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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACKIE RABINOWITZ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK ROSSITER JR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>W REX TEMPLETON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER L WIXON</PersonNm>
        <TitleTxt>BOARD MEMBER (THROUGH 2/28/14)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN WILLETTS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET GILL</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>891466</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>61011</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAMON V MEGUIAR MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>445814</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>58302</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY CHATMAN PHD RN</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>463721</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56186</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM LEE MHA MBA</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>362370</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24499</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT M TYNAN</PersonNm>
        <TitleTxt>VP, CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>269971</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35624</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA KEIGHTLEY</PersonNm>
        <TitleTxt>VP, CHIEF COMMUNICATIONS OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>189676</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38336</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA DOW</PersonNm>
        <TitleTxt>VP OF FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>200295</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36503</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF WILSON</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>127763</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2817</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEWAYNE GARD MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>306081</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34432</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN YOST MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>298712</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27658</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EDUARDO MARISTANY MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>296636</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27311</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHONNA MCGEE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>291553</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19860</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATIE ZECHAR MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>273477</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19650</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1466459</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>3316885</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>482410</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>151</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARDINAL HEALTH MEDICAL PRODUCTS &amp; SERVI</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 905867</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28290</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLIES</ServicesDesc>
        <CompensationAmt>22950651</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMERISOURCE BERGEN DRUG COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 905223</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28290</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACEUTICALS</ServicesDesc>
        <CompensationAmt>18920791</CompensationAmt>
      </ContractorCompensationGrp>
      <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>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REVENUE CYCLE SERVICES</ServicesDesc>
        <CompensationAmt>16509474</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDTRONIC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 409201</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30384</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLIES</ServicesDesc>
        <CompensationAmt>9759075</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MORRISON MANAGEMENT SPECIALISTS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 102289</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30368</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD/EVS SERVICES</ServicesDesc>
        <CompensationAmt>8965978</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>240</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>1296057</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>643109</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>796807</AllOtherContributionsAmt>
      <TotalContributionsAmt>2735973</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>508727536</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>508727536</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EDUCATION REVENUE</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>3600409</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3600409</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EHR MEANINGFUL USE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1511064</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1511064</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>452056</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>452056</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM SERVICE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>83250</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>83250</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>514374315</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3986425</TotalRevenueColumnAmt>
