﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2011v1.5">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2013-08-15T13:57:29-05:00</Timestamp>
    <TaxPeriodEndDate>2012-09-30</TaxPeriodEndDate>
    <PreparerFirm>
      <EIN>621517792</EIN>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>PERSHING YOAKLEY &amp; ASSOCIATES P C</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>ONE CHEROKEE MILLS 2220 SUTHERLAND</AddressLine1>
        <City>KNOXVILLE</City>
        <State>TN</State>
        <ZIPCode>379192363</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-10-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>581694098</EIN>
      <Name>
        <BusinessNameLine1>NORTHEAST GEORGIA MEDICAL CENTER INC</BusinessNameLine1>
      </Name>
      <NameControl>NORT</NameControl>
      <Phone>7702196646</Phone>
      <USAddress>
        <AddressLine1>743 SPRING STREET</AddressLine1>
        <City>GAINESVILLE</City>
        <State>GA</State>
        <ZIPCode>305013899</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>ANTHONY HERDENER</Name>
      <Title>VICE PRESIDENT/CFO</Title>
      <Phone>7702196646</Phone>
      <DateSigned>2013-08-15</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>SUSAN P CLARK CPAFHFMA</Name>
      <PTIN>P00017549</PTIN>
      <Phone>8656730844</Phone>
    </Preparer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-25 16:41:14Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="12">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>CAROL BURRELL</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>743 SPRING STREET</AddressLine1>
        <City>GAINESVILLE</City>
        <State>GA</State>
        <ZIPCode>305013899</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>686126520</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.NGHS.COM</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1986</YearFormation>
      <StateLegalDomicile>GA</StateLegalDomicile>
      <ActivityOrMissionDescription>THE MISSION OF NORTHEAST GEORGIA MEDICAL CENTER (NGMC) IS TO PROVIDE COMPREHENSIVE, (SEE SCHEDULE O) ACCESSIBLE QUALITY HEALTH CARE SERVICES AND IMPROVE THE HEALTH OF OUR COMMUNITY.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>15</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>9</NbrIndependentVotingMembers>
      <TotalNbrEmployees>0</TotalNbrEmployees>
      <TotalNbrVolunteers>555</TotalNbrVolunteers>
      <TotalGrossUBI>2873394</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>1391506</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>1584101</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>599822094</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>647814844</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>34129338</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>34902826</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>403901</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>1163689</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>635746839</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>685465460</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>305820</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>202601</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>237914457</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>244747884</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>319879748</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>342170142</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>558100025</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>587120627</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>77646814</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>98344833</RevenuesLessExpensesCY>
      <TotalAssetsBOY>934950982</TotalAssetsBOY>
      <TotalAssetsEOY>1023124372</TotalAssetsEOY>
      <TotalLiabilitiesBOY>671455471</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>677586138</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>263495511</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>345538234</NetAssetsOrFundBalancesEOY>
      <MissionDescription>TO PROVIDE COMPREHENSIVE, ACCESSIBLE QUALITY HEALTH CARE SERVICES AND IMPROVE THE HEALTH OF OUR COMMUNITY.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>520229434</Expense>
      <Grants>202601</Grants>
      <Revenue>648158402</Revenue>
      <Description>NORTHEAST GEORGIA MEDICAL CENTER, INC. IS A 557 BED REGIONAL REFERRAL FACILITY PROVIDNG A COMPREHENSIVE RANGE OF ACUTE CARE AND SPECIALTY MEDICAL CARE. NGMC SERVES THE CITY OF GAINESVILLE, GEORGIA; HALL COUNTY AND SURROUNDING COUNTIES. **SEE SCHEDULE O FOR PROGRAM SERVICE ACCOMPLISHMENTS CONTINUATION**</Description>
      <TotalProgramServiceExpense>520229434</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="RetDoc1039700001">0</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="RetDoc1039700001">1</LobbyingActivities>
      <SubjectToProxyTax referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">0</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">0</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">1</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">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="RetDoc1041500001">1</Hospital>
      <FinancialStmtAttached referenceDocumentId="RetDoc2436500001">1</FinancialStmtAttached>
      <GrantsToOrganizations referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="RetDoc1041900001">0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="RetDoc1053100001">1</TaxExemptBonds>
      <InvestTaxExemptBonds>0</InvestTaxExemptBonds>
      <EscrowAccount>0</EscrowAccount>
      <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      <ExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="RetDoc1042800001">0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="RetDoc1042800001">0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="RetDoc1042800001">1</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="RetDoc1042800001">1</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">0</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>408</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>0</NumberOfEmployees>
      <UnrelatedBusinessIncome>1</UnrelatedBusinessIncome>
      <Form990-TFiled>1</Form990-TFiled>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>15</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>9</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>1</MembersOrStockholders>
      <ElectionOfBoardMembers>1</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>1</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>1</InvestmentInJointVenture>
      <WrittenPolicyOrProcedure>1</WrittenPolicyOrProcedure>
      <StatesWhereCopyOfReturnIsFiled>GA</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>LINDA D NICHOLSONCONTROLLER</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>7702196646</TelephoneNumber>
        <AddressUS>
          <AddressLine1>743 SPRING STREET</AddressLine1>
          <City>GAINESVILLE</City>
          <State>GA</State>
          <ZIPCode>30501</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>JACKIE WALLACE</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JANIE SHELTON</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KIT DUNLAP</NamePerson>
        <Title>VICE CHAIRPERSON</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN HEMMER MD</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>10380</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16500</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAY HORTENSTINE MD</NamePerson>
        <Title>MEMBER &amp; NGPG PHYSICIAN</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>438103</ReportableCompFromRelatedOrgs>
        <OtherCompensation>30511</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROGER OWENS MD</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LUA BLANKENSHIP</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RODNEY SMITH MD</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DOUG CARTER</NamePerson>
        <Title>CHAIRPERSON</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN PRIEN</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LARRY E DENT</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DALLAS GAY</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JACK KEENER</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SPENCE PRICE</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DEBORAH MACK</NamePerson>
        <Title>MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN A WILLIAMSON</NamePerson>
        <Title>VP - NGMC BRASELTON DEVL</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>320427</ReportableCompFromRelatedOrgs>
        <OtherCompensation>66945</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CAROL H BURRELL</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>787854</ReportableCompFromRelatedOrgs>
        <OtherCompensation>274322</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANTHONY M HERDENER</NamePerson>
        <Title>VP - NGHS &amp; CFO</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>475380</ReportableCompFromRelatedOrgs>
        <OtherCompensation>157116</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NANCY J MARTIN</NamePerson>
        <Title>VP - NGMC &amp; CNO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>288854</ReportableCompFromRelatedOrgs>
        <OtherCompensation>77761</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DANE W HENRY</NamePerson>
        <Title>VP - NGMC OPERATIONS</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>275513</ReportableCompFromRelatedOrgs>
        <OtherCompensation>40124</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TRACY M VARDEMAN</NamePerson>
        <Title>VP - NGHS STRATEGIC PLAN/MKG</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>260775</ReportableCompFromRelatedOrgs>
        <OtherCompensation>68125</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES BAILEY MD</NamePerson>
        <Title>VP - NGHS &amp; CMIO/CQO</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>609015</ReportableCompFromRelatedOrgs>
        <OtherCompensation>29958</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SAMUEL O JOHNSON</NamePerson>
        <Title>VP - NGMC MEDICAL AFFAIRS &amp; CMO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>406258</ReportableCompFromRelatedOrgs>
