANNAH, CHATHAM COUNTY. IT WAS ESTABLISHED IN 2005/06 BY A GROUP OF COMMUNITY LEADERS WHO RECOGNIZED THAT THE CITY'S POCKETS OF CONCENTRATED POVERTY IMPAIR THE ECONOMIC DEVELOPMENT OF THE ENTIRE COMMUNITY. YOUTH FUTURES AUTHORITYTHE CHATHAM COUNTY YOUTH FUTURES AUTHORITY (YFA) WAS CREATED THROUGH AN ACT OF THE GENERAL ASSEMBLY IN 1988 TO BE THE COLLABORATIVE BODY IN CHATHAM COUNTY FOR ADDRESSING ISSUES RELEVANT TO CHILDREN, YOUTH, AND FAMILIES. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS - $0NOTHING TO REPORT OF 2015WORKFORCE DEVELOPMENT - $4,497JUNIOR ACHIEVEMENTJUNIOR ACHIEVEMENT OF GEORGIA AND ITS PARTNERS INSPIRE AND PREPARE YOUNG PEOPLE TO SUCCEED IN A GLOBAL ECONOMY. VARIOUS MHUMC TEAM MEMBERS ASSISTED J.A. STUDENTS BY SUPPLEMENTING CLASSROOM EDUCATION WITH REAL-WORLD EXAMPLES AND HANDS-ON APPLICATION.EXPLORER POSTIN PARTNERSHIP WITH THE BOY SCOUTS, "LEARNING FOR LIFE" PROGRAM, HIGH SCHOOL SENIORS FROM SAVANNAH-CHATHAM COUNTY PUBLIC SCHOOLS WERE INVITED TO EXPLORE HEALTHCARE CAREERS. MEMORIAL TEAM MEMBERS FROM VARIOUS DEPARTMENTS OFFERED A COMBINATION OF LECTURES AND HANDS-ON ACTIVITIES. THE PROGRAM BEGAN WITH A WHITE COAT CEREMONY AND ENDED WITH A GRADUATION. SCHOOL CAREER FAIRSMEMORIAL TEAM MEMBERS ALSO PROVIDED 18 HOURS OF CAREER DAY SPEAKERS FOR LOCAL SCHOOLS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT RESPONSIBILITY WRITTEN OFF AS UNCOLLECTIBLE PER POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT IS REPORTED AT GROSS CHARGES PER THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS.THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE ALLOWABLE COST REPORTED ON LINE 6 AGREES TO THE MHUMC MEDICARE COST REPORT. THE ORGANIZATION RECEIVES ADDITIONAL MEDICARE REIMBURSEMENTS BASED ON THE DEMOGRAPHICS OF AND LEVEL OF CHARITY CARE IT PROVIDES WITHIN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S DEBT COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE SELF-PAY. THE ORGANIZATION MAINTAINS COLLECTION PRACTICES THAT APPLY TO ALL SELF-PAY PATIENTS INCLUDING WRITTEN LIMITATIONS ON ABUSIVE PHONE CALLS. A PATIENT CAN QUALIFY FOR TWO TYPES OF CHARITY CARE: FREE CARE AND REDUCED COST CARE. IF A PATIENT QUALIFIES FOR FREE CARE, THE AMOUNT IS WRITTEN OFF AND NO ATTEMPTS ARE MADE TO COLLECT ON THE ACCOUNT. IF A PATIENT QUALIFIES FOR REDUCED COST CHARITY CARE, COLLECTIONS ARE PURSUED ON THE REMAINDER OF THE DISCOUNTED PATIENT LIABILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMORIAL UNIVERSITY MEDICAL CENTER HAS NEVER LACKED FOR AN INFORMAL MEASURE OF THE HEALTH NEEDS OF THIS COMMUNITY - THE EVIDENCE ROLLS THROUGH OUR DOORS ON A DAILY, SOMETIMES HOURLY, BASIS - FROM LOW BIRTH WEIGHT BABIES TREATED IN OUR NEONATAL INTENSIVE CARE NURSERY TO TRAUMA VICTIMS OF VIOLENCE ROOTED IN SOCIO-ECONOMIC CONDITIONS TO CHRONIC HEALTH PROBLEMS OF THE UNINSURED THAT BLOSSOM INTO EMERGENCIES DUE TO LACK OF INSURANCE COVERAGE. MEMORIAL HAS A LONG HISTORY OF SERVICE TO THIS COMMUNITY AS A SAFETY NET HOSPITAL.OTHER SOURCES OF DATA INCLUDE OUR PARTICIPATION AS A FOUNDING MEMBER (CIRCA 2004) OF THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL, DEDICATED TO IMPROVING HEALTHCARE DELIVERY TO CHATHAM COUNTY'S UNINSURED AND UNDERINSURED. MEMORIAL ALSO PROVIDES DIRECT SUPPORT FOR THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL, A COUNTYWIDE PLANNING GROUP FOR HEALTHCARE FOR THE UNINSURED AND UNDERINSURED CITIZENS OF CHATHAM COUNTY; AND THE MEDBANK FOUNDATION INC., WHICH FACILITATES PRESCRIPTION ASSISTANCE TO THE NEEDY VIA PARTNERSHIPS WITH PHARMACEUTICAL MANUFACTURERS.IN 2013, MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER JOINED FORCES WITH ST. JOSEPH'S/CANDLER, THE OTHER MAJOR HEALTH SYSTEM IN CHATHAM COUNTY, TO IDENTIFY THE HEALTH AND SOCIAL DETERMINANTS OF HEALTH NEEDS IN CHATHAM COUNTY. OTHER PARTNERS IN COMPILING THE REPORT WERE THE CHATHAM COUNTY HEALTH DEPARTMENT, THE COASTAL GEORGIA INDICATORS COALITION AND THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL. IN ADDITION, THE REPORT DRAWS ON A VARIETY OF OTHER REPORTS FROM SOCIAL SERVICES AGENCIES IN THE REGION. THE ASSESSMENT WAS COMPLETED IN JUNE 2013 AND IS AVAILABLE TO THE PUBLIC ON THE MHUMC WEBSITE HTTP://MEMORIALHEALTH.COM.METHODS OF DETERMINING NEEDSUSING THE FINDINGS OF HEALTH AND SOCIAL NEEDS IDENTIFIED THROUGH THE HEALTHY COMMUNITIES INSTITUTE DATA BASE AND THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY, MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER AND COLLABORATING PARTNER, ST. JOSEPH'S/CANDLER, MET WITH KEY COLLABORATORS TO EVALUATE FINDINGS AND PRIORITIZE THE NEEDS THAT WERE IDENTIFIED. THESE KEY COLLABORATORS HAVE MEMBERS WHO REPRESENT THE UNDERSERVED AND VULNERABLE POPULATIONS OF CHATHAM COUNTY. THEIR INPUT WAS INVALUABLE IN FINALIZING THE FINDINGS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THESE GROUPS INCLUDED THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL, CHAIRED BY PUBLIC HEALTH, YOUTH FUTURES AUTHORITY, UNITED WAY, HEALTHY SAVANNAH, AND STEP-UP SAVANNAH, THE COMMUNITY ANTI-POVERTY INITIATIVE. CHATHAM COUNTY HAS LONG RECOGNIZED THE NEED TO COLLABORATE TO SERVE THE SIGNIFICANT HEALTH NEEDS OF THOSE LIVING IN OUR COMMUNITY. THESE COLLABORATIVE ORGANIZATIONS HAVE BEEN ASSESSING THE NEEDS OF THE COMMUNITY FOR MANY YEARS AND DEVELOPING STRATEGIES TO ADDRESS THESE COMPLEX COMMUNITY NEEDS. ALL OF THEM HAVE GRASSROOTS PARTICIPATION AND EXPERIENCE IN ADDRESSING CONCERNS AT THE COMMUNITY LEVEL. BOTH HEALTH SYSTEMS ARE ACTIVE PARTICIPANTS IN ALL OF THESE COLLABORATIVE ORGANIZATIONS.A DECISION TREE WAS USED TO DETERMINE IF AN INDICATOR WAS A COMMUNITY NEED. THERE WERE FOUR DETERMINATION TYPES:1. SECONDARY DATA - IS THE CHATHAM COUNTY INDICATOR RED OR YELLOW? IF YES, THE INDICATOR IS A COMMUNITY NEED2. SECONDARY DATA - IS THE CHATHAM COUNTY VALUE MEETING THE HEALTHY PEOPLE 2020 TARGET? IF NOT, THE INDICATOR IS A COMMUNITY NEED.3. PRIMARY DATA - DID SURVEY RESPONDENTS IDENTIFY ADDITIONAL NEEDS? IF SO, THEY ARE A COMMUNITY NEED.4. PRIMARY DATA - DID THE COMMUNITY INPUT PROCESS IDENTIFY ADDITIONAL NEEDS? IF SO, THEY ARE A COMMUNITY NEED.THE FINAL LIST OF COMMUNITY NEEDS WAS EVALUATED BY MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER'S INTERNAL TEAM TO DETERMINE THE SIGNIFICANCE OF THE NEED AND MHUMC'S ABILITY TO ADDRESS IT.IDENTIFIED NEEDSTHE NEEDS ARE LISTED BELOW AND MEMORIAL IS ADDRESSING THOSE HIGHLIGHTED.