        <ExclusionAmt>3986425</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>2655102</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>2655102</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>2655102</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>2655102</UnrelatedBusinessRevenueAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>8881541</SecuritiesAmt>
        <OtherAmt>387664</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>8881541</SecuritiesAmt>
        <OtherAmt>387664</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>9269205</TotalRevenueColumnAmt>
        <ExclusionAmt>9269205</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>791326</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>791326</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>791326</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>2780152</TotalRevenueColumnAmt>
        <ExclusionAmt>2780152</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2780152</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>536592498</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>515165641</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>2655102</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>16035782</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>336698</TotalAmt>
        <ProgramServicesAmt>336698</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>117976</TotalAmt>
        <ProgramServicesAmt>117976</ProgramServicesAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>174757875</TotalAmt>
        <ProgramServicesAmt>171012306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3745569</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>1569946</TotalAmt>
        <ProgramServicesAmt>1536320</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33626</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>12735958</TotalAmt>
        <ProgramServicesAmt>12463174</ProgramServicesAmt>
        <ManagementAndGeneralAmt>272784</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>12279704</TotalAmt>
        <ProgramServicesAmt>12016692</ProgramServicesAmt>
        <ManagementAndGeneralAmt>263012</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1228505</TotalAmt>
        <ManagementAndGeneralAmt>1228505</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>3402085</TotalAmt>
        <ProgramServicesAmt>708</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3401377</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>194530</TotalAmt>
        <ManagementAndGeneralAmt>194530</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>68887912</TotalAmt>
        <ProgramServicesAmt>46102786</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22785126</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>437379</TotalAmt>
        <ProgramServicesAmt>269020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>168359</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>63796587</TotalAmt>
        <ProgramServicesAmt>55049251</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8747336</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>19371453</TotalAmt>
        <ProgramServicesAmt>19325987</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45466</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>7169552</TotalAmt>
        <ProgramServicesAmt>7160108</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9444</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>1218865</TotalAmt>
        <ProgramServicesAmt>1040048</ProgramServicesAmt>
        <ManagementAndGeneralAmt>178817</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>57051</TotalAmt>
        <ProgramServicesAmt>34803</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22248</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>6455352</TotalAmt>
        <ProgramServicesAmt>6455352</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>16871908</TotalAmt>
        <ProgramServicesAmt>16871908</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>9529280</TotalAmt>
        <ProgramServicesAmt>9529280</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES/DRUGS</Desc>
        <TotalAmt>70354280</TotalAmt>
        <ProgramServicesAmt>70354280</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>34931114</TotalAmt>
        <ProgramServicesAmt>34931114</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSES</Desc>
        <TotalAmt>10810</TotalAmt>
        <ProgramServicesAmt>56</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10754</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>505714820</TotalAmt>
        <ProgramServicesAmt>464607867</ProgramServicesAmt>
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      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>34881556</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>158830012</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>157003038</CostOfCareReimbursedByMedcrAmt>
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        <CostAccountingSystemInd>X</CostAccountingSystemInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
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          <BusinessNameLine1Txt>MEMORIAL HEALTH UNIVERSITY MEDICAL CTR</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4700 WATERS AVENUE</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31404</ZIPCd>
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        <WebsiteAddressTxt>WWW.MEMORIALHEALTH.COM</WebsiteAddressTxt>
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        <ChildrensHospitalInd>X</ChildrensHospitalInd>
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        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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      <HospitalFcltyPoliciesPrctcGrp>
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          <BusinessNameLine1Txt>MEMORIAL HEALTH UNIV MEDICAL CENTER</BusinessNameLine1Txt>
