﻿<?xml version="1.0" encoding="utf-8"?>
<Return returnVersion="2012v2.0" xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2014-10-24T13:59:10-07:00</Timestamp>
    <TaxPeriodEndDate>2013-06-30</TaxPeriodEndDate>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>621113169</EIN>
      <Name>
        <BusinessNameLine1>SHELBY COUNTY HEALTH CARE CORPORATION</BusinessNameLine1>
      </Name>
      <NameControl>SHEL</NameControl>
      <Phone>9015457928</Phone>
      <USAddress>
        <AddressLine1>877 Jefferson Avenue</AddressLine1>
        <City>Memphis</City>
        <State>TN</State>
        <ZIPCode>38103</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>James Proctor</Name>
      <Title>Controller</Title>
      <Phone>9015458254</Phone>
      <DateSigned>2014-01-31</DateSigned>
    </Officer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="10">
    <IRS990 documentId="R000001" referenceDocumentId="R000008 R000010" softwareId="12000197" softwareVersion="v1.00">
      <AmendedReturn>X</AmendedReturn>
      <NameOfPrincipalOfficerPerson>Reginald Coopwood MD</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>877 Jefferson Ave</AddressLine1>
        <City>Memphis</City>
        <State>TN</State>
        <ZIPCode>38103</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>347040556</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>www.the-med.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1981</YearFormation>
      <StateLegalDomicile>TN</StateLegalDomicile>
      <ActivityOrMissionDescription>Healthcare delivery operating a public charity hospital providing inpatient and outpatient services</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>13</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>13</NbrIndependentVotingMembers>
      <TotalNbrEmployees>2833</TotalNbrEmployees>
      <TotalNbrVolunteers>470</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>30884092</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>30954228</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>325541073</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>303785715</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>1487330</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>-72745</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>5163345</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>12373358</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>363075840</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>347040556</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>146617413</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>150862501</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>165275621</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>181072362</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>311893034</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>331934863</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>51182806</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>15105693</RevenuesLessExpensesCY>
      <TotalAssetsBOY>265537464</TotalAssetsBOY>
      <TotalAssetsEOY>282607427</TotalAssetsEOY>
      <TotalLiabilitiesBOY>43693256</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>45657526</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>221844208</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>236949901</NetAssetsOrFundBalancesEOY>
      <MissionDescription>Regional Medical Center at Memphis' mission is to improve the health and well-being of the people we serve by providing compassionate care and exceptional services.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>294219238</Expense>
      <Revenue>303785715</Revenue>
      <Description>Shelby County Health Care Corporation, dba Regional Medical Center at Memphis, dba The MED, is a healthcare organization providing accessible, efficient, quality healthcare to individuals from a five-state region within 150 miles of the Memphis area. The MED provides access to the only Level I trauma center to patients within 150 miles of Memphis, and is the safety net to the region. Providing inpatient and outpatient services, The MED is anchored by five highly respected Centers of Excellence: Trauma, Burn, Wound Care, Neonatal/Perinatal and High Risk Obstetrics. The MED is a major teaching site for the University of Tennessee Health Sciences Center, training more than half of the doctors in Tenenssee. In fiscal year 2013, there were: 15,631 discharges; 2,922 normal newborn discharges; 1,103 high risk newborn discharges; 136,107 outpatient visits; 11,701 trauma visits; and 44,262 other emergency room visits.</Description>
      <TotalOfOtherProgramServiceExp>0</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceGrnt>0</TotalOfOtherProgramServiceGrnt>
      <TotalOfOtherProgramServiceRev>0</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>294219238</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="R000002">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="R000003">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="R000004">1</LobbyingActivities>
      <SubjectToProxyTax>0</SubjectToProxyTax>
      <DonorAdvisedFunds>0</DonorAdvisedFunds>
      <ConservationEasements>0</ConservationEasements>
      <CollectionsOfArt>0</CollectionsOfArt>
      <CreditCounseling>0</CreditCounseling>
      <TermOrPermanentEndowments>0</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="R000005">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities>0</ReportInvestOthSecurities>
      <ReportProgRelInvest>0</ReportProgRelInvest>
      <ReportOtherAssets>0</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="R000005">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="R000005">1</ReportFin48Footnote>
      <IndependentAuditFinancialStmt>0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="R000005">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital referenceDocumentId="R000006">1</Hospital>
      <FinancialStmtAttached referenceDocumentId="R000012">1</FinancialStmtAttached>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="R000007">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="R000009">1</DisregardedEntity>
      <RelatedEntity referenceDocumentId="R000009">1</RelatedEntity>
      <RelatedOrgControlledEntity>1</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>0</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>114</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>2833</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>13</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>13</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>James Proctor</NamePerson>
        <TelephoneNumber>9015458254</TelephoneNumber>