- ACCESS TO HEALTH INSURANCE FOR ADULTS AND CHILDREN (D)- AGE ADJUSTED DEATH RATE DUE TO PROSTATE CANCER (D)- AGE-ADJUSTED DEATH RATE DUE TO COLORECTAL CANCER (D)- BREAST CANCER INCIDENCE RATE (D)- LUNG AND BRONCHUS INCIDENT RATE- ADULTS WITH DIABETES- BABIES WITH LOW AND VERY LOW BIRTH WEIGHT (D)- PRE-TERM BIRTHS (D)- INFANT MORTALITY (D)- HEART DISEASE &amp; STROKE - AFFORDABLE MEDICATIONS- AFFORDABLE DENTAL CARE- CHILDHOOD OBESITY AND HEALTH- LACK OF HOMEOWNERSHIP- PEOPLE SPENDING MORE THAN 30% OF THEIR INCOME ON RENT- PEOPLE LIVING IN POVERTY- ACCESS TO HEALTHY FOOD- HIGH SCHOOL GRADUATION RATESAN IMPLEMENTATION STRATEGY WAS DEVELOPED FOR EACH PRIORITY INCLUDING AN EXPLANATION OF WHAT WAS NOT INCLUDED. THE IMPLEMENTATION PLAN CAN BE FOUND ON THE MEMORIAL WEBSITE AT HTTP://MEMORIALHEALTH.COM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>FAP INFORMATION, ELIGIBILITY REQUIREMENTS, AND APPLICATION PROCESS MAY BE OBTAINED BY DIRECTLY CALLING THE FINANCIAL ASSISTANCE DEPARTMENT AT (912)350-7828, OR A WRITTEN FINANCIAL ASSISTANCE SUMMARY, AVAILABLE IN ENGLISH AND SPANISH VERSIONS, MAY BE OBTAINED AT THE FOLLOWING POINTS OF SERVICE IN THE HOSPITAL: 1. ALL REGISTRATION AREAS 2. INSURANCE VERIFICATION/PRE-ADMISSION/PRE-CERTIFICATION 3. INPATIENT HOSPITAL ROOMS 4. DIRECT CONTACT WITH PATIENTS OR THEIR FAMILIES/FRIENDS 5. PHYSICIANS AND/OR OFFICE REPRESENTATIVES 6. EMERGENCY ROOM &amp; TRAUMA CENTER 7. BILLING AND COLLECTIONS 8. OTHER ENTITIES IN THE MEMORIAL HEALTH SYSTEM MHUMC MAKES REASONABLE EFFORTS TO WIDELY PUBLICIZE ITS FINANCIAL ASSISTANCE POLICY, FREE OF CHARGE, AS FOLLOWS: - PROVIDES COPIES OF FINANCIAL ASSISTANCE SUMMARY AT PATIENT ACCESS POINTS IN THE HOSPITAL FACILITY- INCLUDES FINANCIAL ASSISTANCE INFORMATION IN THE ANNUAL COMMUNITY BENEFIT REPORT WHICH IS PUBLICLY AVAILABLE.- PROVIDES COPIES OF FINANCIAL ASSISTANCE SUMMARY TO COLLABORATIVE PARTNERS, SUCH AS THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL AND CARE NAVIGATOR PROGRAM, WHO SERVE AS A COMMUNITY RESOURCES- PROVIDES AND/OR MAILS COPIES OF FINANCIAL ASSISTANCE SUMMARY AND APPLICATION WHEN SUCH REQUEST IS RECEIVED BY ANY MEMBER OF FINANCIAL ASSISTANCE, BILLING, COLLECTIONS, OR CUSTOMER SERVICE TEAMS.- PROVIDES GENERAL PUBLIC WITH ACCESS TO VIEW AND PRINT COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION, IN BOTH ENGLISH AND SPANISH VERSIONS, ON THE MHUMC WEBSITE, HTTP://MEMORIALHEALTH.COM/FINANCIAL-ASSISTANCE-POLICY.ASPX</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>MHUMC SERVES 35 COUNTIES IN SOUTHEAST GEORGIA AND SOUTHERN SOUTH CAROLINA. THE PRIMARY SERVICE AREA COVERS CHATHAM, EFFINGHAM, AND BRYAN COUNTIES. MHUMC IS HEADQUARTERED IN CHATHAM COUNTY, GEORGIA ON THE SOUTHEASTERN COAST OF THE UNITED STATES. CHATHAM COUNTY IS THE MOST POPULOUS OF THE THREE COUNTIES IN THE PRIMARY SERVICE AREA. THE TOTAL ESTIMATED POPULATION IN 2015 WAS 286,956 PEOPLE. EFFINGHAM COUNTY'S POPULATION WAS 57,106, FOLLOWED BY BRYAN COUNTY AT 35,137. IN THE SAME YEAR, THERE WERE AN ESTIMATED 103,807 HOUSEHOLDS IN CHATHAM COUNTY FOLLOWED BY EFFINGHAM WITH 17,942 HOUSEHOLDS AND BRYAN COUNTY WITH 11,231. IN ALL COUNTIES, FEMALES WERE ABOUT HALF OF THE POPULATION AND CAUCASIANS WERE THE LARGEST RACIAL GROUP FOLLOWED BY AFRICAN AMERICANS AND HISPANICS OR LATINOS.THE MEDIAN HOUSEHOLD INCOMES IN THE THREE COUNTIES ARE AS FOLLOWS: CHATHAM ($46,987), EFFINGHAM ($63,903) AND BRYAN ($65,123). CHATHAM COUNTY HAS THE HIGHEST PERCENTAGE OF PEOPLE LIVING IN POVERTY AT 18.3% AND THE CHATHAM COUNTY ZIP CODE WITH THE HIGHEST NUMBER OF PEOPLE LIVING IN POVERTY IS 31401 WHICH IS IN THE CITY. MHUMC IS A LARGE PROVIDER OF CHARITY CARE IN THE REGION AND THE PERCENTAGE OF UNINSURED RESIDENTS IN CHATHAM IS 22.6%, FOLLOWED BY EFFINGHAM AT 18.3%, AND BRYAN AT 17.6%. IN ADDITION, ALL THREE COUNTIES ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS.THE AREA ALSO HAS AN ACTIVE MILITARY PRESENCE SUPPORTED BY A LONG MILITARY HISTORY. THE CITY OF SAVANNAH IS THE SITE OF HUNTER ARMY AIRFIELD, A VITAL PART OF THE FORT STEWART COMPLEX, WHICH IS THE LARGEST MILITARY INSTALLATION EAST OF THE MISSISSIPPI RIVER. HUNTER SERVES AS A LOCATION FROM WHICH TROOPS AND EQUIPMENT BASED AT HUNTER AND FORT STEWART CAN BE DEPLOYED RAPIDLY THROUGHOUT THE WORLD. FORT STEWART, WITH HEADQUARTERS LOCATED 40 MILES SOUTHWEST OF SAVANNAH IN THE LIBERTY COUNTY TOWN OF HINESVILLE, IS HOME OF THE 3RD INFANTRY DIVISION.SAVANNAH IS ALSO HOME TO THE 165TH AIRLIFT WING OF THE GEORGIA AIR NATIONAL GUARD, AS WELL AS UNITS OF THE COAST GUARD AND OTHER COMPONENTS OF THE AIR GUARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>MHUMC PROVIDES VITAL MEDICAL SERVICES THAT ARE NOT AVAILABLE AT ANY OTHER HOSPITALS IN OUR REGION. THIS INCLUDES OUR LEVEL 1 TRAUMA CENTER, CHILDREN'S HOSPITAL, LEVEL III NEONATAL INTENSIVE CARE NURSERY, AND HIGH-RISK OBSTETRICS PROGRAM. MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER PROVIDES A REAL AND ESSENTIAL SAFETY NET, ASSURING THAT THOSE WHO CHOOSE TO COME TO US RECEIVE THE MEDICAL CARE, FINANCIAL HELP, AND PATIENT RESOURCES THEY NEED. IN 2015, WE PROVIDED APPROXIMATELY $19,900,000 IN INDIGENT/CHARITY SERVICES. WE ALSO PROVIDED COMMUNITY BENEFIT SERVICES TO IMPROVE THE OVERALL HEALTH OF THE ENTIRE COMMUNITY. AFTER FINANCIAL ASSISTANCE AND CHARITY CARE, OUR TOP COMMUNITY CONTRIBUTIONS WERE IN THE FOLLOWING CATEGORIES: 1. EDUCATION FOR HEALTH PROFESSIONALS 2. COMMUNITY HEALTH IMPROVEMENT 3. CASH AND IN-KIND CONTRIBUTIONS</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>GA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>MERCER UNIVERSITY SCHOOL OF MEDICINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1550 COLLEGE STREET</AddressLine1Txt>
          <CityNm>MACON</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31207</ZIPCd>
        </USAddress>
        <RecipientEIN>580566167</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP FOR NICOLE NEAL</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY AFFAIRS AND CORPORATE COMMUNICATIONS OFFICES ARE RESPONSIBLE FOR EVALUATING THE COMMUNITY'S NEEDS AND DETERMINING WHICH NON-PROFIT ORGANIZATION'S MEET OUR GRANT CONTRIBUTION CRITERIA.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALYSIA SHIRLEY CISA</PersonNm>
        <TitleTxt>VP OF COMPLIANCE &amp; AUDIT SERVICES</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>181358</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>215</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3657</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17534</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>202889</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN SMALL</PersonNm>