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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>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPNoticeDisplayedInd>X</FAPNoticeDisplayedInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitReportToCreditAgencyInd>X</PermitReportToCreditAgencyInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <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 ATHTTPS://WWW.MEMORIALHEALTH.COM/COMMUNITY-NEEDS-ASSESSMENT.ASPX 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, CHNA AND IMPLEMENTATION STRATEGY WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.MEMORIALHEALTH.COM/COMMUNITY-NEEDS-ASSESSMENT.ASPX</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 16</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MEMORIAL HEALTH UNIV. MEDICAL CENTER PART V, SECTION B, LINE 16A WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTP://MEMORIALHEALTH.COM/FINANCIAL-ASSISTANCE-POLICY.ASPX</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MEMORIAL HEALTH UNIV. MEDICAL CENTER PART V, SECTION B, LINE 16B WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTP://MEMORIALHEALTH.COM/FINANCIAL-ASSISTANCE-POLICY.ASPX</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MEMORIAL HEALTH UNIV. MEDICAL CENTER PART V, SECTION B, LINE 16C WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTP://MEMORIALHEALTH.COM/FINANCIAL-ASSISTANCE-POLICY.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 $34,931,114. MHUMC EXCLUDED $34,881,557, 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>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 UNDER-INSURED. MEMORIAL ALSO SUPPORTS THE EFFORTS OF COMMUNITY HEALTH MISSION AND THE J.C. LEWIS PRIMARY HEALTH CARE CENTER'S RESPITE CARE PROGRAM. IN ADDITION, WE ARE PROUD TO SUPPORT 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 SAVANNAH CHATHAM COMMUNITY 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMMUNITY BUILDING ACTIVITIES CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>ECONOMIC DEVELOPMENTMHUMC PROVIDED SUPPORT FOR TWO LARGE COMMUNITY EVENTS THAT CONTRIBUTE TO THE LOCAL ECONOMY.SAVANNAH CHATHAM PUBLIC SCHOOL SYSTEMTHE SAVANNAH CHATHAM PUBLIC SCHOOL SYSTEM HIGH SCHOOL HOLIDAY CLASSIC BASKETBALL TOURNAMENT IS A LARGE EVENT THAT BRINGS TEAMS FROM GEORGIA, SOUTH CAROLINA, AND FLORIDA TO SAVANNAH FOR PRE-SEASON COMPETITION.SAVANNAH MUSIC FESTIVALTHE SAVANNAH MUSIC FESTIVAL IS GEORGIA'S LARGEST MUSICAL ARTS EVENT AND ATTRACTS VISITORS FROM THE UNITED STATES AND AROUND THE WORLD.OTHER ECONOMIC DEVELOPMENT ACTIVITIESMHUMC SUPPORTS OTHER ECONOMIC DEVELOPMENT ACTIVITIES AND ORGANIZATIONS THAT BENEFIT THE COMMUNITY INCLUDING THE SAVANNAH ECONOMIC DEVELOPMENT AUTHORITY ANNUAL MEETING, SAVANNAH AREA CHAMBER OF COMMERCE ANNUAL MEETING, AND THE SAVANNAH PHILHARMONIC. COMMUNITY SUPPORTCEMA 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 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)THE HEALTHCARE COALITIONS 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 IMPROVEMENTSLOCAL EMERGENCY PLANNING COMMITTEEMHUMC 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 BUILDINGCHATHAM 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 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. A MHUMC TEAM LEADER IS CURRENT SERVING AS CHAIR OF THIS COLLABORATIVE. WORKFORCE DEVELOPMENTJUNIOR ACHIEVEMENTJUNIOR ACHIEVEMENT OF GEORGIA AND ITS PARTNERS INSPIRE AND PREPARE YOUNG PEOPLE TO SUCCEED IN A GLOBAL ECONOMY. VARIOUS MHUMC TEAM MEMBERS ASSIST 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 RELATED CAREER FAIRS AND COMMUNITY JOB FAIRSAS REQUESTED, MEMORIAL TEAM MEMBERS PARTICIPATE IN CAREER DAY EVENTS WITH AREA PUBLIC AND PRIVATE SCHOOLS. IN 2014, WE PARTICIPATED IN CAREER DAY AT SCHOOLS AND IN THE COMMUNITY.</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>SEE THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ON THE PROVIDED WEBSITE.HTTPS://WWW.MEMORIALHEALTH.COM/COMMUNITY-NEEDS-ASSESSMENT.ASPXAS A FOUNDING MEMBER OF THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL (THE COUNCIL), THE ORGANIZATION SERVES THE COMMUNITY AS A HEALTHCARE PROVIDER, EMPLOYER, AND COMMUNITY PARTNER. WE CONSIDER IT OUR DUTY TO CARE FOR ALL MEMBERS OF THE COMMUNITY AND ACTIVELY PARTNER WITH COMMUNITY ORGANIZATIONS TO IMPROVE THE HEALTH OF THE REGION. IN 1997, THE ORGANIZATION IDENTIFIED ACCESS TO PRIMARY CARE AS THE GREATEST COMMUNITY HEALTH NEED IN THE REGION AND BEGAN INVESTING RESOURCES IN EXISTING SERVICES TO INCREASE ACCESS TO CARE. THE HEALTH CARE NEEDS OF THOSE LACKING INSURANCE WAS SO GREAT THAT THE ORGANIZATION HELPED CREATE A COUNTYWIDE PLANNING GROUP FOR HEALTHCARE FOR UNINSURED AND UNDERINSURED MEMBERS OF THE COMMUNITY KNOWN AS THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL. 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. THE COUNCIL ANNUALLY CONDUCTS AN EVALUATION OF ITS PROGRESS TOWARD THE GOALS IDENTIFYING HEALTH NEEDS, GAPS IN SERVICES, AND DISPARITIES. A COPY OF THE LAST EVALUATION REPORT IS AVAILABLE ON THE WEBSITE WWW.CHATHAMSAFETYNET.ORG. MEMORIAL'S DIRECTOR OF PUBLIC POLICY SERVES ON THE EXECUTIVE COMMITTEE OF THE COUNCIL AS CHAIR OF THE EVALUATION COMMITTEE. THIS COMMITTEE HAS REPRESENTATIVES FROM ALL CLINIC PROVIDERS, TWO HOSPITAL SYSTEMS, AND MANY SOCIAL SERVICE ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL ASSISTANCE POLICY AND SUMMARY DOCUMENT ARE POSTED IN ENGLISH AND SPANISH ON THE MEMORIAL INTERNET WEBSITE. THE SUMMARY DOCUMENT IS PROVIDED TO ALL SELF-PAY, UNINSURED PATIENTS AT THE TIME OF REGISTRATION/ADMISSION. THE SUMMARY DOCUMENT IS MAILED WITH ALL SELF-PAY, UNINSURED PATIENT STATEMENTS/BILLS AND INCLUDES INFORMATION ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE, WHO TO CALL IF YOU BELIEVE YOU ARE ELIGIBLE FOR FINANCIAL ASSISTANCE, AND WHAT INFORMATION IS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMORIAL HEALTH IS A LARGE PROVIDER OF CHARITY CARE AND MEDICAID IN SOUTHEAST GEORGIA, SERVING 35 COUNTIES IN SOUTHEAST GEORGIA AND SOUTHERN SOUTH CAROLINA. OUR PRIMARY SERVICE AREA EXTENDS TO GEORGIA COUNTIES CHATHAM, EFFINGHAM, AND BRYAN. ACCORDING TO THE 2013 CENSUS, 19.1% OF CHATHAM COUNTY RESIDENTS LIVED IN POVERTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>SENIOR EXECUTIVES, TEAM LEADERS, AND SOME TEAM MEMBERS AT THE ORGANIZATION ARE INVOLVED AT EVERY LEVEL OF THE COMMUNITY THROUGH THEIR SERVICE TO MANY NONPROFIT ORGANIZATIONS, LOCAL COMMUNITY AGENCIES, AND EDUCATIONAL INSTITUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>GA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>SUSAN G KOMEN FOR THE CURE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1405</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31402</ZIPCd>