        <OtherCompensation>72853</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SANDRA K JOHNSON</NamePerson>
        <Title>VP - NGHS REVENUE CYCLE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>247036</ReportableCompFromRelatedOrgs>
        <OtherCompensation>40343</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ALLANA L CUMMINGS</NamePerson>
        <Title>VP - NGHS &amp; CIO</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>403862</ReportableCompFromRelatedOrgs>
        <OtherCompensation>53849</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES WALKER</NamePerson>
        <Title>VP - NGHS HR &amp; SUPPORT SVCS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>272382</ReportableCompFromRelatedOrgs>
        <OtherCompensation>50237</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRADLEY K NURKIN</NamePerson>
        <Title>NGMC - PRESIDENT</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINDA NICHOLSON</NamePerson>
        <Title>CONTROLLER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>240546</ReportableCompFromRelatedOrgs>
        <OtherCompensation>75746</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL G VERVALIN</NamePerson>
        <Title>VP - NGHS &amp; CAO, NGPG PRESIDENT</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>340026</ReportableCompFromRelatedOrgs>
        <OtherCompensation>61072</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEPHEN A CARLSON</NamePerson>
        <Title>DIRECTOR - PHARMACY</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>166964</ReportableCompFromRelatedOrgs>
        <OtherCompensation>36452</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DEBRA DUKE</NamePerson>
        <Title>DIRECTOR - DIAGNOSTIC IMAGING</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>156027</ReportableCompFromRelatedOrgs>
        <OtherCompensation>38429</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARY L MARTIN</NamePerson>
        <Title>LP-ADMIN./DIR.- CNIO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>148670</ReportableCompFromRelatedOrgs>
        <OtherCompensation>43770</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RANDALL P MILLER</NamePerson>
        <Title>MANAGER - RADIATION PHYSIC</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>240163</ReportableCompFromRelatedOrgs>
        <OtherCompensation>31128</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID E PATTERSON</NamePerson>
        <Title>RADIATION III - PHYSICIST</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>194075</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20812</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM LONERGAN</NamePerson>
        <Title>DIRECTOR - FACILITIES DEVE</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>157526</ReportableCompFromRelatedOrgs>
        <OtherCompensation>39030</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHRISTOPHER PARAVATE</NamePerson>
        <Title>OFFICER - CHIEF APPLICATION</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>165292</ReportableCompFromRelatedOrgs>
        <OtherCompensation>26304</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>10380</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>6594748</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>1351387</TotalOtherCompensation>
      <NumberIndividualsGT100K>0</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MCKESSON (MCKESSON TECHNOLOGIES INC)</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 98347</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60693</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>IT SERVICES/CONSULTING</DescriptionOfServices>
        <Compensation>4782526</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>GE MEDICAL SYSTEMS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 402076</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30384</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>DIAGNOSTIC EQUIPMENT MAINTENANCE</DescriptionOfServices>
        <Compensation>3913872</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MILNER VOICE AND DATA</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>5125 PEACHTREE IND BLVD</AddressLine1>
            <City>NORCROSS</City>
            <State>GA</State>
            <ZIPCode>30092</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>TRANSCRIPTION SERVICES</DescriptionOfServices>
        <Compensation>2871739</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ANESTHESIA ASSOCIATES OF GAINESVILLE</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 1076</AddressLine1>
            <City>GAINESVILLE</City>
            <State>GA</State>
            <ZIPCode>30503</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ANESTHESIA SERVICES</DescriptionOfServices>
        <Compensation>2296994</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>PHILIPS MEDICAL SYSTEMS NA</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 100355</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30384</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>EQUIP MAINTENANCE/ REPAIR</DescriptionOfServices>
        <Compensation>1619459</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>106</NumberOfContractorsGT100K>
      <RelatedOrganizations>1584101</RelatedOrganizations>
      <TotalContributions>1584101</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT SVC REVENU</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>635407484</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>635407484</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PHARMACY</Description>
        <BusinessCode>446110</BusinessCode>
        <TotalRevenueColumn>7177636</TotalRevenueColumn>
        <ExclusionAmount>7177636</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>LAB REVENUE</Description>
        <BusinessCode>621500</BusinessCode>
        <TotalRevenueColumn>2829630</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>2829630</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CAFETERIA REVENUE</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>2112414</TotalRevenueColumn>
        <ExclusionAmount>2112414</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>DAY CARE CENTER</Description>
        <BusinessCode>624410</BusinessCode>
        <TotalRevenueColumn>243916</TotalRevenueColumn>
        <ExclusionAmount>243916</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>43764</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>43764</UnrelatedBusinessRevenue>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>647814844</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>17982547</TotalRevenueColumn>
        <ExclusionAmount>17982547</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>844754</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>19911</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>824843</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>824843</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4712</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>820131</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>16817044</Securities>
        <Other>744384</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>0</Securities>
        <Other>641149</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>16817044</Securities>
        <Other>103235</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>16920279</TotalRevenueColumn>
        <ExclusionAmount>16920279</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>PARTNERSHIP INCOME</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>338846</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>338846</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>338846</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>685465460</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>635751042</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>2873394</UnrelatedBusinessRevenue>
        <ExclusionAmount>45256923</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>202601</Total>
        <ProgramServices>202601</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>1291051</Total>
        <ProgramServices>1117792</ProgramServices>
        <ManagementAndGeneral>173259</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>191249245</Total>
        <ProgramServices>165583596</ProgramServices>
        <ManagementAndGeneral>25665649</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>10075190</Total>
        <ProgramServices>8723100</ProgramServices>
        <ManagementAndGeneral>1352090</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>27841869</Total>
        <ProgramServices>24105490</ProgramServices>
        <ManagementAndGeneral>3736379</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>14290529</Total>
        <ProgramServices>12372740</ProgramServices>
        <ManagementAndGeneral>1917789</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>20237812</Total>
        <ProgramServices>17521898</ProgramServices>
        <ManagementAndGeneral>2715914</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>822918</Total>
        <ProgramServices>712482</ProgramServices>
        <ManagementAndGeneral>110436</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>2713</Total>
        <ProgramServices>2349</ProgramServices>
        <ManagementAndGeneral>364</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesInvstMgmntFees>
        <Total>1211905</Total>
        <ProgramServices>1049267</ProgramServices>
        <ManagementAndGeneral>162638</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>30279225</Total>
        <ProgramServices>26215753</ProgramServices>
        <ManagementAndGeneral>4063472</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>475167</Total>
        <ProgramServices>411400</ProgramServices>
        <ManagementAndGeneral>63767</ManagementAndGeneral>
      </Advertising>
      <Occupancy>
        <Total>8574748</Total>
        <ProgramServices>7424017</ProgramServices>
        <ManagementAndGeneral>1150731</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>418445</Total>
        <ProgramServices>362290</ProgramServices>
        <ManagementAndGeneral>56155</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>277364</Total>
        <ProgramServices>240142</ProgramServices>
        <ManagementAndGeneral>37222</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>30219794</Total>