        <TitleTxt>VP OF HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>271057</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>25388</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1775</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>18002</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>316222</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEREMY LONDON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>385000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>76392</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>461411</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARCIA HUTCHINSON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>273902</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>125</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4012</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3046</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1255</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>282340</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOUIS VON BRUENING</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>244710</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>91</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3616</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18209</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>266626</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CALEB PRICE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>222737</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>125</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>188</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2257</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11938</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>237245</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EVERETTE THOMBS JR</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>280363</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>649</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3750</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18947</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>303709</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>HOUSING ALLOWANCE IS OUTLINED IN THE EMPLOYMENT OFFER LETTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS A SERP AGREEMENT IN PLACE FOR AN UNFUNDED DEFERRED COMPENSATION PLAN FOR CERTAIN OFFICERS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CHATHAM COUNTY HOSPITAL AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>586003667</BondIssuerEIN>
        <CUSIPNum>162033GU2</CUSIPNum>
        <BondIssuedDt>2012-05-29</BondIssuedDt>
        <IssuePriceAmt>163880000</IssuePriceAmt>
        <PurposeDesc>ADV. REFUND, CAPITAL ACQ.</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>179573585</TotalProceedsAmt>
        <InReserveFundAmt>3670693</InReserveFundAmt>
        <RefundingEscrowAmt>47732765</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>2184187</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>125985940</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2014</SubstantialCompletionYr>
        <CurrentRefundingInd>0</CurrentRefundingInd>
        <AdvanceRefundingInd>1</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>1</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>1</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>1</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.01980</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.01980</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: CHATHAM COUNTY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/13/2015</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, DESCRIPTION OF PURPOSE:</FormAndLineReferenceDesc>
        <ExplanationTxt>A PORTION OF THE PROCEEDS OF THE SERIES 2012A BONDS WILL BE USED, TOGETHER WITH OTHER AVAILABLE FUNDS, TO REFUND PRIOR BONDS; TO FINANCE THE CONSTRUCTION AND EQUIPPING OF CERTAIN IMPROVEMENTS TO THE CHILDREN'S HOSPITAL AND THE EXPANSION, RENOVATION, AND EQUIPPING OF CERTAIN OPERATING ROOM FACILITIES; AND TO PAY COSTS OF ISSUANCE OF THE SERIES 2012A BONDS. PRIOR BONDS REFUNDED WERE ORIGINALLY ISSUED ON: 11/19/1996; 05/03/2001; AND 08/05/2004. THE LAST DATE ON WHICH THE REFUNDED BONDS WILL BE CALLED IS 01/01/2014. THE REFUNDED BONDS ARE NOT REPORTED ON THIS SCHEDULE K AS THEY ARE NO LONGER DEFINED AS OUTSTANDING BONDS PER DEFEASANCE MEASURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REPORTED ON PART II, LINE 11 REPRESENTS AMOUNTS USED TO REFUND PRIOR ISSUES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MARY C DOWNING</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY RELATIONSHIP WITH BOARD MEMBER HELEN DOWNING</RelationshipDescriptionTxt>
        <TransactionAmt>233820</TransactionAmt>
        <TransactionDesc>COMPENSATION AS AN EMPLOYEE.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KATHERINE SANDT</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY RELATIONSHIP WITH BOARD MEMBER ROBERT F. BROWN, JR.</RelationshipDescriptionTxt>
        <TransactionAmt>59339</TransactionAmt>
        <TransactionDesc>COMPENSATION AS AN EMPLOYEE.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LESLIE PETRUZZELLI</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY RELATIONSHIP WITH KEY EMPLOYEE GUY PETRUZZELLI</RelationshipDescriptionTxt>
        <TransactionAmt>154789</TransactionAmt>
        <TransactionDesc>COMPENSATION AS AN EMPLOYEE.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RACHELLE WILSON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY RELATIONSHIP WITH OFFICER JEFFREY WILSON</RelationshipDescriptionTxt>
        <TransactionAmt>20850</TransactionAmt>
        <TransactionDesc>COMPENSATION AS AN EMPLOYEE.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>LEWIS BROADCASTING</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>THE ORGANIZATION IS OWNED BY A BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>565000</TransactionAmt>
        <TransactionDesc>THE HOSPITAL LEASES SPACE FROM THE ORGANIZATION.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ARTICLE VIII, SECTION 5 OF THE BYLAWS STATES THAT THE SOLE MEMBER OF THE CORPORATION SHALL BE MEMORIAL HEALTH, INC., A CORPORATION INCORPORATED UNDER THE GEORGIA NONPROFIT CORPORATION CODE, WHICH SHALL HAVE AND MAY EXERCISE TO THE CORPORATION ALL RIGHTS AND AUTHORITIES GRANTED BY LAW TO THE MEMBERS OF NONPROFIT CORPORATIONS IN GEORGIA OR BY THESE BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER SHALL SELECT MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO SENIOR MANAGEMENT WITHIN THE ORGANIZATION'S ACCOUNTING DEPARTMENT FOR INTERNAL REVIEW. A DRAFT IS THEN PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO UPDATE AND SUBMIT A NEW CONFLICT OF INTEREST STATEMENT ANNUALLY. THE CHAIRMAN OF THE BOARD, PRESIDENT, AND CHIEF EXECUTIVE OFFICER AND THE CORPORATE COMPLIANCE OFFICER SHALL BECOME FAMILIAR WITH THE STATEMENTS OF THE BOARD MEMBERS IN ORDER TO GUIDE THEIR CONDUCT SHOULD A CONFLICT ARISE AT SUCH TIMES AS ANY MATTER COMES BEFORE THE BOARD