        </USAddress>
        <RecipientEIN>562583644</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSOR FOR 2014 SUSAN G KOMEN SAVANNAH RACE FOR THE CURE.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHATHAM COUNTY SAFETY NET PLANNING CO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>24 OGLETHORPE PROFESSIONAL BLDG 4TH</AddressLine1Txt>
          <AddressLine2Txt>FLOOR</AddressLine2Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31406</ZIPCd>
        </USAddress>
        <RecipientEIN>261119132</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>78333</CashGrantAmt>
        <PurposeOfGrantTxt>TO SUPPORT THE OPERATIONAL NEEDS OF THE COUNCIL</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH MISSION</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>310 EISENHOWER DR</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31406</ZIPCd>
        </USAddress>
        <RecipientEIN>582611264</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>119167</CashGrantAmt>
        <PurposeOfGrantTxt>TO PROVIDE FREE HEALTHCARE TO PROVERTY STRICKEN ADULTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEDBANK FOUNDATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 15372</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31406</ZIPCd>
        </USAddress>
        <RecipientEIN>351418332</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>63000</CashGrantAmt>
        <PurposeOfGrantTxt>TO PROVIDE PRESCRIPTION ASSISTANCE TO LOW-INCOME PATIENTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY OF THE COASTAL EMPIRE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>428 BULL STREET</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31401</ZIPCd>
        </USAddress>
        <RecipientEIN>580623603</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>17500</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT FOR UNITED WAY OF THE COSTAL EMPIRE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>5</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <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>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <HousingAllowanceOrResidenceInd>X</HousingAllowanceOrResidenceInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>1</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT F BROWN JR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>406030</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <BonusRelatedOrganizationsAmt>82125</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>4094</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY CHATMAN PHD RN</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>375604</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>86625</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1492</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>32400</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>23786</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>519907</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompensationBasedOnRltdOrgsAmt>293869</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>67500</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>386869</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT M TYNAN</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>234045</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>7500</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>28426</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>20372</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>15252</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>305595</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REBECCA KEIGHTLEY</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>23000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>15336</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>228012</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURA DOW</PersonNm>
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        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>196295</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>16250</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>323947</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>HOUSING ALLOWANCE IS OUTLINED IN THE EMPLOYMENT OFFER LETTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>A BALANCED SCORECARD APPROACH RELATED TO SENIOR MANAGEMENT INCENTIVE THAT INCLUDES QUALITY, SAFETY, ACHIEVEMENTS, AND FINANCIAL RESULTS.</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        </IssuerName>
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        <BondIssuedDt>2001-04-15</BondIssuedDt>
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        <PurposeDesc>SET UP AND IMPLEMENTATION FOR SOFTWARE</PurposeDesc>
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        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
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        <RefundingEscrowAmt>47732765</RefundingEscrowAmt>
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        <OtherSpentProceedsAmt>123964458</OtherSpentProceedsAmt>
        <UnspentAmt>2012562</UnspentAmt>
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        <AdvanceRefundingInd>1</AdvanceRefundingInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        <IssuanceCostsFromProceedsAmt>134500</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>18897164</CapitalExpendituresAmt>
        <UnspentAmt>5968336</UnspentAmt>
        <SubstantialCompletionYr>2014</SubstantialCompletionYr>
        <CurrentRefundingInd>0</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <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>JAMIE MILLER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY RELATIONSHIP WITH BOARD MEMBER KAY FORD</RelationshipDescriptionTxt>
        <TransactionAmt>117976</TransactionAmt>
        <TransactionDesc>COMPENSATION AS AN EMPLOYEE.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