        <AddressUS>
          <AddressLine1>877 Jefferson Avenue</AddressLine1>
          <City>Memphis</City>
          <State>TN</State>
          <ZIPCode>38103</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Phil Shannon</NamePerson>
        <Title>Chairman</Title>
        <AverageHoursPerWeek>10</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rev Keith Norman</NamePerson>
        <Title>Secretary</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Heidi Shafer</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Pam Brown</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James Freeman</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Brenda Hardy MD</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Scott McCormick</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Max Ostner</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Anthony Tate</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John Vergos</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David T Popwell</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Brian W Ellis</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Scott Lenoir</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Reginald Coopwood MD</NamePerson>
        <Title>President and CEO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>724024</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>34566</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>J Richard Wagers Jr</NamePerson>
        <Title>Senior EVP and Chief Financial Officer</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>495258</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>24687</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rob Sumter</NamePerson>
        <Title>EVP, COO and CIO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>347075</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8664</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Pam Castleman</NamePerson>
        <Title>Senior VP and CNO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>236503</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12667</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Monica Wharton</NamePerson>
        <Title>Senior VP and Chief Legal Counsel</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>247520</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>27202</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Leticia Towns</NamePerson>
        <Title>Senior VP Advocacy and External Relations</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>219073</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>11908</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Carl Getto MD</NamePerson>
        <Title>Senior VP and CMO</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>476539</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>14395</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Fred Boyd</NamePerson>
        <Title>Senior VP Human Resources</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>261315</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5552</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jeff Brandon</NamePerson>
        <Title>VP Professional Services</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>245041</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>18399</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lynn Pleasants</NamePerson>
        <Title>VP Ambulatory Services</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>242449</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>2834</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Patrick Malone MD</NamePerson>
        <Title>Health Loop Medical Director</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>220200</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>27008</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Brett Perisho</NamePerson>
        <Title>Executive Staff</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>283374</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>14395</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Holly Collier</NamePerson>
        <Title>Pharmacist</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>194749</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5698</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mary Ryan</NamePerson>
        <Title>Pharmacy Director</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>189796</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>26040</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Daron Jones</NamePerson>
        <Title>Pharmacist</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>187204</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12278</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>4570120</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>246293</TotalOtherCompensation>
      <NumberIndividualsGT100K>133</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>UTMG</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>956 Court Ave G326</AddressLine1>
            <City>Memphis</City>
            <State>TN</State>
            <ZIPCode>38103</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Physician Services</DescriptionOfServices>
        <Compensation>21532907</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>UT</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>910 Madison Ave</AddressLine1>
            <AddressLine2>Suite 1031</AddressLine2>
            <City>Memphis</City>
            <State>TN</State>
            <ZIPCode>38163</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Physician services</DescriptionOfServices>
        <Compensation>17741275</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>McKesson</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>P O Box 409521</AddressLine1>
            <City>Atlanta</City>
            <State>GA</State>
            <ZIPCode>303849521</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL DRUG SUPPLIER</DescriptionOfServices>
        <Compensation>12698227</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Owens Minor Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>P O Box 841420</AddressLine1>
            <City>Dallas</City>
            <State>TX</State>
            <ZIPCode>752841420</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>medical goods supplier</DescriptionOfServices>
        <Compensation>11642358</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Siemens Medical Solutions USA Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>P O Box 120001</AddressLine1>
            <AddressLine2>Dept 0733</AddressLine2>
            <City>Dallas</City>
            <State>TX</State>