        <ProgramServices>26164298</ProgramServices>
        <ManagementAndGeneral>4055496</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>41520837</Total>
        <ProgramServices>35948741</ProgramServices>
        <ManagementAndGeneral>5572096</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>6626055</Total>
        <ProgramServices>5736838</ProgramServices>
        <ManagementAndGeneral>889217</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>UBI TAX</Description>
        <Total>-18989</Total>
        <ProgramServices>-16441</ProgramServices>
        <ManagementAndGeneral>-2548</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>80770298</Total>
        <ProgramServices>69930924</ProgramServices>
        <ManagementAndGeneral>10839374</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>66675307</Total>
        <ProgramServices>66675307</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>21798648</Total>
        <ProgramServices>21798648</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>32277895</Total>
        <ProgramServices>27946202</ProgramServices>
        <ManagementAndGeneral>4331693</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>587120627</Total>
        <ProgramServices>520229434</ProgramServices>
        <ManagementAndGeneral>66891193</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>4050348</BOY>
        <EOY>911053</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>73907</BOY>
        <EOY>93850</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>70408840</BOY>
        <EOY>77345665</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>462523</BOY>
        <EOY>536244</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>3094904</BOY>
        <EOY>3723022</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>3451573</BOY>
        <EOY>3341634</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>794827150</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>397425263</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>415172332</BOY>
        <EOY>397401887</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>437207812</BOY>
        <EOY>539359757</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>34817</BOY>
        <EOY>34817</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>993926</BOY>
        <EOY>376443</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>934950982</BOY>
        <EOY>1023124372</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>42188940</BOY>
        <EOY>48995094</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>599999641</BOY>
        <EOY>599177071</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>227024</BOY>
        <EOY>166007</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>29039866</BOY>
        <EOY>29247966</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>671455471</BOY>
        <EOY>677586138</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>263495511</BOY>
        <EOY>345538234</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>263495511</BOY>
        <EOY>345538234</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>934950982</BOY>
        <EOY>1023124372</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>98344833</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-16302110</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>23585</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>23585</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1:</ReturnReference>
        <Explanation>NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS MEMBERSHIP DUES TO AMERICAN ACADEMY OF SLEEP, AMERICAN COLLEGE OF HEALTHCARE, AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION, AMERICAN MEDICAL ASSOCIATION, AMERICAN SOCIETY FOR HEALTHCARE HUMAN RESOURCES ADMINISTRATION, AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS, COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES, CLINICAL LABORATORY MANAGEMENT ASSOCIATION, GEORGIA HEALTHCARE ASSOCIATION, GREATER HALL CHAMBER OF COMMERCE, GEORGIA SOCIETY FOR HEALTH RISK MANAGEMENT, NATIONAL HOSPICE AND PALLATIVE CARE ORGANIZATION, SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY, SOCIETY FOR HUMAN RESOURCES MANAGEMENT, SOCIETY FOR HUMAN RESOURCE, SOCIETY OF THORACIC SURGEONS, SOCIETY OF DIAGNOSTIC, AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGISTS, SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY, REGION 2 EMS DIRECTORS ASSOCIATION, AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, AMERICAN PHYSICAL THERAPY ASSOCIATION, ASSOCIATION FOR PROF IN INFECTION CONTROL AND AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION. A PORTION OF THESE DUES ARE DESIGNATED FOR LOBBYING ACTIVITIES BY THESE ORGANIZATIONS.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>8685560</OtherCostOrOtherBasis>
        <BookValue>8685560</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>375720308</OtherCostOrOtherBasis>
        <Depreciation>105050999</Depreciation>
        <BookValue>270669309</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>10107440</OtherCostOrOtherBasis>
        <Depreciation>6827680</Depreciation>
        <BookValue>3279760</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>386944589</OtherCostOrOtherBasis>
        <Depreciation>279558591</Depreciation>
        <BookValue>107385998</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>13369253</OtherCostOrOtherBasis>
        <Depreciation>5987993</Depreciation>
        <BookValue>7381260</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>397401887</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>DUE TO THIRD PARTY PAYORS</Description>
        <Amount>10699801</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CAPITALIZED LEASES</Description>
        <Amount>1861710</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION</Description>
        <Amount>10583381</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INTEREST RATE SWAP</Description>
        <Amount>6103074</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>29247966</TotalOfAmounts>
      <TotalRevenue>685465460</TotalRevenue>
      <TotalExpenses>587120627</TotalExpenses>
      <ExcessOrDeficitForYear>98344833</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>47414041</NetUnrealizedGLOnInvestments>
      <OtherAmount>-63716151</OtherAmount>
      <TotalAdjustments>-16302110</TotalAdjustments>
      <ExcessOrDeficitPerFS>82042723</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>684714032</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>1061483</OtherRevenues>
      <RevenueNotRptdF990>1061483</RevenueNotRptdF990>
      <RevenueSubtotal>683652549</RevenueSubtotal>
      <OtherRevenuesNotIncluded>1812911</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>1812911</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>685465460</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>584785662</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>19911</OtherExpensesIncluded>
      <ExpensesNotRptdF990>19911</ExpensesNotRptdF990>
      <ExpensesSubtotal>584765751</ExpensesSubtotal>
      <OtherExpensesNotIncluded>2354876</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>2354876</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>587120627</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>NORTHEAST GEORGIA MEDICAL CENTER, INC. IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. AT SEPTEMBER 30, 2012, MANAGEMENT DOES NOT BELIEVE NGMC HOLDS ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL RECOGNITION OR DISCLOSURE UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. IT IS THE NGMC'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS AS AN OPERATING EXPENSE WHERE APPLICABLE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>EQUITY TRANSFER TO THE MEDICAL CENTER FOUNDATION -932,162. INTERCOMPANY DEBT FORGIVENESS -62,390,143. PARTNERSHIP INCOME NOT ON BOOKS -338,846. CUMMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -55,000. TOTAL TO SCHEDULE D, PART XI, LINE 8: -63,716,151.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CHANGE IN FAIR VALUE OF DERIVATIVE 2,204,454. RECLASS OF NON-OPERATING EXPENSES -1,142,971.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>PARTNERSHIP INCOME NOT ON BOOKS 338,846. RENTAL EXPENSES -19,911. RECLASS INVESTMENT FEES 1,211,905. RECLASS CONTRIBUTION REVENUE 282,071.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSES 19,911.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RECLASS INVESTMENT MGMT FEES 1,211,905. RECLASS NON-OPERATING EXPENSES 1,142,971.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent150>X</Pcent150>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBenefitExpense>24484698</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>24484698</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04700</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBenefitExpense>75459058</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>76400306</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>-941248</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBenefitExpense>2163644</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2009526</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>154118</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>102107400</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>78409832</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>23697568</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04730</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>20</NumberOfActivitiesOrPrograms>
        <PersonsServed>147983</PersonsServed>
        <TotalCommunityBenefitExpense>967510</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>24051</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>943459</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00180</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>9</NumberOfActivitiesOrPrograms>
        <PersonsServed>4166</PersonsServed>
        <TotalCommunityBenefitExpense>1383519</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1383519</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00270</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <NumberOfActivitiesOrPrograms>0</NumberOfActivitiesOrPrograms>
        <PersonsServed>0</PersonsServed>