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    <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 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 46,102,786. MANAGEMENT AND GENERAL EXPENSES 22,785,126. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,887,912.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY TRANSFERS TO AFFILIATES -31,675,646. AUDITOR RESTATEMENT ADJUSTMENT -572,755. OTHER TRANSFERS -10,516. NET ASSETS RELEASED FROM RESTRICTIONS 3,239,383.</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 2014 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 2014, MHUMC HAD 25,666 ADMISSIONS AND PERFORMED 21,327 SURGERIES. WE HAD 95,243 EMERGENCY CARE VISITS, AND TREATED 235,699 HOSPITAL OUTPATIENTS. MEMORIAL HEALTH UNIVERSITY PHYSICIANS (MHUP), THE REGION'S LARGEST PHYSICIAN GROUP PRACTICE, CONSISTING OF 28 PRACTICES AND 134 PRIMARY AND SPECIALTY CARE PHYSICIANS. ALL OF OUR MHUP PRIMARY CARE PRACTICES ARE CERTIFIED AS LEVEL 3 PATIENT-CENTERED MEDICAL HOMES. THIS MODEL OF CARE FOCUSES ON A PATIENT-PHYSICIAN PARTNERSHIP WITH A GOAL OF DISEASE PREVENTION AND MANAGEMENT. THE PATIENT-CENTERED MEDICAL HOME CONCEPT HAS BEEN SHOWN TO REDUCE THE COST OF CARE AND IMPROVE OVERALL HEALTH. A MAJOR MEDICAL EDUCATION PROGRAM WITH SIX PHYSICIAN RESIDENCIES (DIAGNOSTIC RADIOLOGY, FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, PEDIATRICS, AND GENERAL SURGERY) AND THE SAVANNAH CAMPUS OF MERCER UNIVERSITY SCHOOL OF MEDICINE. IN 2014 THERE WERE 138 RESIDENTS TRAINING AT MHUMC AND 160 MEDICAL STUDENTS AT MERCER. 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. MEMORIAL HEALTH PARTNERS (MHP), WHICH PROVIDES MANAGED CARE AND CONTRACTING SERVICES WITH INSURERS, THIRD-PARTY ADMINISTRATORS, AND FULLY FUNDED AND SELF-FUNDED EMPLOYERS. THE MHP NETWORK INCLUDES 21 HOSPITALS AND BEHAVIORAL HEALTH FACILITIES, AND 2,588 PHYSICIANS AND ANCILLARY CAREGIVERS IN 29 COUNTIES. MHP ALSO DEVELOPS AND IMPLEMENTS EMPLOYEE WELLNESS PROGRAMS FOR A NUMBER OF LOCAL BUSINESSES. 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. TWO URGENT-CARE FACILITIES THAT PROVIDE DAYTIME, EVENING, AND WEEKEND WALK-IN CARE FOR NON-EMERGENCY MEDICAL NEEDS. THE FACILITIES ARE JOINTLY OPERATED BY MEMORIAL HEALTH AND APPLECARE. THE HEALTH SYSTEM PROVIDES JOBS FOR 4,659 PEOPLE. IN 2014, WE HAD 668 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 2014, WE PROVIDED $16.2 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 ONE OF MEMORIAL HEALTH'S STRATEGIC GOALS IS TO DEVELOP PARTNERSHIPS WITH OTHER HEALTHCARE PROVIDERS. THESE PARTNERSHIPS ALLOW US TO 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. NOVANT HEALTH IS A MULTI-HOSPITAL, NONPROFIT HEALTHCARE SYSTEM BASED IN NORTH CAROLINA. IN 2013, MEMORIAL HEALTH AND NOVANT PARTNERED TO DEVELOP A FREESTANDING CHILDREN'S HOSPITAL IN SAVANNAH. THE NEW FACILITY WILL BE NAMED THE CHILDREN'S HOSPITAL OF SAVANNAH. THE $28 MILLION PROJECT WILL CONSOLIDATE ALL OF OUR PEDIATRIC SERVICES UNDER ONE ROOF. NOVANT HEALTH AND MEMORIAL HEALTH WILL SHARE STRATEGIC PLANNING AND GOVERNANCE, BUT MEMORIAL HEALTH WILL CONTINUE TO MANAGE OPERATIONS AND PROVIDE EXECUTIVE LEADERSHIP. THE PROJECT IS STILL IN THE PLANNING STAGES WITH CONSTRUCTION SCHEDULED TO BEGIN IN 2016. HEALTHSOUTH CORPORATION - MEMORIAL HEALTH PARTNERED WITH HEALTHSOUTH CORPORATION IN JUNE 2014. TOGETHER, THE ORGANIZATIONS WILL BUILD AND SHARE OWNERSHIP OF A 50-BED FREESTANDING INPATIENT REHABILITATION HOSPITAL IN SAVANNAH. IT WILL BE NAMED THE SAVANNAH REHABILITATION HOSPITAL AND WILL OPEN IN EARLY 2016. CVS/MINUTE CLINIC - MEMORIAL HEALTH COLLABORATES WITH THE REGION'S FIVE LOCAL CVS MINUTE CLINICS TO PROVIDE MEDICAL OVERSIGHT OF THE CLINICS. MEMBERS OF MEMORIAL'S FAMILY MEDICINE FACULTY SERVE AS MEDIAL DIRECTORS FOR THE CLINICS. THE COLLABORATION ENABLES US TO SHARE INFORMATION AND REDUCE DUPLICATE TESTS. MEMORIAL HEALTH AND CVS ARE DEVELOPING PATIENT EDUCATION INITIATIVES FOR DIABETES SCREENING, DIABETES MANAGEMENT, SMOKING CESSATION, AND OTHER HEALTH ISSUES. REGIONAL HOSPITALS -- MEMORIAL HEALTH HAS FORMAL AFFILIATIONS WITH EVANS MEMORIAL HOSPITAL IN CLAXTON, GEORGIA, AND LIBERTY REGIONAL MEDICAL CENTER IN HINESVILLE, GEORGIA. THESE PARTNERSHIPS ENABLE THE HOSPITALS TO SHARE EXPERTISE AND DEVELOP OPERATING EFFICIENCIES. TELEMEDICINE PROGRAM -- MEMORIAL HEALTH AND SAVANNAH NEUROLOGY SPECIALISTS EXTEND LIFE-SAVING TREATMENT TO A GROWING NUMBER OF STROKE PATIENTS THROUGH OUR TELEMEDICINE PROGRAM. THE PROGRAM USES VIDEOCONFERENCING TO ALLOW NEUROLOGISTS IN SAVANNAH TO CONSULT WITH EMERGENCY ROOM DOCTORS AT FOUR PARTICIPATING HOSPITALS IN RURAL GEORGIA. IN 2014, WE CONDUCTED 59 TELEMEDICINE CONSULTS AND ASSISTED WITH THE ADMINISTRATION OF CLOT-BUSTING TPA DRUGS 33 TIMES VIA TELECONFERENCE. ACCOLADES MEMORIAL HEALTH REGULARLY EARNS RECOGNITION FOR ITS HIGH-QUALITY SERVICES. OUR MOST RECENT ACCOLADES INCLUDE: -EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR HEART FAILURE. -EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR HIP REPLACEMENT, KNEE REPLACEMENT, SPINAL FUSION, AND MICRODISCECTOMY SERVICES. -DESIGNATED A PRIMARY STROKE CENTER BY THE JOINT COMMISSION. -EARNED CHEST PAIN ACCREDITATION WITH PERCUTANEOUS CORONARY INTERVENTION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE. -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. -NAMED ON THE TARGET: STROKE HONOR ROLL FOR REDUCING THE TIME BETWEEN HOSPITAL ARRIVAL AND TREATMENT WITH A CLOT-BUSTING DRUG FOR ISCHEMIC STROKE. -RECOGNIZED BY SAFE KIDS GEORGIA AS THE 2014 OUTSTANDING LEAD AGENCY. -RECEIVED GOLD-LEVEL STATUS FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR ORGAN, EYE, AND TISSUE DONATION ADVOCACY. -ONE OF ONLY FOUR FACILITIES IN THE UNITED STATES TO BE SELECTED BY THE ASSOCIATION OF COMMUNITY CANCER CENTERS TO SERVE AS A COMMUNITY RESOURCE CENTER IN ITS IMPROVING QUALITY CARE IN GASTRIC CANCER PROJECT. -NAMED TO THE GEORGIA HOSPITAL ASSOCIATION'S PARTNERSHIP FOR HEALTH AND ACCOUNTABILITY CORE MEASURES HONOR ROLL. ONE OF 23 HOSPITALS IN GEORGIA TO BE PLACED IN THE PRESIDENTIAL CATEGORY. -DESIGNATED A PINK RIBBON FACILITY FOR EXCELLENCE IN BREAST HEALTH BY HOLOGIC. -EARNED ACCREDITATION WITH COMMENDATION FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. WE