THAT MAY POTENTIALLY RESULT IN A CONFLICT OF INTEREST. THE AFFECTED BOARD MEMBER SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER OR NOT DISCLOSED IN A WRITTEN STATEMENT. THE AFFECTED BOARD MEMBER MAY MAKE A PRESENTATION TO THE BOARD OR A COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE MUST LEAVE THE MEETING DURING THE DISCUSSION OF AND THE VOTE ON THE TRANSACTION OR ARRANGEMENT CONSIDERED TO BE A CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES SULLIVAN-COTTER (AN UNRELATED, INDEPENDENT THIRD PARTY COMPANY) TO ANALYZE APPROPRIATE COMPENSATION FOR THE CEO, EXECUTIVES, DIRECTORS AND TOP MANAGEMENT. FOR ALL OTHER POSITIONS, THE ORGANIZATION USES COMPENSATION ANALYST, SALARY.COM, TO ANALYZE COMPENSATION AND COMPILE DATA FOR COMPARABILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS MADE AVAILABLE UPON REQUESTION. IN ADDITION, THE FORM 990 IS AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF GEORGIA SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC AS THIS IS NOT A REQUIREMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES: PROGRAM SERVICE EXPENSES 49,794,031. MANAGEMENT AND GENERAL EXPENSES 21,752,832. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,546,863.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY TRANSFERS TO AFFILIATES -85,422,931. REALIZED LOSS ON IMPAIRMENT -117,601.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAINTAINS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITIES FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER 2015 COMMUNITY BENEFIT REPORT ABOUT US MEMORIAL HEALTH IS A NONPROFIT HEALTHCARE ORGANIZATION THAT SERVES 35 COUNTIES IN SOUTHEAST GEORGIA AND SOUTHERN SOUTH CAROLINA. HEADQUARTERED IN SAVANNAH, GEORGIA, OUR PRIMARY SERVICE AREA COVERS CHATHAM, EFFINGHAM, AND BRYAN COUNTIES IN GEORGIA. OUR SYSTEM INCLUDES: MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER (MHUMC), A 604-BED TEACHING AND RESEARCH HOSPITAL THAT HOUSES A FULL SPECTRUM OF TERTIARY CARE SERVICES, THE REGION'S ONLY LEVEL 1 TRAUMA CENTER, THE REGION'S ONLY CHILDREN'S HOSPITAL, AND THE ONLY LEVEL III NEONATAL INTENSIVE CARE NURSERY. IN 2015, MHUMC HAD 25,280 ADMISSIONS, 242,338 OUTPATIENT VISITS, AND 98,872 EMERGENCY DEPARTMENT VISITS. WE PERFORMED 21,541 SURGERIES AND DELIVERED 2,870 BABIES. MEMORIAL HEALTH UNIVERSITY PHYSICIANS (MHUP), THE REGION'S LARGEST PHYSICIAN GROUP PRACTICE, CONSISTING OF BOTH PRIMARY AND SPECIALTY CARE PHYSICIANS. A MAJOR MEDICAL EDUCATION PROGRAM WITH PHYSICIAN RESIDENCY PROGRAMS IN DIAGNOSTIC RADIOLOGY, FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, PEDIATRICS, AND GENERAL SURGERY. IN 2015, 142 RESIDENT PHYSICIANS WERE TRAINING AT MHUMC. OUR CAMPUS IS ALSO THE SAVANNAH CAMPUS OF MERCER UNIVERSITY SCHOOL OF MEDICINE, WHICH HAS 240 STUDENTS. OUR AFFILIATION WITH MERCER HELPS MAINTAIN A SUPPLY OF NEW PHYSICIANS FOR RURAL AND MEDICALLY UNDER-SERVED AREAS OF GEORGIA. TOGETHER, WE ESTABLISHED A THREE-YEAR FAMILY MEDICINE TRACK TO ENABLE STUDENTS TO FINISH MEDICAL SCHOOL A YEAR EARLY AND MOVE INTO THE WORK FORCE MORE QUICKLY. IN 2015, MHUMC'S MEDICAL EDUCATION PROGRAM ALSO PROVIDED CONTINUING EDUCATION TO 12,020 MEDICAL PROFESSIONALS THROUGHOUT THE REGION. MEMORIAL HEALTH PARTNERS (MHP), OUR PROVIDER-SPONSORED NETWORK. MHP PARTNERS WITH LOCAL BUSINESSES TO PROVIDE EMPLOYEE HEALTH PLAN BENEFITS, POPULATION HEALTH MANAGEMENT, AND WELLNESS COACHING. THE MHP NETWORK IS USED BY MORE THAN 35,000 PEOPLE. IT INCLUDES 19 HOSPITALS AND 2,138 PROVIDERS AND CAREGIVERS IN 29 COUNTIES. NURSEONE, A 24-HOUR CALL CENTER THAT ANSWERS QUESTIONS FROM PATIENTS, HELPS PATIENTS FIND A PRIMARY CARE DOCTOR, AND ASSISTS PHYSICIAN PRACTICES WITH AFTER-HOURS CALL AND SCHEDULING. MHUMC PROVIDES JOBS FOR 4,349 PEOPLE. IN 2015, WE HAD 627 PHYSICIANS ON OUR MEDICAL STAFF. OUR TEAM MEMBERS TAKE PRIDE IN OUR MISSION, VISION, AND VALUES. OUR MISSION: WITH COMPASSION, WE HEAL, TEACH, AND DISCOVER. OUR VISION: WE WILL BE THE HEALTHCARE SYSTEM OF CHOICE BY DEMONSTRATING EXCELLENCE IN EVERYTHING WE DO. OUR VALUES: SAFETY, TRUST, RESPECT, WORLD-CLASS, ENJOYMENT, AND MY MEMORIAL. CHARITY CARE MHUMC PROVIDES VITAL MEDICAL SERVICES THAT ARE NOT AVAILABLE AT ANY OTHER HOSPITALS IN OUR REGION. THIS INCLUDES OUR LEVEL 1 TRAUMA CENTER, CHILDREN'S HOSPITAL, LEVEL III NEONATAL INTENSIVE CARE NURSERY, AND HIGH-RISK OBSTETRICS PROGRAMS. IN 2015, WE PROVIDED $19.9 MILLION IN INDIGENT/CHARITY SERVICES. TWO FACTORS CONTRIBUTE TO OUR HIGH RATE OF INDIGENT CARE: 1. WE DO NOT REFUSE SERVICE TO ANY MAN, WOMAN, OR CHILD, REGARDLESS OF THEIR ABILITY TO PAY. 2. WE ARE THE LARGEST HOSPITAL IN SOUTHEAST GEORGIA AND WE OFFER THE MOST ADVANCED MEDICAL SERVICES. AS A RESULT, WE OFTEN SEE THE MOST CRITICALLY ILL OR INJURED PATIENTS WHO THEN ACCRUE THE MOST COSTLY MEDICAL EXPENSES. INTEGRATED BUSINESS PARTNERSHIPS MEMORIAL HEALTH WORKS TO DEVELOP PARTNERSHIPS TO HELP US OPERATE MORE EFFICIENTLY AND SAVE MONEY BY COLLABORATING ON PURCHASING, CONTRACTING, MARKETING, EMPLOYEE BENEFITS, PHYSICIAN RECRUITMENT, AND CLINICAL SERVICES. KEY PARTNERSHIPS INCLUDE: NOVANT HEALTH -- MEMORIAL HEALTH AND NOVANT HEALTH HAVE BEEN PARTNERS IN A SHARED SERVICES AGREEMENT SINCE 2012. THE AGREEMENT HAS ALREADY RESULTED IN $8 MILLION IN COST SAVINGS. NOVANT HEALTH IS A MULTI-HOSPITAL, NONPROFIT HEALTHCARE SYSTEM BASED IN NORTH CAROLINA. HEALTHSOUTH CORPORATION - MEMORIAL HEALTH PARTNERED WITH HEALTHSOUTH CORPORATION IN JUNE 2014. TOGETHER, WE BUILT AND JOINTLY OWN A 50-BED FREESTANDING INPATIENT REHABILITATION FACILITY CALLED THE REHABILITATION HOSPITAL OF SAVANNAH. APPLECARE - MEMORIAL HEALTH AND APPLECARE FORMED A PARTNERSHIP FOR IMMEDIATE CARE CENTERS. TOGETHER, WE COLLABORATE TO MANAGE AND OPERATE THREE IMMEDIATE CARE/AFTER-HOURS CLINICS THROUGHOUT THE REGION. CVS/MINUTE CLINIC - MEMORIAL HEALTH PHYSICIANS PROVIDE MEDICAL OVERSIGHT FOR THE REGION'S FIVE LOCAL CVS MINUTE CLINICS. TOGETHER, WE LAUNCHED A PROGRAM TO HELP CVS MINUTE CLINIC PATIENTS WITH HIGH BLOOD PRESSURE FIND A PRIMARY CARE DOCTOR TO HELP THEM MANAGE THEIR CONDITION. TELEMEDICINE PROGRAM -- MEMORIAL HEALTH AND SAVANNAH NEUROLOGY SPECIALISTS EXTEND LIFE-SAVING TREATMENT TO STROKE PATIENTS THROUGH OUR TELEMEDICINE PROGRAM. THE PROGRAM USES VIDEOCONFERENCING TO ENABLE NEUROLOGISTS IN SAVANNAH TO CONSULT WITH EMERGENCY ROOM DOCTORS AT FOUR HOSPITALS IN RURAL GEORGIA. IN 2015, WE CONDUCTED 60 TELEMEDICINE CONSULTS. NEARLY 57 PERCENT OF THE PATIENTS WE EXAMINED VIA TELEMEDICINE RECEIVED LIFESAVING DRUGS. 