        <TotalCommunityBenefitExpense>92842054</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>89195659</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3646395</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00700</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>65</PersonsServed>
        <TotalCommunityBenefitExpense>490436</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>189505</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>300931</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>16</NumberOfActivitiesOrPrograms>
        <PersonsServed>13331</PersonsServed>
        <TotalCommunityBenefitExpense>1749027</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2750</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1746277</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00340</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>46</NumberOfActivitiesOrPrograms>
        <PersonsServed>165545</PersonsServed>
        <TotalCommunityBenefitExpense>97432546</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>89411965</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>8020581</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01550</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>46</NumberOfActivitiesOrPrograms>
        <PersonsServed>165545</PersonsServed>
        <TotalCommunityBenefitExpense>199539946</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>167821797</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>31718149</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06280</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>4</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>9738</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>750</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>8988</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CommunitySupport>
      <EnvironmentalImprovements>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>900</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>200</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>700</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </EnvironmentalImprovements>
      <LeadershipDevelopment>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>3</PersonsServed>
        <TotalCommunityBuildingExpense>350</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>350</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </LeadershipDevelopment>
      <WorkforceDevelopment>
        <NumberOfActivitiesOrPrograms>7</NumberOfActivitiesOrPrograms>
        <PersonsServed>267</PersonsServed>
        <TotalCommunityBuildingExpense>404320</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>404320</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Other>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>16906</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>16906</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Other>
      <Total>
        <NumberOfActivitiesOrPrograms>14</NumberOfActivitiesOrPrograms>
        <PersonsServed>270</PersonsServed>
        <TotalCommunityBuildingExpense>432214</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>950</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>431264</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>16973386</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>156776272</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>158815970</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-2039698</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>NORTHEAST GEORGIA MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>743 SPRING STREET</AddressLine1>
          <City>GAINESVILLE</City>
          <State>GA</State>
          <ZIPCode>30501</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>NORTHEAST GEORGIA MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>150.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>300.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <PermitLienOnResidence>X</PermitLienOnResidence>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <MedicareRate>X</MedicareRate>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>20</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>IMAGING CENTER - GAINESVILLE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1315 JESSE JEWELL PKWY</AddressLine1>
            <City>GAINESVILLE</City>
            <State>GA</State>
            <ZIPCode>30501</ZIPCode>
          </Address>
          <FacilityType>IMAGING / RADIOLOGY CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>LAURELWOOD</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>200 WISTERIA DRIVE</AddressLine1>
            <City>GAINESVILLE</City>
            <State>GA</State>
            <ZIPCode>30501</ZIPCode>
          </Address>
          <FacilityType>MENTAL HEALTH SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>TOCCOA CANCER CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1656 FALLS ROAD</AddressLine1>
            <City>TOCCOA</City>
            <State>GA</State>
            <ZIPCode>30577</ZIPCode>
          </Address>
          <FacilityType>CANCER SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>REHABILITATION INSTITUTE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>597 SOUTH ENOTA DRIVE NE</AddressLine1>
            <City>GAINESVILLE</City>
            <State>GA</State>
            <ZIPCode>30501</ZIPCode>
          </Address>
          <FacilityType>REHABILITATION SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SLEEP LAB-BRASELTON SATELLITE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5737 THOMPSON MILL ROAD</AddressLine1>
            <City>HOSCHTON</City>
            <State>GA</State>
            <ZIPCode>30548</ZIPCode>
          </Address>
          <FacilityType>SLEEP DISORDER CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SLEEP LAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>535 JESSE JEWELL PKWY</AddressLine1>
            <City>GAINESVILLE</City>
            <State>GA</State>
            <ZIPCode>30501</ZIPCode>
          </Address>
          <FacilityType>SLEEP DISORDER CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SLEEP LAB-BUFORD SATELLITE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4445 SOUTH LEE STREET</AddressLine1>
            <City>BUFORD</City>
            <State>GA</State>
            <ZIPCode>30518</ZIPCode>
          </Address>
          <FacilityType>SLEEP DISORDER CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NEW HORIZONS NORTH</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>600 BEVERLY ROAD NE</AddressLine1>
            <City>GAINESVILLE</City>
            <State>GA</State>
            <ZIPCode>30501</ZIPCode>
          </Address>
          <FacilityType>LONG TERM CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>IMAGING CENTER - BRASELTON</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5875 THOMPSON MILL ROAD</AddressLine1>
            <City>HOSCHTON</City>
            <State>GA</State>
            <ZIPCode>30548</ZIPCode>
          </Address>
          <FacilityType>IMAGING / RADIOLOGY CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NEW HORIZONS WEST</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1010 DAWSONVILLE HWY NW</AddressLine1>
            <City>GAINESVILLE</City>
            <State>GA</State>
            <ZIPCode>30501</ZIPCode>
          </Address>
          <FacilityType>LONG TERM CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>WOUND OSTOMY CONTINENCE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>675 WHITE SULPHUR ROAD</AddressLine1>
            <City>GAINESVILLE</City>
            <State>GA</State>
            <ZIPCode>30501</ZIPCode>
          </Address>
          <FacilityType>WOUND HEALING CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>REHAB - BRASELTON</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5875 THOMPSON MILL ROAD</AddressLine1>
            <City>HOSCHTON</City>
            <State>GA</State>
            <ZIPCode>30548</ZIPCode>
          </Address>
          <FacilityType>REHABILITATION SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>REHAB - CLEVELAND</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>640-A HELEN HWY</AddressLine1>
            <City>CLEVELAND</City>
            <State>GA</State>
            <ZIPCode>30528</ZIPCode>
          </Address>
          <FacilityType>REHABILITATION SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>REHAB - OAKWOOD</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3931 MUNDY MILL ROAD SUITE B</AddressLine1>
            <City>OAKWOOD</City>
            <State>GA</State>
            <ZIPCode>30566</ZIPCode>
          </Address>
          <FacilityType>REHABILITATION SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>REHAB - BUFORD</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4889 GOLDEN PKWY SUITE 150</AddressLine1>
            <City>BUFORD</City>
            <State>GA</State>
            <ZIPCode>30518</ZIPCode>
          </Address>
          <FacilityType>REHABILITATION SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>REHAB - DAHLONEGA</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>95 MORRISON MOORE PKWY</AddressLine1>
            <City>DAHLONEGA</City>
            <State>GA</State>
            <ZIPCode>30533</ZIPCode>
          </Address>
          <FacilityType>REHABILITATION SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>REHAB - DAWSONVILLE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5959 HIGHWAY 53EHIGHTOWER PLACE ST</AddressLine1>
            <AddressLine2>200</AddressLine2>
            <City>DAWSONVILLE</City>
            <State>GA</State>
            <ZIPCode>30534</ZIPCode>
          </Address>
          <FacilityType>REHABILITATION SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>DIABETES ED</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>675 WHITE SULPHUR ROAD</AddressLine1>
            <City>GAINESVILLE</City>
            <State>GA</State>
            <ZIPCode>30501</ZIPCode>
          </Address>
          <FacilityType>DIABETES SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BARIATRIC SERVICES</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>675 WHITE SULPHUR ROAD</AddressLine1>
            <City>GAINESVILLE</City>
            <State>GA</State>
            <ZIPCode>30501</ZIPCode>
          </Address>
          <FacilityType>BARIATRIC WEIGHT LOSS SERVICES</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ESSENTIALLY FOR WOMEN - LACTATION</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>825 JESSE JEWELL PKWY</AddressLine1>