ARE ALSO THE ONLY CANCER CENTER IN SAVANNAH AND ONE OF ONLY THREE CENTERS IN GEORGIA TO RECEIVE THE COMMISSION'S OUTSTANDING ACHIEVEMENT AWARD. -NAMED A BLUE DISTINCTION CENTER FOR THE TREATMENT OF COMPLEX AND RARE CANCERS BY BLUE CROSS BLUE SHIELD. -NAMED A BLUE DISTINCTION CENTER + FOR BARIATRIC SURGERY BY BLUE CROSS BLUE SHIELD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>KEY SERVICES AND CENTERS OF EXCELLENCE AT MEMORIAL HEALTH CANCER CARE THE CURTIS AND ELIZABETH ANDERSON CANCER INSTITUTE (ACI) AT MHUMC PROVIDES THE REGION'S MOST COMPREHENSIVE TEAM OF SURGICAL ONCOLOGISTS. IT IS ALSO HOME TO THE REGION'S FIRST PRACTICE DEDICATED SOLELY TO BREAST CARE, THE FIRST GYNECOLOGIC ONCOLOGY PRACTICE, AND THE ONLY CHILDREN'S CANCER PROGRAM. IN 2014, WE BECAME THE FIRST FACILITY IN THE REGION TO CONVERT ALL OF OUR MAMMOGRAPHY MACHINES TO THE LATEST 3D TECHNOLOGY. THIS MEANS 3D MAMMOGRAPHY IS PROVIDED FOR EVERY WOMAN, EVERY TIME, AT NO ADDITIONAL CHARGE. THE ACI WAS THE FIRST FACILITY IN GEORGIA TO OFFER INTRABEAM INTRAOPERATIVE RADIATION THERAPY FOR EARLY STAGE BREAST CANCER. THE ACI ALSO OFFERS DISEASE-MANAGEMENT TEAMS, HIGH-TECH RADIATION THERAPY, ROBOTIC AND MINIMALLY INVASIVE SURGERY, AND AN ARRAY OF SUPPORT PROGRAMS FOR PATIENTS AND THEIR FAMILIES. CARDIOVASCULAR CARE IN 2014, THE HEART &amp; VASCULAR INSTITUTE AT MHUMC COMPLETED A $9 MILLION EXPANSION TO ADD 32 ADDITIONAL BEDS - SIX CRITICAL CARE BEDS AND 26 STEP-DOWN BEDS. THE RENOVATION WAS PARTIALLY FUNDED BY PHILANTHROPY. THE HEART &amp; VASCULAR INSTITUTE FEATURES STATE-OF-THE-ART SURGICAL SUITES, TWO CARDIAC CATHETERIZATION LABS FOR ANGIOPLASTY AND STENT PLACEMENT PROCEDURES, AN ELECTROPHYSIOLOGY LAB FOR PACEMAKER AND IMPLANTABLE DEFIBRILLATOR PLACEMENT, AND A HEART FAILURE CLINIC FOR PEOPLE WITH CONGESTIVE HEART FAILURE. THE CLINIC IS AN INTENSIVE OUTPATIENT PROGRAM DESIGNED TO IMPROVE THE QUALITY OF LIFE FOR HEART FAILURE PATIENTS AND PREVENT HOSPITAL RE-ADMISSIONS. OUR HEART FAILURE SERVICES HOLD DISEASE-SPECIFIC CERTIFICATION FROM THE JOINT COMMISSION. CHILDREN'S HOSPITAL THE CHILDREN'S HOSPITAL AT MHUMC IS THE ONLY CHILDREN'S HOSPITAL IN SOUTHEAST GEORGIA. LAST YEAR, WE CARED FOR MORE THAN 70,000 CHILDREN. IN 2013, WE PARTNERED WITH NOVANT HEALTH TO ESTABLISH A FREESTANDING CHILDREN'S HOSPITAL ON THE MEMORIAL HEALTH CAMPUS. WE ARE CURRENTLY IN THE PLANNING AND FUNDRAISING PROCESS FOR THIS $28 MILLION PROJECT. FEATURES OF THE CHILDREN'S HOSPITAL INCLUDE: AN ARRAY OF SPECIALISTS, A PEDIATRIC EMERGENCY ROOM, A 20-BED GENERAL PEDIATRIC UNIT, A 22-BED SPECIAL CARE UNIT, AND A 56-BED LEVEL III NEONATAL INTENSIVE CARE NURSERY (NICN). THE LEVEL III DESIGNATION MEANS WE ARE EQUIPPED TO CARE FOR THE MOST PREMATURE OR CRITICALLY ILL INFANTS. OUR NICN UNDERWENT A $1 MILLION RENOVATION IN 2014. THE CHILDREN'S HOSPITAL ALSO OFFERS SUPPORT SERVICES IN THE FORM OF CHILD LIFE SPECIALISTS, A RONALD MCDONALD HOUSE, AND A RONALD MCDONALD FAMILY ROOM WHERE FAMILIES CAN EAT, SHOWER, RELAX, AND RECHARGE WHILE STAYING CLOSE TO THEIR CHILD IN THE HOSPITAL. EMERGENCY AND TRAUMA SERVICES MHUMC IS SOUTHEAST GEORGIA'S ONLY LEVEL 1 TRAUMA CENTER. THAT MEANS WE ARE EQUIPPED TO PROVIDE THE HIGHEST LEVEL OF EMERGENCY CARE AS ESTABLISHED BY THE AMERICAN COLLEGE OF SURGEONS. WE ARE ONE OF ONLY FIVE LEVEL 1 CENTERS IN THE STATE OF GEORGIA, AND THE ONLY LEVEL 1 CENTER LOCATED BETWEEN CHARLESTON, SOUTH CAROLINA, AND JACKSONVILLE, FLORIDA. WE HAVE DESIGNATED TRAUMA SURGEONS, A HIGHLY TRAINED TRAUMA TEAM, A TRAUMA OPERATING ROOM, THREE TRAUMA TREATMENT ROOMS, AND INTENSIVE CARE UNITS AVAILABLE 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. OUR EMERGENCY TEAM HANDLED 2,890 TRAUMAS AND 95,243 EMERGENCY VISITS IN 2014. THE TEAM ALSO BEGAN UTILIZING EPIC ELECTRONIC MEDICAL RECORDS IN 2014 - A REQUIREMENT UNDER THE AFFORDABLE CARE ACT. HIGH-RISK OBSTETRICS THE WOMEN'S SERVICES PROGRAM AT MHUMC PROVIDES ADVANCED CARE FOR HIGH-RISK PREGNANCIES AND DELIVERIES. IN 2014, THERE WERE 2,885 BIRTHS AT MHUMC, INCLUDING THREE SETS OF QUADRUPLETS. A MAJOR COMPONENT OF OUR PROGRAM IS STATE-FUNDED PERINATAL OUTREACH. WE PROVIDE EDUCATION AND CONSULTING TO SMALLER HOSPITALS AND BIRTHING CENTERS THROUGHOUT THE REGION. OUTREACH EDUCATORS TEACH OTHER HEALTHCARE PROVIDERS HOW TO STABILIZE PREMATURE AND CRITICALLY ILL INFANTS SO THAT THEY CAN BE SAFELY TRANSPORTED TO MHUMC. JOINT REPLACEMENT SURGERY 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 AND OFFER BILATERAL HIP AND KNEE OPTIONS AND ANTERIOR APPROACH HIP REPLACEMENT. WE WERE THE SITE OF SAVANNAH'S FIRST TOTAL ANKLE ARTHROPLASTY PROCEDURE. WE OFFER 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. MEMORIAL BONE &amp; JOINT ALSO PROVIDES PRE-SURGERY CLASSES AND ONLINE VIDEOS TO HELP PATIENTS AND THEIR FAMILIES FULLY PREPARE FOR JOINT REPLACEMENT SURGERY. SPINE SURGERY MEMORIAL SPINE IS A CENTER OF EXCELLENCE FOR SPINE SURGERY AND THE TREATMENT OF SPINE CONDITIONS. MHUMC WAS THE SITE OF THE FIRST TRIUMPH LUMBAR DISC IMPLANT SURGERY IN THE NATION. MEMORIAL SPINE IS CURRENTLY ENROLLING PATIENTS FOR A CLINICAL STUDY TO TEST THE ACADIA FACET REPLACEMENT SYSTEM FOR LUMBAR SPINAL STENOSIS. WE ARE ONE OF ONLY 30 HOSPITALS IN THE U.S. PARTICIPATING IN THE STUDY. IN 2014, WE ADDED THE MAZOR RENAISSANCE GUIDANCE SYSTEM, A STATE-OF-THE-ART SPINE SURGERY SYSTEM THAT IMPROVES SURGICAL ACCURACY AND LEADS TO BETTER OUTCOMES AND SHORTER RECOVERY TIMES. WE ALSO OFFER NON-SURGICAL PAIN MANAGEMENT SERVICES, INCLUDING BODY THERAPY, NERVE-BLOCK INJECTIONS, AND SPINAL CORD STIMULATION TO INTERRUPT PAIN SIGNALS. STROKE SERVICES THE COMPREHENSIVE MEMORIAL STROKE PROGRAM 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 ARE ALWAYS READY TO 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. IN 2014, WE BECAME THE FIRST IN THE REGION TO OFFER THE BREAKTHROUGH APOLLO SYSTEM, A MINIMALLY INVASIVE TOOL THAT CAN QUICKLY REPAIR BLEEDING AND REMOVE BLOOD CLOTS DEEP IN THE BRAIN. 