            <ZIPCode>753120733</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>computer consultants</DescriptionOfServices>
        <Compensation>6489995</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>218</NumberOfContractorsGT100K>
      <FederatedCampaigns>0</FederatedCampaigns>
      <MembershipDues>0</MembershipDues>
      <FundraisingEvents>0</FundraisingEvents>
      <RelatedOrganizations>0</RelatedOrganizations>
      <GovernmentGrants>30954228</GovernmentGrants>
      <AllOtherContributions>0</AllOtherContributions>
      <NoncashContributions>0</NoncashContributions>
      <TotalContributions>30954228</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Medicare/Medicaid Payments</Description>
        <BusinessCode>622000</BusinessCode>
        <TotalRevenueColumn>112746394</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>112746394</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Commercial insurance carrier payments</Description>
        <BusinessCode>622000</BusinessCode>
        <TotalRevenueColumn>109787318</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>109787318</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Fees &amp; Contract payments</Description>
        <BusinessCode>622000</BusinessCode>
        <TotalRevenueColumn>72928223</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>72928223</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Patient &amp; Family payments</Description>
        <BusinessCode>622000</BusinessCode>
        <TotalRevenueColumn>8323780</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>8323780</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>303785715</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>-72745</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-72745</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </RoyaltiesRevenue>
      <RentalIncomeOrLoss>
        <Real>0</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <GainOrLoss>
        <Securities>0</Securities>
        <Other>0</Other>
      </GainOrLoss>
      <CntrbtnsRprtdFundraisingEvents>0</CntrbtnsRprtdFundraisingEvents>
      <OtherRevenueMisc>
        <Description>Outpatient Pharmacy</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>10599008</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>10599008</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Parking lots</Description>
        <BusinessCode>812930</BusinessCode>
        <TotalRevenueColumn>527752</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>527752</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>1246598</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1246598</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>12373358</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>347040556</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>316086328</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalRevenue>
      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <CompCurrentOfficersDirectors>
        <Total>6683004</Total>
        <ProgramServices>5012253</ProgramServices>
        <ManagementAndGeneral>1670751</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>119039329</Total>
        <ProgramServices>89279497</ProgramServices>
        <ManagementAndGeneral>29759832</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>2037112</Total>
        <ProgramServices>1527834</ProgramServices>
        <ManagementAndGeneral>509278</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>14323733</Total>
        <ProgramServices>10742800</ProgramServices>
        <ManagementAndGeneral>3580933</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>8779323</Total>
        <ProgramServices>6584492</ProgramServices>
        <ManagementAndGeneral>2194831</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>9692253</Total>
        <ProgramServices>9692253</ProgramServices>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>551606</Total>
        <ProgramServices>551606</ProgramServices>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>265613</Total>
        <ProgramServices>265613</ProgramServices>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>182757</Total>
        <ProgramServices>182757</ProgramServices>
      </FeesForServicesLobbying>
      <FeesForServicesOther>
        <Total>51731983</Total>
        <ProgramServices>51731983</ProgramServices>
      </FeesForServicesOther>
      <Advertising>
        <Total>1002012</Total>
        <ProgramServices>1002012</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>59506211</Total>
        <ProgramServices>59506211</ProgramServices>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>8171297</Total>
        <ProgramServices>8171297</ProgramServices>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </Royalties>
      <Occupancy>
        <Total>6784834</Total>
        <ProgramServices>6784834</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>1373749</Total>
        <ProgramServices>1373749</ProgramServices>
      </Travel>
      <DepreciationDepletion>
        <Total>13000644</Total>
        <ProgramServices>13000644</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>302338</Total>
        <ProgramServices>302338</ProgramServices>
      </Insurance>
      <AllOtherExpenses>
        <Total>28507065</Total>
        <ProgramServices>28507065</ProgramServices>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>331934863</Total>
        <ProgramServices>294219238</ProgramServices>
        <ManagementAndGeneral>37715625</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>18196118</BOY>
        <EOY>15266000</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>59387886</BOY>
        <EOY>6157000</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>294783</BOY>
        <EOY>291099</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>59111916</BOY>
        <EOY>56023901</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>0</BOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <BOY>0</BOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>0</BOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>3320733</BOY>
        <EOY>3857487</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>985761</BOY>
        <EOY>1117000</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>371514551</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>283744611</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>63111622</BOY>
        <EOY>87769940</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>61128645</BOY>