            <City>GAINESVILLE</City>
            <State>GA</State>
            <ZIPCode>30501</ZIPCode>
          </Address>
          <FacilityType>LACTATION</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS PUBLISHED BY NORTHEAST GEORGIA HEALTH SYSTEM AND INCLUDES PROGRAMS FOR NORTHEAST GEORGIA MEDICAL CENTER AND ITS AFFILIATES. THE REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE AS WELL AS IN ITS ANNUAL COMMUNICARE MAGAZINE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: CHARITY CARE COST WAS CALCULATED APPLYING SEPARATE COST-TO-CHARGE RATIOS (CCR) TO THE SKILLED NURSING FACILITY (SNF) AND TO THE REMAINING PATIENT CHARGES FROM ALL OTHER HOSPITAL ACTIVITIES. THE CCR FOR THE SNF WAS COMPUTED USING THE TOTAL OPERATING EXPENSES FOR THE SNF LESS BAD DEBT DIVIDED BY THE TOTAL GROSS CHARGES FOR THE SNF. THE CCR FOR THE REMAINING PATIENT CHARGES WAS COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS.THE CCR FOR THE UNREIMBURSED MEDICAID SERVICES WAS COMPUTED USING A CCR COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. OTHER MEANS TESTED GOVERNMENT PROGRAM COST WAS DERIVED FROM INTERNAL TRENDSTAR SYSTEM DATA WHICH COMPUTED COST AT THE PATIENT DETAIL LEVEL.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES WERE FOR INPATIENT REHAB AND LAURELWOOD (MENTAL HEALTH). NO COSTS WERE ATTRIBUTABLE TO PHYSICIAN CLINICS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, L7 COL(F): $66,675,307 IN BAD DEBT EXPENSES WERE SUBTRACTED FROM FORM 990, PART IX, LINE 25 FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART II: IT IS WELL DOCUMENTED THAT MANY FACTORS COMBINE TO AFFECT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WHETHER PEOPLE ARE HEALTHY OR NOT IS DETERMINED BY THEIR CIRCUMSTANCES AND THEIR ENVIRONMENT ACCORDING TO THE WORLD HEALTH ORGANIZATION. TO A LARGE EXTENT, FACTORS SUCH AS WHERE WE LIVE, THE STATE OF OUR ENVIRONMENT, GENETICS, OUR INCOME AND EDUCATION LEVEL, AND OUR RELATIONSHIPS WITH FRIENDS AND FAMILY ALL HAVE CONSIDERABLE IMPACTS ON HEALTH. THE DETERMINANTS OF HEALTH INCLUDE THE SOCIAL AND ECONOMIC ENVIRONMENT, THE PHYSICAL ENVIRONMENT, AND A PERSON'S INDIVIDUAL CHARACTERISTICS AND BEHAVIORS. ADDITIONAL FACTORS THAT RELATE INCLUDE EDUCATION, CULTURE, INCOME AND SOCIAL STATUS, EMPLOYMENT AND WORKING CONDITIONS, SOCIAL SUPPORT NETWORKS, GENETICS, HEALTH SERVICES, AND GENDER. IF COMMUNITY MEMBERS HAVE ADEQUATE EDUCATION, EMPLOYMENT, INCOME, A SAFE ENVIRONMENT AND SUPPORTIVE SOCIAL NETWORKS, THEY WILL HAVE THE CAPACITY TO MAKE HEALTHIER BEHAVIOR CHOICES AND BE MORE LIKELY TO HAVE ACCESS TO HEALTH SERVICES. THEREFORE, NGMC AS AN ORGANIZATION MUST CONSIDER THE SOCIAL DETERMINANTS OF HEALTH STATUS AS PART OF PREVENTATIVE CARE.A FEW OF SOME COMMUNITY BUILDING ACTIVITIES INCLUDED IN PART II INCLUDE:NGMC'S SUPPORT OF FOOTHILLS AREA HEALTH EDUCATION NETWORKNGMC HAS A UNIQUE PARTNERSHIP WITH FOOTHILLS AREA HEALTH EDUCATION CENTER (AHEC). THE MISSION FOR FOOTHILLS AHEC IS TO INCREASE THE SUPPLY AND DISTRIBUTION OF HEALTHCARE PROVIDERS, ESPECIALLY IN MEDICALLY UNDERSERVED AREAS. THROUGH JOINT EFFORTS, COMMUNITIES EXPERIENCE IMPROVED SUPPLY, DISTRIBUTION, AND QUALITY OF HEALTHCARE PROFESSIONALS. FOOTHILLS AHEC SERVES 31 COUNTIES IN THE NORTHEAST GEORGIA AREA. IN ADDITION, NGMC PROVIDES JOB SHADOWING OPPORTUNITIES, SUPPORT OF YOUTH APPRENTICESHIP PROGRAMS, AND COMMUNITY BASED VOCATIONAL INSTRUCTION TO HELP BUILD A WELL PREPARED HEALTHCARE WORK FORCE THAT WILL BENEFIT ALL RESIDENTS.)SPONSORSHIP OF WOMENSOURCENGMC SUPPORTS WOMENSOURCE, A NON-PROFIT ORGANIZATION DESIGNED TO HELP WOMEN SUCCEED BOTH PROFESSIONALLY AND PERSONALLY. WOMENSOURCE PROVIDES, AMONG OTHER PROGRAMS, A FINANCIAL LEARNING SEMINAR FOR WOMEN WHO MAY BE STRUGGLING IN THIS AREA.SPONSORSHIP OF THE WISDOM PROJECTTHE WISDOM PROJECT IS A LEADERSHIP PROGRAM FOR SENIOR RESIDENTS SPONSORED BY BRENAU UNIVERSITY'S CENTER FOR LIFETIME STUDY. IT SEEKS TO RECRUIT THOSE 50 AND OLDER "TO SHARE THEIR WISDOM, EXPERIENCES AND TALENTS IN CREATIVE WAYS THROUGH ACTION AND ADVOCACY ON BEHALF OF HALL COUNTY." NGMC SPONSORED 3 PARTICIPANTS IN THE PROGRAM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: THE COST OF BAD DEBTS REPORTED ON LINE 2 WERE ARRIVED AT BY APPLYING SEPARATE COST-TO-CHARGE RATIOS (CCR) TO THE SKILLED NURSING FACILITY (SNF) AND TO THE REMAINING PATIENT CHARGES FROM ALL OTHER HOSPITAL ACTIVITIES. THE CCR FOR THE SNF WAS COMPUTED USING THE TOTAL OPERATING EXPENSES FOR THE SNF LESS BAD DEBTS DIVIDED BY THE TOTAL GROSS CHARGES FOR THE SNF. THE CCR FOR THE REMAINING PATIENT CHARGES WAS COMPUTED USING A CCR COMPUTED PURSUANT TO WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE REGARDING BAD DEBTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: THE MEDICARE COSTS SHOWN ON LINE 6 WERE COMPUTED USING THE COST TO CHARGE RATIO REFLECTED IN THE ORGANIZATION'S MEDICARE COST REPORT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: THE CHARITY CARE AND PAYMENT FOR SERVICES POLICIES DESCRIBES HOW UNINSURED PATIENTS CAN RECEIVE FINANCIAL ASSISTANCE. THE POLICY DESCRIBES THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM AND INDICATED THAT AN APPLICATION FOR FINANCIAL ASSISTANCE IS PART OF THE PROCESS. IN ORDER TO ASSURE THE FUNDS FOR UNCOMPENSATED CARE ARE NOT ABUSED AND WILL BE AVAILABLE FOR THOSE IN NEED WITHIN THE HOSPITAL'S SERVICE AREA, NORTHEAST GEORGIA MEDICAL CENTER WILL MAKE REASONABLE ATTEMPTS TO ASSIST ELIGIBLE CANDIDATES TO BECOME COVERED UNDER ANY AVAILABLE ASSISTANCE PROGRAMS IN THE COMMUNITY. FINANCIAL ASSITANCE INFORMATION IS ON EACH PATIENT STATEMENT AND PROVIDED AT EACH REGISTRATION AREA. ONCE A COMPLETED APPLICATION FOR FINANCIAL ASSISTANCE IS RECEIVED, DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS MADE. CHARITY AND/OR INDIGENT CARE APPLICATIONS ARE ACCEPTED AT ANY TIME IN THE COLLECTIONS CYCLE UNTIL THE ACCOUNT IS IN A LEGAL DEFAULT STATUS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: ON A CONTINUOUS BASIS, NGMC SEEKS A VARIETY OF DATA SOURCES AND RELIABLE INDICATORS TO HELP IDENTIFY AND WORK TO IMPROVE ON HEALTH INEQUITIES IN THE COMMUNITIES IT SERVES. A LISTING OF THE RESOURCES IS LISTED BELOW:SINCE 1997, NGMC HAS CONDUCTED PERIODIC COMMUNITY ASSESSMENTS THROUGH A COMMUNITY PARTNERSHIP CALLED HEALTHY HALL. RESULTS WERE SHARED WIDELY VIA OUR WEBSITE, WWW.HEALTHYHALL.COM. THE ASSESSMENT INCLUDED FOCUS GROUPS, A TELEPHONE SURVEY AND A REVIEW OF SECONDARY RESEARCH. OUR WORK HAS BEEN RECOGNIZED ON A NATIONAL LEVEL, WITH A PRESENTATION GIVEN AT THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT'S (ACHI) NATIONAL CONFERENCE IN LOS ANGELES, CA, IN MARCH 2009 BY NGMC'S MANAGER OF COMMUNITY HEALTH IMPROVEMENT AND BILL STILES OF STILES HEALTHCARE STRATEGY. THE TITLE OF PRESENTATION: "HEALTHY HALL: ONE COMMUNITY'S GUIDE TO CONDUCTING SUCCESSFUL COMMUNITY ASSESSMENTS THAT LEAD TO POWERFUL OUTCOMES." (THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT (ACHI) IS A PUBLIC HEALTH ORGANIZATION FOUNDED IN 2002. IT IS A PROGRAM OF THE HEALTH RESEARCH AND EDUCATIONAL TRUST AND AN AFFILIATE OF THE AMERICAN HOSPITAL ASSOCIATION.) NGMC ALSO PARTNERED WITH THE HALL COUNTY FAMILY CONNECTION TO PRODUCE THE HALL LIFE REPORT. THE PURPOSE OF THIS "PUBLIC STATUS REPORT ON CHILDREN AND FAMILIES IN HALL COUNTY," IS TO PROVIDE POLICY STAKEHOLDERS, PUBLIC AGENCY PROGRAM PERSONNEL, PRIVATE PROVIDERS AND COMMUNITY MEMBERS WITH UPDATED INDICATOR DATA TO INFORM CURRENT POLICY DISCUSSIONS AND DECISION-MAKING. THE HALL LIFE REPORT IDENTIFIES THE STATUS OF LEADING INDICATORS FOR EXCELLENCE. THE FIVE TOPIC AREAS USED IN THIS REPORT ARE CURRENTLY THE SAME AS THOSE USED BY THE FAMILY CONNECTION PARTNERSHIP AT THE STATE LEVEL AS THEY PRODUCE AND DISSEMINATE THE ANNUAL KIDS COUNT DATA FOR THE STATE OF GEORGIA. THEY ARE: HEALTHY CHILDREN, CHILDREN READY FOR SCHOOL, CHILDREN SUCCEEDING IN SCHOOL, STABLE AND SELF SUFFICIENT FAMILIES, AND STRONG COMMUNITIES. THIS REPORT CAN BE FOUND AT WWW.HCFCN.ORG.ADDITIONALLY, NGMC HAS PARTNERED WITH OTHER HEALTHCARE PROVIDERS IN THE COMMUNITY TO FORM THE HEALTHCARE INITIATIVE CONSORTIUM. THIS GROUP IS WORKING WITH A LOCAL UNIVERSITY TO DEVELOP AN ONGOING DATABASE OF FIVE DATA ELEMENTS THAT WILL GIVE THE COMMUNITY UP-TO-DATE INFORMATION ON THE HEALTH ISSUES AFFECTING ITS RESIDENTS. THE FIVE DATA ELEMENTS BEING PLANNED TO COLLECT ARE: BMI (HEIGHT/WEIGHT), A1C, BLOOD PRESSURE, CHOLESTEROL, LDL, AND MICRO ALBUMEN. THIS WILL GIVE US INFORMATION RELATED TO THE FOLLOWING HEALTH ISSUES: OBESITY, DIABETES, CARDIOVASCULAR DISEASE AND HYPERTENSION.COUNTY BY COUNTY DATA HAS ALSO BEEN MADE AVAILABLE THROUGH THE "PARTNER UP! FOR PUBLIC HEALTH CAMPAIGN." THIS IS A STATE WIDE ADVOCACY CAMPAIGN FUNDED BY THE HEALTHCARE GEORGIA FOUNDATION DESIGNED TO ADVANCE PUBLIC HEALTH IN GEORGIA. MORE INFORMATION AND THE DATA BY COUNTY CAN BE FOUND AT WWW.TOGETHERWECANDOBETTER.COM. THE HALL COUNTY HEALTH DEPARTMENT ALSO SHARES ITS HEALTH RISK SNAPSHOTS FOR COUNTIES IN THE SERVICE AREA, WHICH FOCUSES ON POPULATION TRENDS, YOUTH RISK, INFANT RISK, GENERAL RISK, STUDENT SUBSTANCE ABUSE, TOP CAUSES OF DEATH AND WIC NUTRITION PROGRAM INFORMATION.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: NORTHEAST GEORGIA MEDICAL CENTER POSTS NOTICES AT ALL REGISTRATION AREAS TO INFORM PATIENTS AND FAMILIES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. ALL UNINSURED PATIENTS ADMITTED TO THE HOSPITAL ARE CONTACTED BY THE FINANCIAL ASSISTANCE DEPARTMENT AND SCREENED FOR ELIGIBILITY FOR MEDICAID, INDIGENT CARE, AND OTHER ASSISTANCE AS APPROPRIATE. THE CHARITY/INDIGENT POLICY AND INFORMATION FOR APPLICATION FOR THESE FUNDS IS PRINTED IN THE FINANCIAL SECTION OF THE PATIENT HANDBOOK. THE SAME MESSAGE IS PRINTED ON ALL PATIENT STATEMENTS AND IS POSTED ON THE ORGANIZATION'S WEBSITE AS WELL.