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 2014, WE PROVIDED MORE THAN $21.5 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 - $18.3 MILLION 2. COMMUNITY HEALTH IMPROVEMENT - $1.3 MILLION 3. CASH AND IN-KIND CONTRIBUTIONS - $1.2 MILLION 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 UNDER 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 138 RESIDENTS TRAINED IN 2014, MHUMC DID NOT RECEIVE COMPENSATION FOR 39 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>NURSES/NURSING STUDENTS IN 2014, MHUMC PROVIDED INPATIENT AND OUTPATIENT CLINICAL ROTATIONS FOR UNDERGRADUATE NURSING STUDENTS FROM THE FOLLOWING ACCREDITED NURSING SCHOOLS: ARMSTRONG ATLANTIC STATE UNIVERSITY, GEORGIA SOUTHERN UNIVERSITY, COLLEGE OF COASTAL GEORGIA, UNIVERSITY OF SOUTH CAROLINA BEAUFORT CAMPUS, AND SAVANNAH TECHNICAL COLLEGE. CLINICAL EXPERIENCES WERE PROVIDED FOR 840 NURSING STUDENTS. OTHER HEALTH PROFESSIONAL EDUCATION MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER PROVIDED CLINICAL SUPERVISION AND TRAINING FOR 240 STUDENTS IN THE FOLLOWING SPECIALTIES: CARDIAC CATHETERIZATION, CHILD LIFE, RADIOLOGY, ULTRASOUND, NUCLEAR MEDICINE, PHARMACY, RADIATION THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, SURGICAL TECHNOLOGISTS, RESPIRATORY THERAPISTS, AND OTHER HEALTH PROFESSIONALS. 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 FOCUSED ON PERSONAL SAFETY, AS WELL AS, HEALTHY BEHAVIORS AND CHOICES. STRONG 4 LIFE PROVIDER AND NUTRITION TRAINING STRONG 4 LIFE IS A WELLNESS MOVEMENT DESIGNED TO ADDRESS THE EPIDEMIC OF CHILDHOOD OBESITY IN GA. THIS TRAINING PROGRAM TEACHES PHYSICIANS MOTIVATIONAL INTERVIEWING TECHNIQUES IN ORDER TO APPROACH THE SUBJECT OF OBESITY WITH CHILDREN AND PARENTS. TEDDY BEAR CLINIC THIS EVENT IS HELD EVERY SPRING ON THE CAMPUS OF MHUMC. CHILDREN AGES 10 AND UNDER ARE INVITED TO BRING THEIR TEDDY BEARS OR DOLLS FOR A PRETEND HOSPITAL VISIT. SAFEKIDS OF SAVANNAH A MHUMC TEAM MEMBER IS THE COORDINATOR OF THE SAFEKIDS PROGRAM. IN 2014 THIS TEAM MEMBER ALONG WITH OTHER MHUMC TEAM MEMBERS PROVIDED 228 HOURS OF SAFETY EDUCATION AND OUTREACH PROGRAMS. C. E. MONTESSORI SCHOOL CHILD SAFETY SEAT INSPECTION CSS TRAINING COURSE CHILD SAFETY SEAT CHECK CHILD SAFETY SEAT CLASS CULTURAL CARE AU PAIRS EAST BROAD PEDESTRIAN SAFETY FAMILY SAFETY NIGHT GEORGIA WALK TO SCHOOL DAY INTERNATIONAL WALK TO SCHOOL DAY JESUS FIRST CHURCH CAMP KIWANIS CLUB SAFE KIDS PRESENTATION MAKE A SPLASH WATER SAFETY EVENT MOM'S CLUB OF SAVANNAH NATIONAL CAR SEAT CHECK OCHSNER FISHING AND WATER SAFETY POISON SAFETY FOR PULASKI ELEMENTARY SCHOOL PEDESTRIAN SAFETY FOR PULASKI ELEMENTARY SCHOOL SAFEKIDS BIKE SAFETY EVENT SAFEKIDS YOUTH TRIATHLON CAMP SAFEKIDS YOUTH TRIATHLON TEEN MAZE WACH BABY EXPO CHILDREN'S NUTRITION, FITNESS, AND WELLNESS EDUCATION AND EVENTS COMMUNITY EDUCATION AND EVENTS FOR CHILDREN'S WELLNESS TOTALED 185 HOURS. ADOLESCENT REPRODUCTIVE HEALTH AMERIGROUP BACK TO SCHOOL CHEF AND CHILD DAY CHARACTER COUNTS SUPER SATURDAY CHILDREN'S WELLNESS QUARTERLY CLAXTON MIDDLE SCHOOL FIT KIDS FEST GEORGIA GROWN EVENT GEORGETOWN PTA NUTRITION EDUCATION GOULD ELEMENTARY SCHOOL PTA NUTRITION EDUCATION GROVES PTA NUTRITION EDUCATION GSS NUTRITION PRESENTATION HEALTHY SAVANNAH JENKINS HIGH SCHOOL NUTRITION EDUCATION LITTLE CHEFS MAY HOWARD ELEMENTARY SCHOOL NUTRITION EDUCATION MIDDLE SCHOOL NUTRITION PRESENTATION NEIGHBORHOOD LEADERSHIP TRAINING INSTITUTE NEW HAMSTEAD HIGH SCHOOL NUTRITION PRESENTATION NIP-IT TOBACCO AND SMOKING PREVENTION PROGRAM OGEECHEE MEDICAL SOCIETY - CHILDREN'S WELLNESS OVERCOMING BY FAITH ADOLESCENT HEALTH PRESENTATION PARENT UNIVERSITY NUTRITION EDUCATION PEDS BY THE SEA CONFERENCE PRYME TIME PROGRESSIVE MISSION BAPTIST CHURCH SAFETY EDUCATION PTA PRESIDENTS AND PRINCIPALS PULASKI ELEMENTARY SCHOOL HEALTH NIGHT MAY HOWARD ELEMENTARY SCHOOL PUBERTY EDUCATION NUTRITION EDUCATION FOR PULASKI ELEMENTARY SCHOOL SAVANNAH ARTS ACADEMY NUTRITION EDUCATION SAVANNAH HIGH SCHOOL NUTRITION EDUCATION SCPSS NUTRITION PROGRAMS MANAGERS EDUCATION SCPSS SCHOOL NURSE DIABETES MANAGEMENT EDUCATION SCPSS NUTRITION EDUCATION ST. JAMES SCHOOL CYBER BULLYING ST. JAMES SCHOOL NUTRITION EDUCATION STEM ACADEMY NUTRITION EDUCATION STUDENT WELLNESS EDUCATION TITLE I PARENT FACILITATORS NUTRITION EDUCATION PROGRAM TWENTY-FIRST CENTURY STAFF NUTRITION EDUCATION WEST CHATHAM YMCA NUTRITION EDUCATION CHILDREN'S WELLNESS &amp; NUTRITION HEALTH EDUCATION FOR ADULTS CANCER EDUCATION ACI: HARVEST OF HOPE RETREAT ONCOLOGY NURSING CONFERENCE CANCER SURVIVORSHIP SERIES SHINE A LIGHT ON LUNG CANCER BREAST HEALTH HEART &amp; VASCULAR COMMUNITY EDUCATION BELK HEART HEALTH EVENT HANDS ONLY CPR, EARLY HEART ATTACK CARE, AND CARDIAC NUTRITION PROGRAM THE FORD PLANTATION HANDS ONLY CPR PROGRAM SKIDAWAY ISLAND ROTARY CLUB HEART HEALTH AND EARLY HEART ATTACK CARE RICHMOND HILL SENIOR CLUB HEART DISEASE PREVENTION SAVANNAH CHRISTIAN CHURCH SIGNS AND SYMPTOMS OF ACUTE CORONARY ARTERY DISEASE AND EARLY HEART ATTACK CARE HEART FAILURE UNIVERSITY STROKE AWARENESS AZALEALAND NURSING HOME - STROKE AWARENESS THE MARSHES - STROKE AWARENESS OCEANSIDE - STROKE AWARENESS RIVER'S EDGE - STROKE AWARENESS TARA NURSING HOME - STROKE AWARENESS LIBERTY CHAMBER OF COMMERCE, STROKE AWARENESS AND THE VALUE OF TELEMEDICINE OTHER COMMUNITY EDUCATION MHUMC TEAM LEADERS AND TEAM MEMBERS PROVIDED 396 HOURS OF COMMUNITY EDUCATION REQUESTED BY THE COMMUNITY ORGANIZATIONS LISTED BELOW. AIREVAC TRAINING AIR METHODS EMT TRAINING AMERICA'S SECOND HARVEST APRN CONFERENCE PRESENTATION ARMSTRONG MHSA STUDENT PRESENTATION AASU LECTURE ON THE HISPANIC COMMUNITY AND HEALTH CARE BEHAVIORAL HEALTH DELIVERING BAD NEWS PRACTICUM MENTAL ILLNESS AWARENESS WEEK PANEL DISCUSSION BLESSED SACRAMENT BREAST HEALTH EDUCATION CALVARY BAPTIST CHURCH WELLNESS WEDNESDAYS CALVARY BAPTIST CHURCH MEDICAL MAGNET PROGRAM CITY OF SAVANNAH SUMMER CAMP STUDENT ENRICHMENT PROGRAM DOWNTOWN ROTARY CANCER EDUCATION ETHICS IN HEALTHCARE HURRICANE PREPAREDNESS EXPO METROPOLITAN ROTARY HEALTH PRESENTATION SKIDAWAY ISLAND KIWANIS CLUB TRAUMA SERVICE INJURY PREVENTION PROGRAM EXCHANGE CLUB HEALTH EDUCATION SERIES GEORGIA SOUTHERN UNIVERSITY NURSING WHITE COAT CEREMONY FORD PLANTATION HEALTH EDUCATION SERIES HILTON HEAD PLANTATION HEALTH EDUCATION SERIES HOUSING AUTHORITY PEDIATRIC PRESENTATION REHAB INSTITUTE 'I HAVE MARKS TO MAKE' PROGRAM MERCER UNIVERSITY HEALTH FAIR FOR LATINO PATIENTS MERRILL LYNCH EMPLOYEE EDUCATION ON STRESS, HEART HEALTH, AND BREAST CANCER AWARENESS METROPOLITAN ROTARY CLUB PEDIATRIC PRESENTATION MOSS CREEK INSOMNIA EDUCATION RICHMOND HILL SENIOR CENTER HEALTH EDUCATION SERIES RIVER'S EDGE INDEPENDENT LIVING SAVANNAH CHRISTIAN CHURCH SAVANNAH NEWCOMER'S SCAD FRESHMEN/PARENT ORIENTATION HEALTH EDUCATION SKIDAWAY ISLAND PEDIATRIC PRESENTATION SPOOKTACULAR - TEXTING &amp; DRIVING, DRINKING &amp; DRIVING, &amp; IMMUNIZATIONS ST. ANDREWS OVARIAN CANCER EDUCATION SUN CITY GREATER HEALTH EDUCATION CLUB CANCER AND OTHER HEALTH EDUCATION TOPIC SUNRISE ROTARY PEDIATRIC PRESENTATION THE CYPRESS BACK PAIN AND NON-SURGICAL INTERVENTIONS THE LANDINGS ROTARY THE MARSHES - OSTEOPOROSIS AND BREAST CANCER AWARENESS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTH FAIRS IN 2014, MEMORIAL TEAM MEMBERS PARTICIPATED IN 15 COMMUNITY HEALTH FAIRS. 