2015 ACCOLADES AND HONORS MEMORIAL HEALTH REGULARLY EARNS RECOGNITION FOR ITS HIGH-QUALITY SERVICES. OUR MOST RECENT ACCOLADES INCLUDE: -RECEIVED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR HEART FAILURE, HIP REPLACEMENT, KNEE REPLACEMENT, SPINAL FUSION, AND MICRODISCECTOMY SERVICES. -EARNED CHEST PAIN ACCREDITATION WITH PERCUTANEOUS CORONARY INTERVENTION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE. -NAMED A BLUE CROSS BLUE SHIELD BLUE DISTINCTION CENTER FOR THE TREATMENT OF COMPLEX AND RARE CANCERS AND FOR BARIATRIC SURGERY. NAMED A BLUE DISTINCTION CENTER PLUS FOR HIP AND KNEE SURGERY. -CERTIFIED AS A BARIATRIC CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM. -NAMED A CENTER OF EXCELLENCE FOR HIP AND KNEE SURGERY BY CIGNA. EARNED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD AND A HEART FAILURE SILVER PLUS ACHIEVEMENT AWARD. -INCLUDED ON THE TARGET: STROKE HONOR ROLL FOR REDUCING THE TIME BETWEEN HOSPITAL ARRIVAL AND TREATMENT WITH A CLOT-BUSTING DRUG FOR ISCHEMIC STROKE. RECEIVED GOLD-LEVEL STATUS FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR ORGAN, EYE, AND TISSUE DONATION ADVOCACY. -COMPLETED TWO OF FOUR PHASES OF THE BABY-FRIENDLY HOSPITAL INITIATIVE, A WORLDWIDE PROGRAM TO ENCOURAGE BREASTFEEDING AND MOTHER-BABY BONDING. KEY SERVICES AND CENTERS OF EXCELLENCE AT MEMORIAL HEALTH BARIATRIC SURGERY MEMORIAL HEALTH BARIATRICS IS A CENTER OF EXCELLENCE FOR WEIGHT-LOSS SURGERY. OUR PROGRAM INCLUDES PRE-SURGICAL EDUCATION, MINIMALLY INVASIVE SURGERY, AND LONG-TERM SUPPORT TO HELP PEOPLE SUSTAIN A HEALTHY LIFESTYLE. OUR TWO BOARD-CERTIFIED BARIATRIC SURGEONS OFFER BOTH MINIMALLY INVASIVE AND TRADITIONAL WEIGHT-LOSS SURGERY OPTIONS. CANCER CARE THE CURTIS AND ELIZABETH ANDERSON CANCER INSTITUTE (ACI) AT MHUMC IS THE REGION'S MOST COMPREHENSIVE CANCER PROGRAM. THE ACI IS THE HOME OF THE REGION'S FIRST PRACTICE DEDICATED SOLELY TO BREAST CARE, THE FIRST GYNECOLOGIC ONCOLOGY PRACTICE, AND THE ONLY CHILDREN'S CANCER PROGRAM. WE WERE THE FIRST FACILITY IN THE REGION TO CONVERT ALL OF OUR MAMMOGRAPHY MACHINES TO THE LATEST 3D TECHNOLOGY AND THE FIRST FACILITY IN GEORGIA TO OFFER INTRABEAM INTRAOPERATIVE RADIATION THERAPY FOR EARLY STAGE BREAST CANCER. IN 2015, TWO OF OUR CANCER PHYSICIANS, GUY PETRUZZELLI, M.D., PH.D., MBA, AND MARTIN JOHNSTON, M.D., WERE NAMED "TOP CANCER DOCTORS 2015" BY NEWSWEEK AND CASTLE CONNOLLY. CHILDREN'S HOSPITAL THE CHILDREN'S HOSPITAL AT MHUMC IS THE ONLY CHILDREN'S HOSPITAL IN SOUTHEAST GEORGIA. IT INCLUDES AN ARRAY OF SPECIALISTS, A PEDIATRIC EMERGENCY ROOM, A 20-BED GENERAL UNIT, A 22-BED SPECIAL CARE UNIT, AND A 56-BED LEVEL III NEONATAL INTENSIVE CARE NURSERY. IN 2015, GENEROUS DONORS DWAINE AND CYNTHIA WILLETT GAVE A SIGNIFICANT GIFT THAT WILL HELP US OPEN A NEW FREESTANDING CHILDREN'S HOSPITAL IN 2017. WE ARE IN THE PROCESS OF RENOVATING AN EXISTING BUILDING ON OUR CAMPUS AND RAISING ADDITIONAL FUNDS TO ESTABLISH THE DWAINE &amp; CYNTHIA WILLETT CHILDREN'S HOSPITAL OF SAVANNAH. CARDIOTHORACIC CARE IN 2015, TWO HIGHLY RESPECTED PHYSICIAN GROUPS JOINED MEMORIAL HEALTH, MAKING MEMORIAL CARDIOLOGY THE LARGEST CARDIOLOGY PROGRAM IN THE REGION. OUR HEART &amp; VASCULAR INSTITUTE'S ACCREDITED HEART FAILURE PROGRAM OPENED A DEDICATED CLINIC TO HELP PATIENTS WITH HEART FAILURE MANAGE THEIR DISEASE AND AVOID REPEAT HOSPITALIZATION. IN 2015, OUR HEART FAILURE CLINIC TEAM HAD MORE THAN 600 VISITS WITH ITS 247 PATIENTS. THE HEART &amp; VASCULAR INSTITUTE ALSO ADDED A NEW HYBRID SUITE AND TECHNOLOGY FOR NON-SURGICAL VALVE PROCEDURES. MHUMC IS NOW THE ONLY FACILITY IN THE REGION OFFERING BREAKTHROUGH MITRACLIP VALVE REPLACEMENT FOR HIGH-RISK PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>EMERGENCY AND TRAUMA SERVICES MHUMC IS SOUTHEAST GEORGIA'S ONLY LEVEL 1 TRAUMA CENTER AND ONE OF ONLY FIVE LEVEL 1 CENTERS IN THE STATE OF GEORGIA. WE ARE EQUIPPED TO PROVIDE RAPID TRAUMA CARE AROUND THE CLOCK. OUR M. GAGE OCHSNER INSTITUTE FOR INJURY RESEARCH AND PREVENTION TRACKS TRAUMA DATA AND PROVIDES EDUCATION TO REDUCE INJURIES AND IMPROVE TRAUMA CARE IN GEORGIA. IN 2015, WE COMPLETED THE FIRST PHASE OF A $15-MILLION, TWO-YEAR EXPANSION AND RENOVATION OF OUR EMERGENCY SERVICES. THE EXPANDED FACILITY IS CALLED THE PARKER'S EMERGENCY &amp; TRAUMA CENTER. GASTROINTESTINAL SERVICES THE GASTROINTESTINAL CENTER OF EXCELLENCE AT MHUMC DIAGNOSES AND TREATS DISEASES OF THE GASTROINTESTINAL TRACT. WE SPECIALIZE IN COLONOSCOPY, ENDOSCOPIC ULTRASOUND, LIVER BIOPSY, AND OTHER PROCEDURES THAT ALLOW DOCTORS TO SEE THE GASTROINTESTINAL SYSTEM. IN 2015, WE EARNED ENDOSCOPY UNIT CERTIFICATE OF RECOGNITION FROM THE AMERICAN SOCIETY FOR GASTROINTESTINAL ENDOSCOPY FOR DELIVERING SAFE, QUALITY CARE. JOINT REPLACEMENT SURGERY AND GERIATRIC FRACTURE TREATMENT MEMORIAL BONE &amp; JOINT IS A CENTER OF EXCELLENCE FOR JOINT REPLACEMENT SURGERY AND THE TREATMENT OF ORTHOPAEDIC CONDITIONS. OUR SURGEONS SPECIALIZE IN HIP, KNEE, AND SHOULDER REPLACEMENT. WE WERE THE SITE OF SAVANNAH'S FIRST TOTAL ANKLE ARTHROPLASTY PROCEDURE. WE ESTABLISHED A GERIATRIC FRACTURE PROGRAM TO IMPROVE CARE FOR ELDERLY PATIENTS WHO COME TO THE EMERGENCY ROOM WITH A HIP FRACTURE. THE PROGRAM USES PROVEN STANDARDS OF CARE TO SHORTEN THE PATIENT'S HOSPITAL STAY AND LOWER THE RISK OF COMPLICATIONS AFTER HIP-FRACTURE SURGERY. PRIMARY CARE AND SPECIALTY CARE NETWORK MEMORIAL HEALTH UNIVERSITY PHYSICIANS (MHUP) IS THE LARGEST PHYSICIAN GROUP SERVING SOUTHEAST GEORGIA AND SOUTHERN SOUTH CAROLINA. IT INCLUDES A NETWORK OF PRIMARY AND SPECIALTY CARE OFFICES THROUGHOUT THE REGION. ALL MHUP PRIMARY CARE PRACTICES ARE LEVEL 3 PATIENT-CENTERED MEDICAL HOMES, AS DESIGNATED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE. THE PATIENT-CENTERED MEDICAL HOME CONCEPT CREATES A PARTNERSHIP BETWEEN THE DOCTOR AND THE PATIENT THAT IS FOCUSED ON DISEASE PREVENTION. THIS ULTIMATELY IMPROVES PATIENT HEALTH AND REDUCES OVERALL HEALTHCARE COSTS. OUR MHUP PRACTICES UTILIZE EPIC ELECTRONIC MEDICAL RECORDS AND THE MYCHART PATIENT PORTAL SO PATIENTS CAN VIEW THEIR MEDICAL RECORD, VIEW LAB RESULTS, REQUEST APPOINTMENTS, REQUEST PRESCRIPTION REFILLS, AND COMMUNICATE WITH THEIR DOCTOR'S OFFICE ONLINE. SPINE SURGERY MEMORIAL SPINE IS A CENTER OF EXCELLENCE FOR SPINE SURGERY AND THE TREATMENT OF SPINE CONDITIONS. OUR SPINE SURGEONS ARE PASSIONATE ABOUT BRINGING THE MOST INNOVATIVE TREATMENTS TO OUR REGION. MHUMC WAS THE FIRST FACILITY IN THE NATION TO IMPLANT A DEVICE CALLED THE TRIUMPH LUMBAR DISC FOR HERNIATED DISC TREATMENT. WE ARE CURRENTLY THE ONLY HOSPITAL IN GEORGIA PARTICIPATING IN THE ACADIA FACET REPLACEMENT SYSTEM TRIAL FOR LUMBAR SPINAL STENOSIS. LONG-TERM OUTCOMES SHOW THAT MEMORIAL SPINE IS PERFORMING BETTER THAN NATIONAL BENCHMARKS IN IMPROVING PAIN, MOBILITY, MENTAL HEALTH, AND PHYSICAL HEALTH AFTER SPINE SURGERY. STROKE OUR STROKE CENTER OF EXCELLENCE IS CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. WE ARE THE ONLY HOSPITAL IN