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: THE HEALTH SYSTEM'S TOTAL SERVICE AREA ("TSA") EXPERIENCED AN AVERAGE POPULATION GROWTH OF 3.4% PER YEAR FROM 2000 TO 2010; THIS WAS DOUBLE THE STATE RATE OF 1.7% FOR GEORGIA OVER THAT SAME 10-YEAR TIME PERIOD. PROJECTING OUT TO 2014, THE TSA'S POPULATION IS EXPECTED TO CONTINUE GROWING AT A SIGNIFICANTLY HIGHER RATE THAN GEORGIA AS A WHOLE. SIGNIFICANT POPULATION GROWTH IN THE SERVICE AREA WILL CONTINUE TO DRIVE ABOVE AVERAGE DEMAND FOR HEALTH CARE SERVICES.UNEMPLOYMENT DATA FOR THE REGION ILLUSTRATES THE REGION'S ECONOMY IS MORE RESILIENT THAN THAT OF THE STATE OF GEORGIA AND THE NATION AS A WHOLE DURING ECONOMIC DOWNTURNS.IN 2013, NORTHEAST GEORGIA MEDICAL CENTER BROKE GROUND ON A NEW 100-BED INPATIENT HOSPITAL AT NGMC'S RIVER PLACE CAMPUS IN THE SOUTHEASTERN CORNER OF HALL COUNTY. THE PROPERTY COMPRISES 119 ACRES AND CURRENTLY CONTAINS ONE MEDICAL OFFICE BUILDING HOUSING MEDICAL-PRACTICE AND OTHER MEDICAL-RELATED OFFICES. AT LEAST TWO MORE MEDICAL OFFICE BUILDINGS ARE PLANNED FOR THE RIVER PLACE CAMPUS. (NOTE: THE STATE OF GEORGIA REGULATES THE CONSTRUCTION OF NEW HOSPITALS AND HOSPITAL BEDS ALONG WITH A VARIETY OF OTHER HEALTHCARE SERVICES AND RELATED EXPENDITURES THROUGH ITS CERTIFICATE OF NEED ("CON") LAW. GAINING REGULATORY APPROVAL IN LATE 2006, NGMC'S NEW HOSPITAL IS THE FIRST INCREMENTAL HOSPITAL (I.E., NOT A REPLACEMENT OR CONSOLIDATION OF EXISTING HOSPITAL(S)) APPROVED IN GEORGIA IN MORE THAN 20 YEARS. THE LAST DECADE OR MORE OF POPULATION GROWTH IN THIS AREA OF THE STATE HAS RESULTED IN HIGH, UNMET DEMAND FOR INPATIENT HOSPITAL BEDS ACCORDING TO THE STATE'S OWN CON "NEED" CALCULATIONS.)IN LATE 2011, NGMC AND THE GREATER HALL CHAMBER OF COMMERCE ENGAGED GEORGIA TECH'S ENTERPRISE INNOVATION INSTITUTE TO EXAMINE THE POTENTIAL FISCAL AND ECONOMIC IMPACTS OF THE NEW HOSPITAL. OVERALL, THE FISCAL AND ECONOMIC IMPACTS OF THE HOSPITAL AND MEDICAL OFFICE COMPLEX ARE VERY ADVANTAGEOUS TO THE COUNTY GOVERNMENT AND TO THE COUNTY SCHOOL DISTRICT. SOME OF THE STUDY'S RESULTS ARE AS FOLLOWS: - IMPACT: THE FISCAL IMPACT OF THE HOSPITAL ON HALL COUNTY'S GOVERNMENT IS MEASURED BY THE 20-YEAR NPV (NET PRESENT VALUE), WHICH COMES TO $3,770,955. - IMPACT: THE FISCAL IMPACT OF THE HOSPITAL ON HALL COUNTY'S SCHOOL SYSTEM COMES TO A 20-YEAR NPV OF $4,973,998. - IMPACT: THE FISCAL IMPACT OF THE MEDICAL OFFICE COMPLEX OF PROVIDERS AND NON-PROVIDERS ON HALL COUNTY'S GOVERNMENT COMES TO A 20-YEAR NPV OF $4,664,663. - IMPACT: THE FISCAL IMPACT OF THE MEDICAL OFFICE COMPLEX OF PROVIDERS AND NON-PROVIDERS ON HALL COUNTY'S SCHOOL SYSTEM COMES TO A 20-YEAR NPV OF $7,674,804.THE HEALTH SYSTEM ANTICIPATES INVESTING CLOSE TO $200 MILLION ON THE NEW HOSPITAL CAMPUS OVER THE NEXT 5 YEARS TO MEET THE WELL-ESTABLISHED DEMAND IN THAT COMMUNITY FOR HEALTHCARE AND INPATIENT HOSPITAL SERVICES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 5: NORTHEAST GEORGIA MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPRISED OF 15 MEMBERS AND INCLUDES REPRESENTATIVES FROM THE MEDICAL STAFF AND THE COMMUNITIES SERVED BY NORTHEAST GEORGIA MEDICAL CENTER. BOARD MEMBERS PROVIDE LEADERSHIP THAT SUPPORTS THE ORGANIZATION'S MISSION TO IMPROVE THE HEALTH OF THE COMMUNITY. NORTHEAST GEORGIA MEDICAL CENTER EXTENDS OPEN MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS FOR MOST SERVICES, WITH THE EXCEPTION OF SOME EXCLUSIVE CONTRACT SERVICES SUCH AS PATHOLOGY, RADIOLOGY AND ANESTHESIOLOGY. ALL PHYSICIANS UNDERGO AN EXTENSIVE CREDENTIALING PROCESS PRIOR TO BEING GRANTED MEDICAL STAFF PRIVILEGES. THE MEDICAL CENTER CONDUCTS PHYSICIAN MANPOWER STUDIES TO DETERMINE THE NUMBER OF PHYSICIANS NEEDED BY SPECIALTY TO MEET COMMUNITY NEED. INFORMATION FROM THESE STUDIES IS USED TO HELP GUIDE DECISIONS FOR PHYSICIAN RECRUITMENT. ALL REVENUES IN EXCESS OF EXPENSES ARE REINVESTED INTO HEALTHCARE SERVICES FOR THE COMMUNITY AND NO PROFITS ACCRUE TO INDIVIDUAL INVESTORS. THE MEDICAL CENTER'S CHARITY CARE POLICY HELPS ENSURE ACCESS TO HOSPITAL SERVICES TO LOW INCOME PATIENTS. I.E. PATIENTS WITH A FAMILY INCOME OF LESS THAN OR 150% OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR A 100% CHARITY ADJUSTMENT, WHICH MEANS THAT THEY SERVICES ARE FREE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6: NORTHEAST GEORGIA MEDICAL CENTER (NGMC) IS AN AFFILIATE OF NORTHEAST GEORGIA HEALTH SYSTEM. OTHER AFFILIATES INCLUDE NORTHEAST GEORGIA PHYSICIANS GROUP, THE MEDICAL CENTER FOUNDATION, AND NORTHEAST GEORGIA HEALTH PARTNERS.THE MISSION OF NORTHEAST GEORGIA MEDICAL CENTER AND ALL RELATED AFFILIATES IS "TO IMPROVE THE HEALTH OF THE COMMUNITY IN ALL WE DO." AS A NOT-FOR-PROFIT HOSPITAL, NGMC TREATS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND IS ACCOUNTABLE TO THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE FOR THE PROVISION OF CHARITABLE SERVICES TO THE COMMUNITY. NORTHEAST GEORGIA MEDICAL CENTER PROVIDES ACUTE AND SPECIALTY INPATIENT AND OUTPATIENT SERVICES FOR A 13-COUNTY REGIONAL COMMUNITY AND RECEIVES NO LOCAL TAX SUPPORT FROM ANY OF THOSE COUNTIES FOR OPERATIONS OR INDIGENT CARE. THE MEDICAL CENTER FOUNDATION HELPS SUPPORT THE MISSION OF NORTHEAST GEORGIA HEALTH SYSTEM THROUGH FUNDRAISING INITIATIVES THAT IMPROVE SERVICES OFFERED AT NGMC, AS WELL HEALTH-FOCUSED SERVICES IN THE COMMUNITY. NORTHEAST GEORGIA HEALTH PARTNERS WORKS TO BUILD COLLABORATIVE RELATIONSHIPS BETWEEN HOSPITALS, PHYSICIANS AND OTHER HEALTHCARE PROVIDERS, EMPLOYERS AND THE EMPLOYEES THEY REPRESENT THROUGH INSURANCE PRODUCTS THAT HELP SUPPORT PATIENT ACCESS TO HEALTHCARE SERVICES THROUGHOUT THE REGION.NORTHEAST GEORGIA PHYSICIANS GROUP IS A MULTI-SPECIALTY GROUP WITH MORE THAN 125 PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND OTHER CLINICAL STAFF PROVIDING HEALTHCARE SERVICES AT 30 LOCATIONS THROUGHOUT NORTHEAST GEORGIA, WHICH FURTHER IMPROVES THE 13-COUNTY REGIONAL COMMUNITY'S ACCESS TO CARE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>REPORTS FILED WITH STATES</Identifier>
        <ReturnReference>PART VI, LINE 7</ReturnReference>
        <Explanation>GA</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN CANCER SOCIETY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 102454</AddressLine1>
          <City>ATLANTA</City>
          <State>GA</State>
          <ZIPCode>30368</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131788491</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>9226</AmountOfCashGrant>
        <PurposeOfGrant>RELAY FOR LIFE SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNITED WAY OF HALL COUNTY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 2656</AddressLine1>
          <City>GAINESVILLE</City>
          <State>GA</State>
          <ZIPCode>30503</ZIPCode>
        </AddressUS>
        <EINOfRecipient>586011393</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>GOLD SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>GOOD NEWS CLINIC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>810 PINE STREET</AddressLine1>
          <City>GAINESVILLE</City>
          <State>GA</State>
          <ZIPCode>30501</ZIPCode>
        </AddressUS>
        <EINOfRecipient>582058853</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>188375</AmountOfCashGrant>
        <PurposeOfGrant>DONATION EXTENSION FOR OPERATING COSTS.</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>3</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: THE MAJORITY OF GRANTS ARE TO 501(C)(3) ORGANIZATIONS. BOARD APPROVAL IS OBTAINED PRIOR TO DISBURSEMENT.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>JAY HORTENSTINE MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>416701</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>21402</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>8575</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>21936</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>468614</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN A WILLIAMSON</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>220647</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>82182</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>17598</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>47049</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>19896</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>387372</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>23944</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CAROL H BURRELL</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>536948</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>216779</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>34127</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>244912</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>29410</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1062176</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ANTHONY M HERDENER</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>323784</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>119538</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>32058</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>127599</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>29517</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>632496</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>NANCY J MARTIN</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>197645</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>86818</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>4391</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>63282</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>14479</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>366615</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>24159</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DANE W HENRY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>193103</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>81773</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>637</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>28166</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>11958</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>315637</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>19922</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TRACY M VARDEMAN</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>178070</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>65296</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>17409</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>46653</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>21472</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>328900</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>20058</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES BAILEY MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>587000</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>22015</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>8575</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>21383</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>638973</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SAMUEL