1. ARMSTRONG ATLANTIC STATE UNIVERSITY 2. CURTIS V. COOPER PRIMARY HEALTH CENTER 3. DELTA AIRLINES 4. DERST BAKING COMPANY 5. EFFINGHAM COUNTY MAGAZINE 6. FORD PLANTATION 7. GEORGIA POWER 8. IMPERIAL SUGAR 9. POOLER MAGAZINE 10. OAKRIDGE FITNESS 11. SAVANNAH MORNING NEWS 12. SUN CITY 13. UPS 14. THE WESTIN 15. WEYERHAEUSER COMMUNITY SUPPORT GROUPS IN 2014, 570 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 LEUKEMIA, LYMPHOMA, AND MYELOMA SUPPORT GROUP MAN TO MAN PROSTATE CANCER SUPPORT GROUP SISTERS NETWORK BREAST CANCER SUPPORT GROUP YOUNG SURVIVAL COALITION BREAST CANCER SUPPORT GROUP OTHER SUPPORT GROUPS SUPPORT AFTER STROKE (SAS) BRAIN INJURY SUPPORT GROUP CVA PEER VISITOR GROUP AMPUTEE SUPPORT GROUP SPINAL CORD SUPPORT GROUP ICD SUPPORT GROUP OSTOMY SUPPORT GROUP HEALTHCARE SUPPORT SERVICES IN 2014, MHUMC INVESTED IN THE FOLLOWING PATIENT ASSISTANCE PROGRAMS AND SERVICES: 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. MMC PAYER THIS MEMORIAL FUNDED PROGRAM WAS ESTABLISHED TO HELP PATIENTS WITH HOSPITAL DISCHARGE-RELATED EXPENSES THAT LEAD TO A TIMELY DISCHARGE AND REDUCE THE CHANCE OF READMISSION. FREE PATIENT NET TRANSPORTATION MHUMC HAS 9 FLEET VEHICLES USED TO PROVIDE PATIENTS WITH FREE NON-EMERGENCY TRANSPORTATION SERVICES. IN 2014, A TOTAL OF 12,151 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 2014, A TOTAL OF 10,152 CALLS WERE ANSWERED BY REGISTERED NURSES AND 25,155 CALLS WERE RECEIVED BY NURSEONE OPERATORS. CASH AND IN-KIND CONTRIBUTIONS CASH DONATIONS IN 2014, CASH CONTRIBUTIONS WERE GIVEN TO THE FOLLOWING ORGANIZATIONS. COMMUNITY HEALTH MISSION (CHM) CHM WAS CREATED THROUGH THE 2006 MERGER OF TWO FREE CLINICS: COMMUNITY HEALTHCARE CENTER (ESTABLISHED IN 2001) AND SAVANNAH HEALTH MISSION (FOUNDED IN 1996). THE CHM IS A VOLUNTEER-BASED, NONPROFIT PRIMARY CARE FACILITY SERVING UNINSURED ADULTS WHO WORK OR LIVE IN CHATHAM COUNTY, WHO ARE NOT ENROLLED IN MEDICAID OR MEDICARE, AND WHOSE INCOME IS AT OR BELOW 200 PERCENT OF FEDERAL POVERTY GUIDELINES. MEDICAL CARE AT CHM IS FREE FOR THOSE WHO QUALIFY. MEDBANK FOUNDATION INC. THE MEDBANK FOUNDATION 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 2014, MEDBANK PROVIDED MORE THAN $5.7 MILLION IN FREE MEDICATIONS TO THE COMMUNITY BY WORKING WITH COMMUNITY CLINICS. IN ADDITION, MEDBANK PROVIDES SERVICES FOR PRIVATE PHYSICIANS' OFFICES AND NUMEROUS SOCIAL SERVICE AGENCIES. 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. GRANTS IN 2014, MHUMC PROVIDED GRANTS FOR SPONSORSHIP OF COMMUNITY AND OTHER NOT-FOR-PROFIT ENTITIES, PROJECTS, AND INITIATIVES. THESE COMMUNITY GROUPS AND ORGANIZATIONS INCLUDE: ABILITIES UNLIMITED, ALZHEIMER'S ASSOCIATION COASTAL REGION, AMERICAN DIABETES ASSOCIATION, AMBUCS, AMERICAN RED CROSS, GEORGIA MEDICAL SOCIETY, GIRL SCOUTS OF HISTORIC GEORGIA, J.C. LEWIS PRIMARY HEALTH CARE CENTER WORLD AIDS DAY, LEUKEMIA &amp; LYMPHOMA SOCIETY, MARCH OF DIMES, NAACP FREEDOM FUND, NAMI SAVANNAH, NATIONAL MULTIPLE SCLEROSIS, RONALD MCDONALD HOUSE, SAFEKIDS GEORGIA, SAVANNAH SENIOR STRIKERS CLUB, SUSAN G. KOMEN RACE FOR THE CURE, SWEET ONION CLASSIC, TUNNELS TO TOWERS RUN AND UNITED WAY OF THE COASTAL EMPIRE. IN-KIND DONATIONS IN 2014, MHUMC PROVIDED IN-KIND DONATIONS OF SPACE, TIME, AND OTHER RESOURCES TO COMMUNITY ORGANIZATIONS. IN-KIND SPACE AND PERSONNEL MHUMC PROVIDED SPACE FOR COMMUNITY HEALTH MISSION TO OPERATE A FREE, VOLUNTEER-BASED CLINIC FOR UNINSURED CHATHAM COUNTY ADULTS. WE ALSO HOUSED 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 2014, CONFERENCE ROOM SERVICES PROVIDED A TOTAL OF 2,997 HOURS OF FREE CONFERENCE ROOM AND EDUCATION SPACE, AUDIOVISUAL EQUIPMENT, AND TECHNOLOGY ASSISTANCE FOR 1,002 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 WALK, BUDDY WALK FOR DOWN SYNDROME, CAMP KUDZU FOR CHILDREN WITH DIABETES, HELP THE HOO-HAHS, LEUKEMIA/LYMPHOMA SOCIETY LIGHT THE NIGHT, PATRICK'S RIDE, SUSAN G. KOMEN RACE FOR THE CURE, STEPOUT WALK FOR DIABETES. GRANT WRITING TECHNICAL ASSISTANCE FOR COMMUNITY ORGANIZATIONS MHUMC'S OFFICE OF SPONSORED PROGRAMS PROVIDED A TOTAL OF 78 HOURS OF GRANT WRITING ASSISTANCE FOR COMMUNITY ORGANIZATIONS AND COALITIONS. BOARD SERVICE FOR COMMUNITY ORGANIZATIONS SENIOR EXECUTIVES, TEAM LEADERS, AND SOME 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 1,014 HOURS OF SERVICE.</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 MHUMC PROVIDED SUPPORT FOR COMMUNITY EVENTS THAT CONTRIBUTE TO THE LOCAL ECONOMY. ORGANIZATIONS AND EVENTS INCLUDE: SAVANNAH MUSIC FESTIVAL, SAVANNAH CHATHAM PUBLIC SCHOOL SYSTEM HIGH SCHOOL HOLIDAY CLASSIC BASKETBALL, SAVANNAH ECONOMIC DEVELOPMENT AUTHORITY, SAVANNAH AREA CHAMBER OF COMMERCE, AND THE SAVANNAH PHILHARMONIC. 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) 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. 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. A MHUMC TEAM LEADER IS CURRENTLY SERVING AS CHAIR OF THIS COLLABORATIVE. 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 ASSIST 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 RELATED CAREER FAIRS AND COMMUNITY JOB FAIRS AS REQUESTED, MEMORIAL TEAM MEMBERS PARTICIPATE IN CAREER DAY EVENTS WITH AREA PUBLIC AND PRIVATE SCHOOLS. IN 2014, WE PARTICIPATED IN CAREER DAY EVENTS AT SCHOOLS AND IN THE COMMUNITY.</ExplanationTxt>
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</Return>