THE REGION WITH A FULL TEAM OF NEUROLOGISTS AVAILABLE AROUND THE CLOCK. PHYSICIANS FROM SAVANNAH NEUROLOGY SPECIALISTS EVALUATE STROKE PATIENTS IN OUR EMERGENCY DEPARTMENT AND BEGIN IMMEDIATE TREATMENT. WE PARTICIPATE IN A TELESTROKE PROGRAM WITH FOUR RURAL HOSPITALS THROUGHOUT THE STATE. WE ALSO OFFER A MONTHLY AWARD-WINNING SUPPORT GROUP FOR STROKE SURVIVORS AND THEIR FAMILY MEMBERS. VASCULAR CARE OUR VASCULAR SERVICES SPECIALIZE IN ANEURYSM REPAIR, PERIPHERAL BYPASS SURGERY, CAROTID ENDARTERECTOMY, AND DISEASES AFFECTING THE FUNCTION OF ARTERIES AND VEINS. MHUMC IS THE ONLY HOSPITAL IN THE REGION THAT COLLECTS AND SUBMITS DATA TO THE VASCULAR QUALITY INITIATIVE (VQI) DATABASE TO CONTINUOUSLY ASSESS SERVICE, OUTCOMES, AND CLINICAL BENCHMARKS. THIS WILL HELP US IMPROVE THE QUALITY, SAFETY, EFFECTIVENESS, AND COST OF VASCULAR HEALTHCARE. WOMEN'S HEALTH OUR WOMEN'S CENTER OF EXCELLENCE IS THE ONLY PROGRAM IN THE REGION WITH A TEAM SPECIALIZING IN HIGH-RISK PREGNANCIES AND DELIVERIES. WE ALSO PROVIDE GENETIC COUNSELING, CARE FOR PREGNANT WOMEN WITH PREVIOUS MEDICAL CONDITIONS, PRE-TERM LABOR SERVICES, AND CARE FOR WOMEN CARRYING MULTIPLES. OUR MATERNAL-FETAL MEDICINE SPECIALISTS WORK CLOSELY WITH THE LEVEL III NEONATAL INTENSIVE CARE NURSERY TO ENSURE ALL NEW FAMILIES RECEIVE A HEALTHY START. ANOTHER COMPONENT OF OUR WOMEN'S CENTER OF EXCELLENCE IS A PERINATAL EDUCATION PROGRAM THAT TEACHES HEALTHCARE PROVIDERS AT OTHER FACILITIES HOW TO CARE FOR AND STABILIZE PREMATURE AND CRITICALLY ILL INFANTS SO THAT THEY CAN BE SAFELY TRANSPORTED TO MHUMC. CARING FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER PROVIDES A REAL AND ESSENTIAL SAFETY NET, ASSURING THAT THOSE WHO CHOOSE TO COME TO US RECEIVE THE MEDICAL CARE, FINANCIAL HELP, AND PATIENT RESOURCES THEY NEED. IN 2015, WE PROVIDED MORE THAN $19.9 MILLION IN FINANCIAL ASSISTANCE AND CHARITY CARE FOR PEOPLE IN NEED. IN ADDITION, MHUMC ALSO PROVIDED COMMUNITY BENEFIT SERVICES TO IMPROVE THE OVERALL HEALTH OF THE ENTIRE COMMUNITY. AFTER FINANCIAL ASSISTANCE AND CHARITY CARE, OUR TOP COMMUNITY CONTRIBUTIONS WERE IN THE FOLLOWING CATEGORIES: 1. EDUCATION FOR HEALTH PROFESSIONALS - $20.4 MILLION 2. COMMUNITY HEALTH IMPROVEMENT - $1.7 MILLION 3. CASH AND IN-KIND CONTRIBUTIONS - $835,000 EDUCATION FOR HEALTHCARE PROFESSIONALS ADDITIONAL HEALTHCARE PROFESSIONALS ARE DESPERATELY NEEDED THROUGHOUT SOUTHEAST GEORGIA. TO HELP FILL THAT NEED, MHUMC INVESTS IN PROVIDING QUALITY EDUCATION AND TRAINING EXPERIENCES FOR HEALTHCARE PROFESSIONALS. WE SERVE AS THE SAVANNAH CAMPUS OF MERCER UNIVERSITY SCHOOL OF MEDICINE, A FOUR-YEAR MEDICAL SCHOOL WHERE FUTURE DOCTORS LEARN THEIR PROFESSION. GRADUATE MEDICAL EDUCATION THE GRADUATE MEDICAL EDUCATION PROGRAM AT MHUMC HAD ITS BEGINNINGS WELL OVER 50 YEARS AGO WITH THE ESTABLISHMENT OF THE INTERNAL MEDICINE RESIDENCY PROGRAM. TODAY, THERE ARE SIX RESIDENCY PROGRAMS: FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, OBSTETRICS AND GYNECOLOGY, GENERAL SURGERY, AND DIAGNOSTIC RADIOLOGY. MHUMC AND EACH PROGRAM ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). THE PHYSICIAN RESIDENT TRAINING PROGRAM ALIGNS WITH THE EARLY MISSION OF MHUMC TO PROVIDE CARE FOR THOSE IN NEED AS WELL AS TRAIN FUTURE PHYSICIANS FOR THE COMMUNITY AND THE REGION. OF THE 142 RESIDENTS TRAINED IN 2015, MHUMC DID NOT RECEIVE COMPENSATION FOR 43 OF THEM. THIS IS DUE TO CAPS PLACED ON THE ALLOWABLE NUMBER OF PHYSICIANS ENGAGED IN GRADUATE MEDICAL INSTRUCTION IN ALL TEACHING HOSPITALS ACROSS THE UNITED STATES. CONTINUING MEDICAL EDUCATION (CME) THE CONTINUING MEDICAL EDUCATION (CME) DEPARTMENT IS COMMITTED TO DEVELOPING, IMPLEMENTING, AND EVALUATING EDUCATIONAL OPPORTUNITIES AND INITIATIVES TO ASSIST PRACTICING PHYSICIANS, ADVANCED PRACTICE PROVIDERS, AND OTHER HEALTHCARE PROFESSIONALS TO IMPROVE PATIENT SAFETY AND ENHANCE CLINICAL OUTCOMES. NURSES/NURSING STUDENTS IN 2015, MHUMC PROVIDED INPATIENT AND OUTPATIENT CLINICAL ROTATIONS FOR UNDERGRADUATE NURSING STUDENTS FROM THE FOLLOWING ACCREDITED NURSING SCHOOLS: ARMSTRONG STATE UNIVERSITY, GEORGIA SOUTHERN UNIVERSITY, COLLEGE OF COASTAL GEORGIA, AND THE UNIVERSITY OF SOUTH CAROLINA BEAUFORT CAMPUS.CLINICAL EXPERIENCES WERE PROVIDED FOR 1,178 NURSING STUDENTS. OTHER HEALTH PROFESSIONALS EDUCATION MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER PROVIDED CLINICAL SUPERVISION AND TRAINING FOR 270 STUDENTS IN THE FOLLOWING SPECIALTIES: CARDIAC CATH, CHILD LIFE SPECIALIST, CT ECHOCARDIOGRAPHY, NUCLEAR MEDICINE, OCCUPATIONAL THERAPY, PHARMACY, PHYSICAL THERAPY, RADIATION THERAPY, RADIOGRAPHY, RESPIRATORY THERAPY, SPEECH THERAPY, SURGICAL TECHNOLOGISTS, ULTRASOUND TECHNOLOGISTS, AND OTHER HEALTH PROFESSIONALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY HEALTH IMPROVEMENT SERVICES COMMUNITY HEALTH IMPROVEMENT SERVICES PROVIDED BY MHUMC INCLUDE PROGRAMS THAT FOCUS ON PATIENT SUPPORT SERVICES, HEALTH SCREENINGS, EDUCATION, AND DISEASE PREVENTION. HEALTH EDUCATION FOR CHILDREN CAMP KUDZU CAMP KUDZU IS DEDICATED TO EMPOWERING AND EDUCATING KIDS LIVING WITH TYPE 1 DIABETES THROUGH SUMMER CAMP AND YEAR ROUND PROGRAMS. CHATHAM COUNTY YOUTH COMMISSION HOSPITAL ACADEMY DAY MHUMC IS THE ANNUAL HOST FOR THE HOSPITAL ACADEMY DAY FOR CHATHAM COUNTY YOUTH COMMISSION CANDIDATES. THIS PROGRAM FOCUSES ON PERSONAL SAFETY, AS WELL AS, HEALTHY BEHAVIORS AND CHOICES. SAFEKIDS OF SAVANNAH A MHUMC TEAM MEMBER IS THE COORDINATOR OF THE SAFEKIDS PROGRAM. THIS TEAM MEMBER ALONG WITH OTHER MHUMC TEAM MEMBERS PROVIDED 680 HOURS OF SAFETY EDUCATION AND OUTREACH PROGRAMS. WEEKLY CHILD SAFETY SEAT INSPECTIONS CHILD SAFETY SEAT INSPECTIONS, CHOC &amp; RINCON EAST BROAD PEDESTRIAN SAFETY FIRE SAFETY CLASS GARDEN CITY PUBLIC LIBRARY GEORGIA WALK TO SCHOOL DAY INTERNATIONAL WALK TO SCHOOL DAY JESUS FIRST CHURCH CAMP JUNIOR LEAGUE FIT KIDS FEST MAKE A SPLASH WATER SAFETY EVENT NATIONAL CAR SEAT CHECK OCHSNER FISHING AND WATER SAFETY SAFEKIDS BIKE SAFETY EVENT SAFEKIDS TRIATHLON TEEN MAZE WACH BABY EXPO WILMINGTON ISLAND FARMERS MARKET WINDSOR FOREST WALK TO SCHOOL DAY WOMEN'S HEALTH SYMPOSIUM CHILDREN'S NUTRITION, FITNESS, AND WELLNESS EDUCATION AND EVENTS COMMUNITY EDUCATION AND EVENTS FOR CHILDREN'S WELLNESS TOTALED 185 HOURS IN 2015. AMERIGROUP FARMERS MARKET CALVARY DAY SCHOOL CHILDHOOD OBESITY SUMMIT CHILDREN'S WELLNESS EDUCATION CONGRESSMAN BUDDY CARTER'S HEALTH MEETING EAST BROAD K-8 SCHOOL GADSDEN ELEMENTARY SCHOOL GARDEN CITY FAMILY LIFE CENTER GARDEN CITY PUBLIC LIBRARY GARRISON PTA GEORGIA SCHOOL NURSES CONFERENCE G.I.F.T. NUTRITION EDUCATION HAVEN ELEMENTARY SCHOOL HEALTHY SAVANNAH, HEALTHY KIDS INDEPENDENT LEARNING NETWORK J.C. LEWIS PRIMARY HEALTH CARE CENTER FUN DAY JESUS FIRST CHURCH CAMP JUNIOR LEAGUE FIT