O JOHNSON</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>303045</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>82508</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>20705</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>49725</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>23128</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>479111</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SANDRA K JOHNSON</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>187019</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>58623</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>1394</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>29078</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>11265</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>287379</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ALLANA L CUMMINGS</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>288294</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>91771</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>23797</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>44795</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>9054</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>457711</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES WALKER</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>208878</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>44225</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>19279</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>30678</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>19559</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>322619</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LINDA NICHOLSON</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>153049</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>71188</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>16309</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>59118</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>16628</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>316292</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>18806</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAUL G VERVALIN</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>249931</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>83854</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>6241</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>37032</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>24040</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>401098</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>13069</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEPHEN A CARLSON</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>147080</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>17904</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>1980</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>22817</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>13635</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>203416</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DEBRA DUKE</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>131649</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>17238</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>7140</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>19309</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>19120</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>194456</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARY L MARTIN</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>130296</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>16773</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>1601</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>27012</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>16758</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>192440</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RANDALL P MILLER</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>239493</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>670</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>24470</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>6658</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>271291</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID E PATTERSON</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>193078</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>997</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>6933</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>13879</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>214887</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM LONERGAN</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>130831</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>18341</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>8354</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>19972</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>19058</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>196556</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHRISTOPHER PARAVATE</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>146647</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>18345</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>300</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>3027</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>23277</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>191596</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>PART I, LINE 4B - EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN ANTHONY M. HERDENER $ 91,809 PAUL G. VERVALIN $ 28,457 TRACY M. VARDEMAN $ 25,371 SANDRA K. JOHNSON $ 24,117 LINDA NICHOLSON $ 21,347 JAMES WALKER $ 24,257 CAROL H. BURRELL $212,828 DANE W. HENRY $ 24,330 NANCY J. MARTIN $ 25,047 ALLANA L.CUMMINGS $ 39,012 SAMUEL O. JOHNSON $ 41,150 JOHN A. WILLIAMSON $ 30,656 EMPLOYER PAYMENT FROM 457(F) PLAN (INCLUDING VESTED EARNINGS ON PREVIOUSLY REPORTED COMPENSATION): NANCY J. MARTIN $24,503 TRACY M. VARDENMAN $21,487 DANE W. HENRY $21,341 JOHN A. WILLIAMSON $25,649 LINDA NICHOLSON $20,145 PAUL G. VERVALIN $14,000</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2010A)</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>586002388</IssuerEIN>
        <CUSIPNumber>362762KB1</CUSIPNumber>
        <DateIssued>2010-02-18</DateIssued>
        <IssuePrice>311522031</IssuePrice>
        <DescriptionOfPurpose>REFUND PRINCIPAL AND INTEREST OF SERIES 2007G AND SERIES 2008B-H BONDS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2010B)</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>586002388</IssuerEIN>
        <CUSIPNumber>362762KS4</CUSIPNumber>
        <DateIssued>2010-02-18</DateIssued>
        <IssuePrice>246724247</IssuePrice>
        <DescriptionOfPurpose>REFUND PRINCIPAL AND INTEREST OF SERIES 2007G AND SERIES 2008B-H BONDS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>THE HOSPITAL AUTHORITY OF HALL COUNTY AND THE CITY OF GAINESVILLE (2008A)</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>586002388</IssuerEIN>
        <CUSIPNumber>NONEAVAIL</CUSIPNumber>
        <DateIssued>2011-08-26</DateIssued>
        <IssuePrice>46625000</IssuePrice>
        <DescriptionOfPurpose>REFUND PRINCIPAL AND INTEREST OF SERIES 2008A</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>311750801</TotalProceeds>
        <AmountInReserveFund>25032358</AmountInReserveFund>
        <IssuanceCostsFromProceeds>7297582</IssuanceCostsFromProceeds>
        <CapitalExpenditures>41879678</CapitalExpenditures>
        <AmountUnspent>15603699</AmountUnspent>
        <YearOfSubstCompletion>2013</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>0</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>246723080</TotalProceeds>
        <AmountInReserveFund>19528659</AmountInReserveFund>
        <IssuanceCostsFromProceeds>703</IssuanceCostsFromProceeds>
        <YearOfSubstCompletion>2013</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>46625000</TotalProceeds>
        <RefundingEscrow>46425000</RefundingEscrow>
        <IssuanceCostsFromProceeds>200000</IssuanceCostsFromProceeds>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>1</EngageBondCounselContracts>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <EngageBondCounselResearch>1</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00280</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00020</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00300</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>1</EngageBondCounselContracts>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <EngageBondCounselResearch>1</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00280</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00020</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00300</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>1</EngageBondCounselContracts>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <EngageBondCounselResearch>1</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00280</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00020</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00300</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>JP MORGAN</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>20.000000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>JP MORGAN</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>20.000000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>CITIBANK NA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>15.000000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>THE LONGSTREET CLINIC PC</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>RODNEY SMITH, BOARD MEMBER IS A PARTNER OF THE LONGSTREET CLINIC, P.C.</Relationship>
        <AmountOfTransaction>877294</AmountOfTransaction>
        <DescriptionOfTransaction>NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS THE LONGSTREET CLINIC, P.C. FOR HOSPITALIST AND PHYSICIAN SERVICES. RODNEY SMITH, BOARD MEMBER IS A PARTNER OF THE LONGSTREET CLINIC, P.C. ALL TRANSACTIONS ARE CONDUCTED AT ARM'S LENGTH.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>ADAMS DATA MANAGEMENT</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>SPENCER PRICE, BOARD MEMBER IS CFO OF ADAMS DATA MANAGEMENT</Relationship>