        <EOY>112125000</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>0</BOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>0</BOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>0</BOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>0</BOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>265537464</BOY>
        <EOY>282607427</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>27437333</BOY>
        <EOY>30041552</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
        <BOY>0</BOY>
      </GrantsPayable>
      <DeferredRevenue>
        <BOY>42950</BOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>0</BOY>
      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
        <BOY>0</BOY>
      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
        <BOY>0</BOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
        <BOY>1</BOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>0</BOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>16212972</BOY>
        <EOY>15615974</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>43693256</BOY>
        <EOY>45657526</EOY>
      </TotalLiabilities>
      <DoNotFollowSFAS117>X</DoNotFollowSFAS117>
      <CapStckTrstPrinCurrentFunds>
        <BOY>19999590</BOY>
        <EOY>19999590</EOY>
      </CapStckTrstPrinCurrentFunds>
      <PaidInCapSrplsLandBldgEqpFund>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PaidInCapSrplsLandBldgEqpFund>
      <RetainedEarningsEndowmentEtc>
        <BOY>201844618</BOY>
        <EOY>216950311</EOY>
      </RetainedEarningsEndowmentEtc>
      <TotalNetAssetsFundBalances>
        <BOY>221844208</BOY>
        <EOY>236949901</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>265537464</BOY>
        <EOY>282607427</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>15105693</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>0</ReconciliationUnrealizedInvest>
      <ReconcilationDonatedServices>0</ReconcilationDonatedServices>
      <ReconcilationInvestExpenses>0</ReconcilationInvestExpenses>
      <ReconcilationPriorAdjustment>0</ReconcilationPriorAdjustment>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="R000002" softwareId="12000197" softwareVersion="v1.00">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="R000003" softwareId="12000197" softwareVersion="v1.00">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="R000004" softwareId="12000197" softwareVersion="v1.00">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>1</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>348839</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>348839</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>SchC_P2B_S00_L01</Identifier>
        <ReturnReference>Schedule C, Part II-B, Line 1</ReturnReference>
        <Explanation>Organization contracts with professional service firms that provide consultation on public policy and government matters. The contracted firms represent the organization before various state and federal legislative and executive branches of government.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="R000005" softwareId="12000197" softwareVersion="v1.00">
      <Land>
        <InvestmentCostOrOtherBasis>5835326</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <BookValue>5835326</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>65236701</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>56578513</Depreciation>
        <BookValue>8658188</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <InvestmentCostOrOtherBasis>6864450</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>5623999</Depreciation>
        <BookValue>1240451</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <InvestmentCostOrOtherBasis>254353222</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>205186036</Depreciation>
        <BookValue>49167186</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>39224852</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>16356063</Depreciation>
        <BookValue>22868789</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>87769940</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Compensated Absences</Description>
        <Amount>7203974</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Reserves</Description>
        <Amount>8412000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>15615974</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>SchD_P10_S00_L02</Identifier>
        <ReturnReference>Schedule D, Part X, Line 2</ReturnReference>
        <Explanation>N/A</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="R000006" softwareId="12000197" softwareVersion="v1.00">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent150>X</Pcent150>
      <FPGReferenceDiscountedCare>0</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>91308690</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>75421180</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>15887510</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.047</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>99715027</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>60619992</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>39095035</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.118</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBenefitExpense>191023717</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>136041172</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>54982545</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.165</PercentOfTotalExpense>
      </TotalCharityCare>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>16530267</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7279064</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9251203</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.028</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBenefitExpense>16530267</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7279064</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9251203</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.028</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBenefitExpense>207553984</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>143320236</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>64233748</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.193</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>15147851</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>34703190</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>33085214</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>1617976</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Regional Medical Center at Memphis</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>877 Jefferson Ave</AddressLine1>
          <City>Memphis</City>
          <State>TN</State>
          <ZIPCode>38103</ZIPCode>
        </Address>