KIDS FEST LARGO-TIBET ELEMENTARY SCHOOL LEAN CHALLENGE LOW ELEMENTARY SCHOOL PULASKI ELEMENTARY SCHOOL HEALTH NIGHT MYERS MIDDLE SCHOOL NUTRITION EDUCATION SCPSS NUTRITION STAFF EDUCATION SCPSS CAFETERIA MANAGERS EDUCATION SHUMAN ELEMENTARY SCHOOL WELL FED MAGAZINE HEALTHY EATING WEST CHATHAM ELEMENTARY SCHOOL CHEF AND CHILD DAY WEST CHATHAM MIDDLE SCHOOL WILMINGTON ISLAND FARMERS MARKET, HEALTHY EATING PRESENTATION WILLIAM JAMES MIDDLE SCHOOL SAVANNAH-CHATHAM COUNTY PRE-K EVENT, NUTRITION EDUCATION, CHILD PASSENGER SAFETY, HEALTHY HABITS, AND HAND WASHING HEALTH EDUCATION FOR ADULTS CANCER EDUCATION CURTIS &amp; ELIZABETH ANDERSON CANCER INSTITUTE HARVEST OF HOPE RETREAT LUNG CANCER AWARENESS EDUCATION LEUKEMIA &amp; LYMPHOMA SOCIETY BUILD A BRIDGE FOUNDATION BREAST CANCER AWARENESS EDUCATION HEART &amp; VASCULAR COMMUNITY EDUCATION SAVANNAH SUMMIT - STROKE AWARENESS JDH STROKE SMARTS KEY CHANGES TO TPA MEADOWS STROKE SMARTS SKIDAWAY ISLAND STATION BACON COUNTY STROKE SMARTS REHABILITATION INSTITUTE - I HAVE MARKS TO MAKE I HAVE MARKS TO MAKE IS A COMMUNITY PROJECT TO INCREASE AWARENESS AND EDUCATE THE PUBLIC REGARDING THE TALENTS AND ABILITIES OF INDIVIDUALS WITH ACTIVITY LIMITATIONS. THE EVENT INCLUDES A MONTH LONG EXHIBIT OF ARTWORK CREATED BY INDIVIDUALS WITH ACTIVITY LIMITATIONS. HISPANIC LATINO NETWORK GROUP IN 2015, MHUMC TEAM MEMBERS PROVIDED 24 HOURS OF HEALTH EDUCATION FOR HISPANIC LATINO COMMUNITY MEMBERS. COMMUNITY HEALTH EDUCATION MHUMC TEAM LEADERS AND TEAM MEMBERS PROVIDED 271 HOURS OF COMMUNITY EDUCATION REQUESTED BY THE COMMUNITY ORGANIZATIONS LISTED BELOW. ANTIOCH FOOT &amp; ANKLE DIABETES EDUCATION PROGRAM ARMSTRONG STATE UNIVERSITY NURSING PROGRAM, PATIENT-CENTERED MEDICAL HOME ARMSTRONG STATE UNIVERSITY - INJURY PREVENTION PROGRAM APRN CONFERENCE PRESENTATION MENTAL ILLNESS EDUCATION FOR THE AMERICAN SOCIETY OF PHLEBOTOMISTS BIBLE BAPTIST SCHOOL HEALTH EDUCATION AND TOUR BULL STREET BAPTIST CHURCH INJURY PREVENTION PRESENTATION CALVARY BAPTIST CHURCH WELLNESS WEDNESDAYS CALVARY BAPTIST CHURCH MEDICAL MAGNET PROGRAM GEORGIA ASSOCIATION OF HEALTHCARE EXECUTIVES - ACHIEVING SUCCESS WITH POPULATION HEALTH MANAGEMENT GEORGIA SOUTHERN UNIVERSITY AGING CONFERENCE GEORGIA SOUTHERN UNIVERSITY BEREAVEMENT WITH CHILDREN HANCOCK DAY SCHOOL EXCHANGE CLUB HEATH EDUCATION SERIES FIRST RESPONDERS SKIDAWAY EMERGENCY MEDICINE PRESENTATION FORD PLANTATION HEALTH EDUCATION SERIES FORSYTH FARMERS MARKET EDUCATION SERIES HILTON HEAD PLANTATION HEALTH EDUCATION SERIES JEWISH EDUCATIONAL ALLIANCE INJURY PREVENTION EDUCATION MAY HOWARD ELEMENTARY SCHOOL METROPOLITAN ROTARY CLUB TRAUMA AND INJURY PREVENTION RICHMOND HILL SENIOR CENTER HEALTH EDUCATION SERIES RIVER'S EDGE INDEPENDENT LIVING CONGESTIVE HEART FAILURE PRESENTATION RIVERVIEW HEALTH &amp; REHABILITATION CENTER SAVANNAH STATE UNIVERSITY, HPV AND CANCER PREVENTION SAVANNAH SUMMIT SAVANNAH-CHATHAM COUNTY PUBLIC SCHOOLS NEW TEACHER ORIENTATION SENIOR CITIZENS, INC. ST. JAMES HEALTH EDUCATION SUN CITY GREATER HEALTH EDUCATION CLUB SUNRISE ROTARY NUTRITION &amp; WELLNESS PRESENTATION THE LANDINGS ASSOCIATION LUNCH AND LEARN YMCA POOLER BOOT CAMP, NUTRITION AND EXERCISE WOMEN'S HEALTH SYMPOSIUM</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>2015 HEALTH FAIRS IN 2015, MEMORIAL TEAM MEMBERS PARTICIPATED IN 11 COMMUNITY HEALTH FAIRS. 1. ARMSTRONG STATE UNIVERSITY 2. CLAXTON MIDDLE SCHOOL 3. DERST BAKING COMPANY 4. FORD PLANTATION 5. GEORGIA POWER 6. GODLEY STATION PTA 7. GEORGIA STATE UNIVERSITY 8. IMPERIAL SUGAR 9. OMAR SHRINERS TEMPLE 10. SUN CITY 11. WESTIN SAVANNAH HARBOR COMMUNITY SUPPORT GROUPS IN 2015, 600 INDIVIDUALS, FAMILY MEMBERS, AND CAREGIVERS WERE SERVED BY CANCER SUPPORT SERVICES. THESE SUPPORT GROUPS ARE OPEN TO THE COMMUNITY. CAREGIVER COFFEE HOUR COOKING CLASSES FOR CANCER PATIENTS HEAD AND NECK CANCER SUPPORT GROUP HEALING THROUGH ART MAN TO MAN PROSTATE CANCER SUPPORT GROUP SISTERS NETWORK BREAST CANCER SUPPORT GROUP LOOK GOOD FEEL BETTER PROGRAM SUPPORT B.R.A.S. BREAST CANCER SUPPORT GROUP YOUNG SURVIVAL COALITION BREAST CANCER SUPPORT GROUP OTHER SUPPORT GROUPS SUPPORT AFTER STROKE (SAS) ICD SUPPORT GROUP OSTOMY SUPPORT GROUP HEALTHCARE SUPPORT SERVICES IN 2015, MHUMC INVESTED IN THE FOLLOWING PATIENT ASSISTANCE PROGRAMS AND SERVICES: PATIENT ASSISTANCE PROGRAM - MMC PAYER THIS MEMORIAL-FUNDED PATIENT ASSISTANCE PROGRAM WAS ESTABLISHED TO HELP UNINSURED AND UNDERINSURED PATIENTS WITH EXPENSES THAT GO BEYOND ROUTINE DISCHARGE PLANNING. EMERGENCY DEPARTMENT COMMUNITY RESOURCE SPECIALIST A FULL-TIME COMMUNITY RESOURCE SPECIALIST (CRS) IS LOCATED IN THE EMERGENCY DEPARTMENT TO PROVIDE PATIENT EDUCATION AND HEALTHCARE NAVIGATION. MAYOR'S CAMPAIGN FOR HEALTHY KIDS AND FAMILIES THE MAYOR'S CAMPAIGN FOR HEALTHY KIDS AND FAMILIES WAS PART OF A NATIONAL EFFORT TO IMPROVE PUBLIC HEALTH BY USING COMPREHENSIVE ENROLLMENT CAMPAIGNS FOR CHILDREN AND THEIR PARENTS WHO WERE ELIGIBLE FOR BUT NOT ENROLLED IN MEDICAID OR THE CHILDREN'S HEALTH INSURANCE PROGRAM. ACA OUTREACH AND OUTREACH MEMORIAL TEAM MEMBERS ASSISTED THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL WITH DEVELOPMENT OF ACA EDUCATIONAL MATERIALS AND COORDINATION OF OUTREACH AND ENROLLMENT EVENTS. FREE PATIENT NET TRANSPORTATION MHUMC HAS 9 FLEET VEHICLES USED TO PROVIDE PATIENTS WITH FREE NON-EMERGENCY TRANSPORTATION SERVICES. IN 2015 A TOTAL OF 9,845 TRANSPORTS WERE PROVIDED. NURSEONE - COMMUNITY TRIAGE LINE THE COMMUNITY TRIAGE LINE IS A FREE SERVICE PROVIDED FOR COMMUNITY MEMBERS WITH A HEALTHCARE QUESTION OR CONCERN. IN 2015, A TOTAL OF 9,231 CALLS WERE ANSWERED BY REGISTERED NURSES AND 30,930 WERE RECEIVED BY NURSEONE OPERATORS. CASH AND IN-KIND CONTRIBUTIONS CASH DONATIONS AND GRANTS IN 2015, CASH CONTRIBUTIONS AND GRANTS WERE PROVIDED TO THE FOLLOWING ORGANIZATIONS. MEDBANK FOUNDATION INC. THE MEDBANK FOUNDATION, INC. IS A PRIVATE, NONPROFIT ORGANIZATION OFFERING PRESCRIPTION ASSISTANCE TO LOW-INCOME PATIENTS OF AREA HEALTH PROVIDERS. MEDBANK EXCELS IN OBTAINING MEDICATIONS AT NO COST TO PATIENTS THROUGH PROGRAMS PRESENTED BY PARTICIPATING PHARMACEUTICAL MANUFACTURERS. IN 2015, MEDBANK PROVIDED MORE THAN $8.2 MILLION IN FREE MEDICATIONS TO THE COMMUNITY BY WORKING WITH COMMUNITY CLINICS. THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL (CCSNPC) THE CCSNPC SERVES AS A COUNTYWIDE PLANNING GROUP FOR HEALTHCARE FOR THE UNINSURED AND UNDERINSURED CITIZENS OF CHATHAM COUNTY. CREATED IN 2004 TO IMPROVE THE EFFICIENCY AND EFFECTIVENESS OF THE LOCAL HEALTHCARE DELIVERY SYSTEM, THE COUNCIL'S GOALS ARE TO STRENGTHEN THE HEALTHCARE INFRASTRUCTURE, BUILD CAPACITY WITHIN THE COMMUNITY, IMPROVE ACCESS TO HEALTHCARE FOR THE UNINSURED AND UNDERINSURED, AND IMPROVE HEALTH OUTCOMES. AS A FOUNDING MEMBER, MHUMC HAS BEEN ACTIVELY INVOLVED IN THIS PROGRAM SINCE ITS INCEPTION. OTHER CASH CONTRIBUTIONS MHUMC SUPPORTED THE PROJECTS AND INITIATIVES FOR THE FOLLOWING NOT-FOR-PROFIT ENTITIES: ALZHEIMER'S ASSOCIATION COASTAL REGION, AMERICAN DIABETES ASSOCIATION, AMBUCS, AMERICAN RED CROSS, BETHESDA HOME FOR BOYS, CROHNS &amp; COLITIS FOUNDATION, GEORGIA MEDICAL SOCIETY, JUVENILE DIABETES RESEARCH FOUNDATION, LEUKEMIA &amp; LYMPHOMA SOCIETY, MARCH OF DIMES, NAACP FREEDOM FUND, NAMI SAVANNAH, NATIONAL MULTIPLE SCLEROSIS, NATIONAL WHEELCHAIR BASKETBALL ASSOCIATION, RAPE CRISIS CENTER, RONALD MCDONALD HOUSE, SAFEKIDS GEORGIA, STEP-UP SAVANNAH, SUSAN G. KOMEN RACE FOR THE CURE, THE LINKS FOUNDATION, AND UNITED WAY OF THE COASTAL EMPIRE. IN-KIND DONATIONS IN 2015, MHUMC PROVIDED IN-KIND DONATIONS OF SPACE, TIME, AND OTHER RESOURCES TO COMMUNITY ORGANIZATIONS. IN-KIND SPACE IN 2015, MHUMC PROVIDED OPERATING SPACE FOR THE VIOLENCE INTERVENTION PROGRAM, A COMMUNITY FOCUSED, HOSPITAL-BASED PROGRAM DESIGNED TO REDUCE RECIDIVISM OF VIOLENT CRIMES AMONG YOUNG PEOPLE AGES 12-25. FOR THE CONVENIENCE OF OUR PATIENTS, MEMORIAL PROVIDES OFFICE SPACE FOR DEPARTMENT OF FAMILY AND CHILDREN'S SERVICES (DFACS) PERSONNEL. CONFERENCE ROOM SERVICES IN 2015, CONFERENCE ROOM SERVICES PROVIDED A TOTAL OF 2,344.5 HOURS OF FREE CONFERENCE ROOM AND EDUCATION SPACE, AUDIOVISUAL EQUIPMENT, AND TECHNOLOGY ASSISTANCE FOR 874 COMMUNITY MEETINGS AND EVENTS. MEALS FOR FAMILIES PARTNERING WITH LOCAL CHURCHES AND OTHER NON-PROFIT ORGANIZATIONS, MEMBERS OF MHUMC'S KEY 100 HOSTED 210 LUNCHEONS IN 2014, SERVING 5,250 FAMILY MEMBERS OF HOSPITALIZED PATIENTS. FUNDRAISING FOR COMMUNITY ORGANIZATIONS TEAM MEMBERS HELPED COORDINATE THE FOLLOWING FUNDRAISING EVENTS FOR NONPROFIT ORGANIZATIONS: AMERICAN CANCER SOCIETY RELAY FOR LIFE, BRAIN INJURY ASSOCIATION WALK, HELP THE HOO-HAHS, LEUKEMIA/LYMPHOMA SOCIETY LIGHT THE NIGHT, MARCH OF DIMES WALK FOR BABIES, MILES FOR MELANOMA, AND THE SUSAN G. KOMEN RACE FOR THE CURE. BOARD SERVICE FOR COMMUNITY ORGANIZATIONS SENIOR EXECUTIVES, TEAM LEADERS, AND TEAM MEMBERS AT MHUMC ARE INVOLVED AT EVERY LEVEL OF THE COMMUNITY THROUGH THEIR SERVICE TO MANY NONPROFIT ORGANIZATIONS, LOCAL COMMUNITY AGENCIES, AND EDUCATIONAL INSTITUTIONS. TEAM LEADERS AND MEMBERS INVESTED 964 HOURS OF SERVICE. SAVANNAH CHATHAM COUNTY PUBLIC SCHOOLS MEMORIAL HEALTH ATHLETIC TRAINERS INVESTED 363 HOURS TO SUPPORT PUBLIC SCHOOL ACTIVITIES AND EVENTS FOR CHILDREN WITH SPECIAL NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BUILDING ACTIVITIES COMMUNITY BUILDING ACTIVITIES INCLUDE PHYSICAL IMPROVEMENTS AND HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, COALITION BUILDING, AND WORKFORCE DEVELOPMENT. ECONOMIC DEVELOPMENT COMMUNITY ECONOMIC DEVELOPMENT SUPPORT MHUMC PROVIDED SUPPORT FOR COMMUNITY EVENTS THAT CONTRIBUTE TO THE LOCAL ECONOMY. ORGANIZATIONS AND EVENTS INCLUDE: SAVANNAH MUSIC FESTIVAL, SAVANNAH FILM FESTIVAL, ST. PATRICK'S DAY, SAVANNAH ECONOMIC DEVELOPMENT AUTHORITY, SAVANNAH AREA CHAMBER OF COMMERCE, AND THE SAVANNAH PHILHARMONIC ORCHESTRA. COMMUNITY SUPPORT CEMA EMERGENCY SUPPORT FUNCTION (ESF) 6 &amp; 8 MHUMC IS A VOTING MEMBER OF THE PUBLIC HEALTH DEPARTMENT ESF 6 &amp; 8 - MASS CARE, EMERGENCY ASSISTANCE, HOUSING, AND HUMAN SERVICES THAT COORDINATES THE DELIVERY OF FEDERAL MASS CARE, EMERGENCY ASSISTANCE, HOUSING, AND HUMAN SERVICES WHEN LOCAL AND STATE RESPONSE CANNOT MEET RECOVERY NEEDS. COASTAL HEALTHCARE COALITION (RCH) THIS HEALTHCARE COALITION SERVES AS A MULTI-AGENCY COORDINATING GROUP THAT ASSISTS EMERGENCY MANAGEMENT AND EMERGENCY SUPPORT FUNCTION (ESF) 6 &amp; 8 WITH PREPAREDNESS, RESPONSE, RECOVERY, AND MITIGATION ACTIVITIES RELATED TO HEALTHCARE ORGANIZATION DISASTER OPERATIONS. ENVIRONMENTAL IMPROVEMENTS LOCAL EMERGENCY PLANNING COMMITTEE MHUMC IS A VOTING MEMBER OF THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC). THE LEPC OF CHATHAM COUNTY WAS CREATED TO ADDRESS INDUSTRIAL PUBLIC SAFETY CONCERNS WITH A SPECIFIC FOCUS ON HAZARDOUS MATERIALS AND OTHER ENVIRONMENTAL CONCERNS. COALITION BUILDING CHATHAM COUNTY SAFETY NET PLANNING COUNCIL MHUMC WAS A FOUNDING MEMBER OF THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL. THIS COUNCIL SERVES AS A COUNTYWIDE PLANNING GROUP FOR HEALTHCARE FOR THE UNINSURED AND UNDERINSURED CITIZENS OF CHATHAM COUNTY. THE SAFETY NET PROVIDER NETWORK IS COMPOSED OF PRIMARY CARE PROVIDERS AND OTHER AGENCIES THAT SUPPORT THE DELIVERY OF HEALTHCARE BY TARGETING A SPECIFIC POPULATION OR SERVICE. COASTAL GEORGIA COMMUNITY INDICATORS COALITION THE PURPOSE OF THIS COMMUNITY COALITION IS TO IMPROVE COMMUNITY WELL-BEING BY ENGAGING AND LEADING THE COMMUNITY TO WORK COLLECTIVELY IN THE DEVELOPMENT OF STRATEGIC PRIORITIES THAT GUIDE POLICY, PROGRAMS, AND RESOURCE ALLOCATION. HEALTHY SAVANNAH THE HEALTHY SAVANNAH INITIATIVE IS DEDICATED TO MAKING SAVANNAH A HEALTHIER PLACE TO LIVE. THE AIM OF THIS GROUP IS TO INCREASE OPPORTUNITIES FOR CITIZENS TO ENGAGE IN PHYSICAL ACTIVITY AND CONSUME A NUTRITIOUS, BALANCED DIET. STEP-UP SAVANNAH STEP UP SAVANNAH, INC. WORKS TO ELIMINATE POVERTY IN SAVANNAH, CHATHAM COUNTY. IT WAS ESTABLISHED IN 2005-06 BY A GROUP OF COMMUNITY LEADERS WHO RECOGNIZED THAT THE CITY'S POCKETS OF CONCENTRATED POVERTY IMPAIR THE ECONOMIC DEVELOPMENT OF THE ENTIRE COMMUNITY. YOUTH FUTURES AUTHORITY THE CHATHAM COUNTY YOUTH FUTURES AUTHORITY (YFA) WAS CREATED THROUGH AN ACT OF THE GENERAL ASSEMBLY IN 1988 TO BE THE COLLABORATIVE BODY IN CHATHAM COUNTY FOR ADDRESSING ISSUES RELEVANT TO CHILDREN, YOUTH, AND FAMILIES. WORKFORCE DEVELOPMENT JUNIOR ACHIEVEMENT JUNIOR ACHIEVEMENT OF GEORGIA AND ITS PARTNERS INSPIRE AND PREPARE YOUNG PEOPLE TO SUCCEED IN A GLOBAL ECONOMY. VARIOUS MHUMC TEAM MEMBERS ASSISTED J.A. STUDENTS BY SUPPLEMENTING CLASSROOM EDUCATION WITH REAL-WORLD EXAMPLES AND HANDS-ON APPLICATION. EXPLORER POST IN PARTNERSHIP WITH THE BOY SCOUTS, "LEARNING FOR LIFE" PROGRAM, HIGH SCHOOL SENIORS FROM SAVANNAH-CHATHAM COUNTY PUBLIC SCHOOLS WERE INVITED TO EXPLORE HEALTHCARE CAREERS. MEMORIAL TEAM MEMBERS FROM VARIOUS DEPARTMENTS OFFERED A COMBINATION OF LECTURES AND HANDS-ON ACTIVITIES. THE PROGRAM BEGAN WITH A WHITE COAT CEREMONY AND ENDED WITH A GRADUATION. SCHOOL CAREER FAIRS MEMORIAL TEAM MEMBERS PROVIDED 18 HOURS OF CAREER DAY SPEAKERS FOR DERENNE MIDDLE SCHOOL CAREER EXPLORATION AND CALVARY DAY SCHOOL.</ExplanationTxt>
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      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PAULSEN STREET SURGERY CENTER LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>684811</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>4921469</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>