        <WebsiteAddress>www.the-med.org</WebsiteAddress>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
        <Other>Inpatient rehabilitation facility, outpatient primary care clinics</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Regional Medical Center at Memphis</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>1</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>1</TakeIntoAccount>
        <OtherFacilities>0</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>0</AllNeedsAddressed>
        <OrganizationIncurExciseTax>0</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>150</FPGFreePercent>
        <UsesFPGDiscounted>0</UsesFPGDiscounted>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <CollectionActivities>1</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <Lawsuit>X</Lawsuit>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>4</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Health Loop Frayser</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2574 Frayser Boulevard</AddressLine1>
            <City>Memphis</City>
            <State>TN</State>
            <ZIPCode>38127</ZIPCode>
          </Address>
          <FacilityType>Primary care clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Health Loop Guthrie</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1064 Breedlove Street</AddressLine1>
            <City>Memphis</City>
            <State>TN</State>
            <ZIPCode>38107</ZIPCode>
          </Address>
          <FacilityType>Primary care clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Health Loop Hollywood</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2500 Peres Avenue</AddressLine1>
            <City>Memphis</City>
            <State>TN</State>
            <ZIPCode>38108</ZIPCode>
          </Address>
          <FacilityType>Primary care clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Health Loop South Third Street</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1955 South Third Street</AddressLine1>
            <City>Memphis</City>
            <State>TN</State>
            <ZIPCode>38106</ZIPCode>
          </Address>
          <FacilityType>Primary care clinic</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P01_S00_L03c</Identifier>
        <ReturnReference>Schedule H, Part I, Line 3c</ReturnReference>
        <Explanation>Organization discounts self pay charges using cost-to-charge ratio times 175%.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P01_S00_L07</Identifier>
        <ReturnReference>Schedule H, Part I, Line 7</ReturnReference>
        <Explanation>Amounts reported were estimated using a cost-to-charge ratio.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P03_S0A_L04</Identifier>
        <ReturnReference>Schedule H, Part III, Section A, Line 4</ReturnReference>
        <Explanation>Bad debt expense (cost) was estimated using a cost-to-charge ratio.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P03_S0B_L08</Identifier>
        <ReturnReference>Schedule H, Part III, Section B, Line 8</ReturnReference>
        <Explanation>Not applicable.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P03_S0C_L09b</Identifier>
        <ReturnReference>Schedule H, Part III, Section C, Line 9b</ReturnReference>
        <Explanation>Organization contracts with an agency to assist patients with completing applications for eligibility under federal and state government programs and provide charity care applications.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P05_S0B_L03</Identifier>
        <ReturnReference>Schedule H, Part V, Section B, Line 3</ReturnReference>
        <Explanation>In order to take into account input from persons who represent the community in its most recent CHNA, RMCM collected information from multiple sources, including key stakeholder interviews and telephone-based community surveys. Primary data was obtained through key stakeholder interviews used to gather information and professional opinions from persons who represent the broad interests of the community served. Thirty-four (34) interviews were conducted for the CHNA in October and November 2012. Specifically, 16 interviews were conducted with Regional Medical Center staff - internal key stakeholders - representing various departments and functions, and 18 interviews - external key stakeholders - were conducted with local healthcare professionals, partners, academia, community officials and religious leaders. The 16 internal key stakeholder interviews were conducted to assess the current RMCM community health initiatives and resources. The 18 external key stakeholder interviews were conducted to gain insight on the perceived current health status, in addition to identifying the healthcare, social service and quality of life issues affecting those who reside in the community. Additionally, household surveys were conducted to ascertain insight on the community's socioeconomic factors that can impact health, access to healthcare, and their perception of their overall health status. The survery also gathered basic demographic information from participants. Overall, 122 surveys were conducted.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P05_S0B_L07</Identifier>
        <ReturnReference>Schedule H, Part V, Section B, Line 7</ReturnReference>
        <Explanation>The following identified health needs from the CHNA will not be addressed by a RMCM-led initiative; however, each need is considered to be important. Life expectancy and overall health status will be positively affected as a result of the cumulative effect of the initiatives regarding the prioritized needs identified. Additionally, the following health needs will be positively affected as a result of specific initiatives targeting the prioritized needs of diabetes and adult obesity/overweight: exercise/fitness, nutrition, heart disease, stroke, high cholesterol, and high blood pressure (hypertension). RMCM does not intend to specifically address the following health needs due to lack of demonstrated experience and limited resources which will be allocated appropriately to the priority needs identified above: chronic lower respiratory disease, alzheimer's disease, influenza and pneumonia, kidney disease, prostate cancer, hepatitis B, pertussis, syphilis, alcohol consumption, and smoking prevalance. Lastly, the following health needs are being addressed by other community organizations in the City of Memphis and/or Shelby County: poverty, access to primary care, access to health insurance and appropriate utilization of health care services.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P05_S0B_L20</Identifier>
        <ReturnReference>Schedule H, Part V, Section B, Line 20</ReturnReference>
        <Explanation>Organization discounts self pay charges using JAR (Tennessee Joint Annual Report) cost-to-charge ration times 175%.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P06_S00_L02</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 2</ReturnReference>
        <Explanation>Regional Medical Center uses multiple sources to assess the health care needs of the communities served. These sources include publicly reported health statistics and vital records, commissioned research and reports by non-profit organizations (i.e. Urban Child Institute) and local colleges and universities, jobs and income reports, health outcomes data available in the local community and across the state, and our community health needs assessment.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P06_S00_L03</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 3</ReturnReference>
        <Explanation>Organization sends uncompensated care applications to patients for completion and submission of income proof to determine eligibility for the uncompensated care program.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P06_S00_L04</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 4</ReturnReference>
        <Explanation>Regional Medical Center is located in Memphis, Tennessee. Memphis is in Shelby County, and part of the Memphis, Tennessee, Metropolitan Mississippi and Arkansas MSA. The total population of Memphis is approximately 650,000, and the approximate population of Shelby County is 935,000. More than two-thirds of the county's population resides in Memphis. In Memphis, 63.3 percent of the population is black and 29.4 percent is white, compared to a 52.3 percent black population and 43.6 percent white population in Shelby County. Twenty-six percent of the population in Memphis live below the poverty level. The median earnings for workers in Memphis is $24,882, and the median household income is $37,000. Twenty-three percent of the Memphis population over the age of 25 have bachelor's degrees.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P06_S00_L05</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 5</ReturnReference>
        <Explanation>Regional Medical Center partnered with and/or supported numerous organizations and initiatives aimed at building our community during Fiscal Year 2013. Organizations that we partnered with and/or supported include Memphis Tomorrow, Healthy Memphis Common Table, Memphis Medical District, Memphis Area Chamber of Commerce, and the Downtown Commission. Regional Medical Center's affiliations with these &amp; other groups is varied, and includes being paid members or sponsors as well as in-kind support. Members of Regional Medical Center staff serve as volunteer board members or in other leadership capacities with several community organizations. The aforementioned organizations and others have a primary focus on improving the quality of life in the community through health improvement initiatives, environmental issues, and economic development. Community building activities are planned, and necessary partnerships formed, to improve the quality of life and health in our community based on needs identified by our staff, through our planning processes, community requests and our resource capacity. Our community building activities are also planned-based needs identified and reported by other organizations. In addition to the previously mentioned affiliations, Regional Medical Center supports and partners with March of Dimes, local colleges and universities, Susan Komen, American Heart Association, and a myriad of other organizations to respond to identified community health improvement needs. In 2013, Regional Medical Center at Memphis staff provided more than 2,000 hours of community service.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SchH_P06_S00_L06</Identifier>
        <ReturnReference>Schedule H, Part VI, Line 6</ReturnReference>
        <Explanation>Not applicable</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="R000007" softwareId="12000197" softwareVersion="v1.00">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>1</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Reginald Coopwood MD</NamePerson>
        <Title>President and CEO</Title>
        <BaseCompensationFilingOrg>599074</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>124950</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>34566</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>758590</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>J Richard Wagers Jr</NamePerson>
        <Title>Senior EVP and Chief Financial Officer</Title>
        <BaseCompensationFilingOrg>487657</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>7601</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24687</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>519945</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Carl Getto MD</NamePerson>
        <Title>Senior VP and CMO</Title>
        <BaseCompensationFilingOrg>402539</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>74000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14395</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>490934</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Rob Sumter</NamePerson>
        <Title>EVP, COO and CIO</Title>
        <BaseCompensationFilingOrg>303673</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>43402</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8664</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>355739</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Monica Wharton</NamePerson>
        <Title>Senior VP and Chief Legal Counsel</Title>
        <BaseCompensationFilingOrg>203818</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>43702</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>27202</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>274722</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Pam Castleman</NamePerson>
        <Title>Senior VP and CNO</Title>
        <BaseCompensationFilingOrg>204504</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>31999</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12667</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>249170</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Leticia Towns</NamePerson>
        <Title>Senior VP Advocacy and External Relations</Title>
        <BaseCompensationFilingOrg>174450</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>44622</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11908</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>230980</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Fred Boyd</NamePerson>
        <Title>Senior VP Human Resources</Title>
        <BaseCompensationFilingOrg>213475</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>47840</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5552</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>266867</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jeff Brandon</NamePerson>
        <Title>VP Professional Services</Title>
        <BaseCompensationFilingOrg>214680</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>30361</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18399</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>263440</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Lynn Pleasants</NamePerson>
        <Title>VP Ambulatory Services</Title>
        <BaseCompensationFilingOrg>206423</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>36027</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>2834</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>245284</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Brett Perisho</NamePerson>
        <Title>Executive Staff</Title>
        <BaseCompensationFilingOrg>255489</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>27885</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14395</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>297769</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Patrick Malone MD</NamePerson>
        <Title>Health Loop Medical Director</Title>
        <BaseCompensationFilingOrg>200140</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>20059</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>27008</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>247207</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Holly Collier</NamePerson>
        <Title>Pharmacist</Title>
        <BaseCompensationFilingOrg>194749</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5698</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>200447</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mary Ryan</NamePerson>
        <Title>Pharmacy Director</Title>
        <BaseCompensationFilingOrg>164949</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>24847</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>26040</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>215836</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Daron Jones</NamePerson>
        <Title>Pharmacist</Title>
        <BaseCompensationFilingOrg>187204</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12278</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>199482</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SchJ_P01_S00_L04</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4</ReturnReference>
        <Explanation>Lynn Pleasants $20,154.88; Jeff Brandon $33,364</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="R000008" softwareId="12000197" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P00_S00_L0B</Identifier>
        <ReturnReference>Form 990, Header, Line B</ReturnReference>
        <Explanation>Amended to include Regional Med Extended Care LLC as a disregarded entity</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>Members of the organization's Board of Directors were given access to a draft copy of the form 990 through a secured website.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>Legal and Corporate Compliance conduct an ongoing annual request for submission of Conflict of Interest forms. Process is monitored by Corporate Compliance to ensure that all forms are completed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>Compensation for executive management team was approved by the Human Resource Committee and was deemed to be competitive based on business circumstances and prevailing market conditions. The organization purchases compensation/salary survey information annually from three national consulting groups and the state hospital association. This information is used as a reference in determining levels for internal and external equity.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>The organization makes its governing documents, conflict of interest policy, and financial statements available to the pulbic upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P09_S00_L11g</Identifier>
        <ReturnReference>Form 990, Part IX, Line 11g</ReturnReference>
        <Explanation>Purchase medical services</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="R000009" softwareId="12000197" softwareVersion="v1.00">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Regional Med Exteded Care Hospital LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>877 Jefferson Ave</AddressLine1>
          <City>Memphi</City>
          <State>TN</State>
          <ZIPCode>38103</ZIPCode>
        </AddressUS>
        <EIN>208930584</EIN>
        <PrimaryActivities>Long Term Accute Care Hospital</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>Shelby County Health Care Corporation</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Regional Medical Center at Memphis Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>877 Jefferson Avenue</AddressLine1>
          <City>Memphis</City>
          <State>TN</State>
          <ZIPCode>38103</ZIPCode>
        </AddressUS>
        <EIN>581737037</EIN>
        <PrimaryActivities>Foundation raises funds to support SCHCC</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(3), Type II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shelby County Health Care Self Insurance Trust</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6200 Poplar Ave</AddressLine1>
          <City>Memphis</City>
          <State>TN</State>
          <ZIPCode>38119</ZIPCode>
        </AddressUS>
        <EIN>586202436</EIN>
        <PrimaryActivities>Trust fund management</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Regional Medical Center at Memphis Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>126565</AmountInvolved>
        <MethodOfAmtDetermination>cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Regional Medical Center at Memphis Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>391395</AmountInvolved>
        <MethodOfAmtDetermination>cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Regional Medical Center at Memphis Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>325777</AmountInvolved>
        <MethodOfAmtDetermination>cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="R000010" softwareId="12000197" softwareVersion="v1.00">
      <Explanation>Information to submit an accurate and complete tax return was not available at the time it was due.</Explanation>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>