        <AmountOfTransaction>236554</AmountOfTransaction>
        <DescriptionOfTransaction>NORTHEAST GEORGIA MEDICAL CENTER, INC. PAYS ADAMS DATA MANAGEMENT FOR RECORDS MANAGEMENT AND OFFICE SERVICES. SPENCER PRICE, BOARD MEMBER IS CFO OF ADAMS DATA MANAGEMENT. ALL TRANSACTIONS ARE CONDUCTED AT ARM'S LENGTH.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>STACEY CUMMINGS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>STACEY CUMMINGS IS SISTER TO ALLANA CUMMINGS, OFFICER.</Relationship>
        <AmountOfTransaction>61405</AmountOfTransaction>
        <DescriptionOfTransaction>STACEY CUMMINGS IS EMPLOYED BY NORTHEAST GEORGIA MEDICAL CENTER, INC.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>AUNDREA STEVENS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>AUNDREA STEVENS IS SISTER TO JACK KEENER, BOARD MEMBER.</Relationship>
        <AmountOfTransaction>75016</AmountOfTransaction>
        <DescriptionOfTransaction>AUNDREA STEVENS IS EMPLOYED BY NORTHEAST GEORGIA MEDICAL CENTER, INC.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>RACHEL BAILEY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>RACHEL BAILEY IS WIFE TO JAMES BAILEY M.D., BOARD MEMBER.</Relationship>
        <AmountOfTransaction>52829</AmountOfTransaction>
        <DescriptionOfTransaction>RACHEL BAILEY IS EMPLOYED BY NORTHEAST GEORGIA MEDICAL CENTER, INC.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>NORTHEAST GEORGIA HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF NORTHEAST GEORGIA MEDICAL CENTER, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA MEDICAL CENTER ARE APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS OF NORTHEAST GEORGIA MEDICAL CENTER ARE APPOINTED BY THE BOARD OF NORTHEAST GEORGIA HEALTH SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>INFORMATION FOR THE FORM 990 WAS PROVIDED TO AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT FOR PREPARATION OF RETURN. AFTER THE RETURN WAS PREPARED, IT WAS REVIEWED BY SENIOR FINANCIAL MANAGEMENT. THE 990 IS MADE AVAILABLE TO MEMBERS OF THE BOARD PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. EMPLOYEES ATTEST TO THEIR UNDERSTANDING AND REPORTING/DISCLOSURE REQUIREMENTS AT HIRE AND ANNUALLY. COMPLIANCE IS MONITORED CONTINUOUSLY THROUGHOUT THE YEAR BY THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE COMPENSATION COMMITTEE OF THE NORTHEAST GEORGIA HEALTH SYSTEM BOARD (NGHS BOARD) HAS DEVELOPED AND INSTALLED COMPENSATION POLICIES AND PROCEDURES THAT SEEK TO FURTHER THE PURPOSE OF NGHS AND AFFILIATES AND TO ATTRACT AND RETAIN KEY EMPLOYEES. THE COMPENSATION COMMITTEE IS COMPOSED OF VOTING DIRECTORS WHO ARE NOT EMPLOYEES OF NGHS. ALL DECISIONS OF THE COMPENSATION COMMITTEE ARE REVIEWED AND RATIFIED BY THE NGHS BOARD. THE COMMITTEE'S METHODOLOGY AND APPROACH INCORPORATES BOTH QUALITATIVE AND QUANTITATIVE CONSIDERATIONS, WHICH ARE REFLECTED IN THE COMMITTEE'S DETERMINATIONS CONCERNING KEY EMPLOYEE COMPENSATION AND THE SPECIFIC COMPONENTS THEREOF. THE COMPENSATION DECISIONS OF THE COMMITTEE ARE DESCRIBED BELOW AS TO EACH OF THE THREE CATEGORIES. BASE SALARY ANNUAL BASE SALARIES ARE SET AT COMPETITIVE LEVELS WITH HEALTHCARE INSTITUTIONS OF A SIMILAR SIZE AND COMPLEXITY FROM THROUGHOUT THE COUNTRY. SPECIFICALLY THE COMMITTEE CONSIDERS PEER GROUP COMPARISONS FROM SURVEY DATA FOR OTHER HEALTH SYSTEMS, RECOMMENDATIONS FROM AN INDEPENDENT COMPENSATION CONSULTANT, RECOMMENDATIONS ON RANGES AND PLACEMENT FROM THE CEO, AND INDIVIDUAL PERFORMANCE ASSESSMENTS FOR EACH POSITION. IN EACH INSTANCE THE COMMITTEE MEMBERS REACH A CONSENSUS BASED ON THE COMBINATION OF AVAILABLE INFORMATION, AND THE COMMITTEE SETS A BASE SALARY LEVEL FOR EACH KEY EMPLOYEE. PERFORMANCE BASED VARIABLE COMPENSATION NUMEROUS PERFORMANCE GOALS ARE QUANTITATIVE IN NATURE, RESULTING IN A PERFORMANCE BASED VARIABLE COMPENSATION COMPONENT THAT IS WEIGHTED TOWARD ATTAINING NGHS BOARD-APPROVED GOALS AND OBJECTIVES. ANNUAL GOALS AND OBJECTIVES ARE ESTABLISHED THROUGH A FORMAL PLANNING PROCESS INVOLVING BOARD AND COMMUNITY MEMBERS. THE BOARD APPROVES THESE GOALS AND OBJECTIVES AT THE BEGINNING OF EACH YEAR. OFFICERS AND KEY EMPLOYEES RECEIVE CASH AWARDS AS A FORMULA DRIVEN PERCENTAGE OF BASE SALARY LEVELS BASED ON ACHIEVEMENT AND PREDETERMINED INDIVIDUAL OBJECTIVES. BENEFITS AND RETENTION PROGRAMS BENEFIT CATEGORIES AND AMOUNTS ARE DETERMINED BY A COMPARISON PROCESS SIMILAR TO DETERMINING BASE SALARIES WITH POSITIONS AND ORGANIZATIONS SIMILAR TO NGHS. INCLUDED IN BENEFITS ARE RETIREMENT PROGRAMS TO ENHANCE RETENTION AND PROGRESS TOWARD LONG-TERM GOALS WITHIN NGHS' MISSION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>FINANCIAL STATEMENTS AND STATISTICS ARE FILED QUARTERLY WITH DIGITAL ASSURANCE CERTIFICATION, LLC (DAC BOND). DAC BOND SERVES AS A DISCLOSURE DISSEMINATION AGENT FOR ISSUERS OF MUNICIPAL BONDS ELECTRONICALLY POSTING AND TRANSMITTING INFORMATION TO REPOSITORIES AND INVESTORS. ALL OTHER ITEMS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 47,414,041. EQUITY TRANSFER TO THE MEDICAL CENTER FOUNDATION -932,162. INTERCOMPANY DEBT FORGIVENESS -62,390,143. PARTNERSHIP INCOME NOT ON BOOKS -338,846. CUMMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -55,000. TOTAL TO FORM 990, PART XI, LINE 5: -16,302,110.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART III. LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:</ReturnReference>
        <Explanation>LOCATED IN THE NORTHEASTERN SECTION OF THE STATE IN HALL COUNTY, NORTHEAST GEORGIA MEDICAL CENTER (NGMC) IS A 557-BED NOT-FOR-PROFIT REGIONAL REFERRAL FACILITY THAT PROVIDES A COMPREHENSIVE RANGE OF ACUTE CARE AND SPECIALTY SERVICES. THROUGH ITS ROLE AS A REGIONAL SAFETY NET HOSPITAL, NGMC SERVES THE AREA'S LOW-INCOME, UNINSURED, UNDERINSURED AND OTHER VULNERABLE POPULATIONS. APPROXIMATELY HALF OF NGMC'S PATIENTS COME FROM OUTSIDE OF HALL COUNTY. AS A NOT-FOR-PROFIT HOSPITAL, NGMC REINVESTS ALL FUNDS IN EXCESS OF OPERATING EXPENSES INTO HEALTHCARE SERVICES FOR THE COMMUNITY. THE MEDICAL CENTER RECEIVES NO OPERATING FUNDS FROM HALL OR OTHER COUNTIES SERVED, AND SERVICES ARE FUNDED BY REVENUE GENERATED FROM OPERATIONS. NGMC PROVIDED INDIGENT CARE TO HALL COUNTY RESIDENTS AT A COST OF $15.6 MILLION IN 2012, WITH ANOTHER $9.2 MILLION PROVIDED TO REGIONAL RESIDENTS OUTSIDE HALL COUNTY. THE MEDICAL CENTER'S CHARITY CARE POLICY PROVIDES FINANCIAL ASSISTANCE UP TO 300 PERCENT OF THE POVERTY LEVEL - DOUBLE THE AMOUNT GENERALLY PROVIDED BY OTHER HOSPITALS ACROSS THE STATE. THE HOSPITAL IS A KEY PARTICIPANT AND FISCAL SPONSOR IN PROGRAMS AIMED AT TREATING LOW-INCOME AND UNINSURED PATIENTS, INCLUDING THE GOOD NEWS CLINICS, THE LARGEST FREE HEALTH CARE CLINIC IN GEORGIA, AND HEALTH ACCESS INITIATIVE (HAI), A LOCAL SERVICE THAT MATCHES FINANCIALLY ELIGIBLE PATIENTS TO SPECIALTY PHYSICIANS AND PROVIDES ACCESS TO CARE, AMONG OTHER SERVICES. ADDITIONALLY: - LOCATED IN GEORGIA'S FASTEST GROWING REGION, THE 62-YEAR-OLD HOSPITAL HAS EXPANDED CONSIDERABLY IN RECENT YEARS TO MEET DEMAND AND UPDATE ITS AGING PLANT, INVESTING A QUARTER OF A BILLION DOLLARS IN ITS FACILITIES; - NGMC'S QUALITY OF CARE IS OFTEN AWARDED, AND THE HOSPITAL RANKS AMONG THE TOP IN THE STATE FOR CARDIAC SERVICES; - SINCE 2000, NGMC HAS PROVIDED NEARLY THREE TIMES THE AMOUNT OF INDIGENT AND CHARITY CARE SET FORTH IN REQUIREMENTS BY THE GEORGIA DEPARTMENT OF COMMUNITY HEALTH FOR SUCCESSFUL PASSAGE OF A CERTIFICATE OF NEED FOR NEW SERVICES, AND, UNLIKE MANY GEORGIA NOT-FOR-PROFIT HOSPITALS HELD TO THE SAME REQUIREMENTS, NGMC DOES NOT RECEIVE TAX FUNDING FROM ITS LOCAL COUNTY TO HELP FUND INDIGENT CARE TO AREA RESIDENTS; - NGMC IS THE PRIMARY HOSPITAL FOR LOW-INCOME PATIENTS IN GAINESVILLE-HALL COUNTY AND THROUGHOUT THE REGION IN COUNTIES SUCH AS BANKS, LUMPKIN, AND WHITE, WHERE MANY KEY MEDICAL SPECIALTIES ARE NOT AVAILABLE. NORTHEAST GEORGIA MEDICAL CENTER: IN 2011, THE LATEST DATA AVAILABLE, NGMC WAS FOURTH IN THE STATE FOR NET UNCOMPENSATED CARE. NGMC PROVIDED INDIGENT CARE TO HALL COUNTY RESIDENTS AT A COST OF $15.6 MILLION IN 2012, WITH ANOTHER $9.2 MILLION PROVIDED TO REGIONAL RESIDENTS OUTSIDE HALL COUNTY. NGMC RECEIVES NO LOCAL TAX REVENUE FROM HALL COUNTY OR ANY COUNTIES SERVED IN THE REGION TO SUPPORT OPERATIONS OR CARE PROVIDED TO INDIGENT RESIDENTS, UNLIKE A NUMBER OF NOT-FOR-PROFIT HOSPITALS. NGMC SERVES AS A FINANCIAL ENGINE FOR ITS LOCAL ECONOMY. IN 2009 (LATEST NUMBERS AVAILABLE), THE HOSPITAL GENERATED NEARLY A BILLION DOLLARS IN REVENUE FOR THE LOCAL ECONOMY, ACCORDING TO A REPORT BY THE GEORGIA HOSPITAL ASSOCIATION, WHICH APPLIED AN ECONOMIC MULTIPLIER TO THE HOSPITAL'S DIRECT EXPENDITURES TO ACCOUNT FOR THE "RIPPLE" EFFECT THE HOSPITAL'S SPENDING HAS ON OTHER SECTORS OF THE LOCAL ECONOMY. APPLYING AN EMPLOYMENT MULTIPLIER, THE REPORT FOUND THAT THE HOSPITAL SUSTAINED MORE THAN 8,000 JOBS IN 2009 IN ADDITION TO THE MORE THAN 4,000 EMPLOYED DIRECTLY BY NORTHEAST GEORGIA HEALTH SYSTEM. UNDER IRS LAW, A TAX-EXEMPT ORGANIZATION, CLASSIFIED AS A 501(C)(3) CHARITY, IS REQUIRED TO: HAVE A MISSION THAT WILL BENEFIT ITS COMMUNITY; REINVEST ALL SURPLUS FUNDS IN THE ORGANIZATION IN A WAY THAT BENEFITS THE COMMUNITY; COMPENSATE EXECUTIVES, CONTRACTORS AND OTHER EMPLOYEES IN ACCORDANCE TO FAIR MARKET VALUE; REMAIN ACCOUNTABLE TO THE COMMUNITY; REFRAIN FROM PARTICIPATING IN POLITICAL CAMPAIGNS FOR OR AGAINST CANDIDATES AND/OR LOBBY AS A SUBSTANTIAL PART OF ITS ACTIVITIES; AND, REMAIN FINANCIALLY ACCOUNTABLE TO THE COMMUNITY BY NOT ALLOWING ANY PORTION OF ITS NET EARNINGS TO BENEFIT ANY PRIVATE SHAREHOLDER OR INDIVIDUAL. AS A NOT-FOR-PROFIT HOSPITAL, NGMC CARRIES ADDITIONAL RESPONSIBILITIES, AS ESTABLISHED BY THE IRS IN 1965: . OPERATE A FULL-TIME EMERGENCY ROOM ("ER") THAT IS AVAILABLE TO ALL PEOPLE, REGARDLESS OF THEIR ABILITY TO PAY; - NGMC OPERATES THE 4TH BUSIEST ER IN GEORGIA. IN 2012, APPROXIMATELY 24% OF ALL NGMC'S EMERGENCY ROOM VISITS WERE MADE BY SELF-PAY PATIENTS. . PROVIDE NON-EMERGENCY SERVICES TO ANYONE ABLE TO PAY; - NORTHEAST GEORGIA HEALTH SYSTEM PROVIDES HIGH QUALITY, ADVANCED SPECIALTY AND PRIMARY HEALTHCARE SERVICES TO THE NORTHEAST GEORGIA COMMUNITY, SERVING ALMOST 700,000 PEOPLE IN MORE THAN 13 COUNTIES. IN FY12, NGMC'S PAYOR MIX WAS 58% MEDICARE/MEDICAID, 29% COMMERCIAL INSURANCE AND 13% SELF PAY . PARTICIPATE IN MEDICAID AND MEDICARE; - 58% OF PATIENTS SERVED BY NGMC IN FY12 WERE MEDICAID AND MEDICARE PATIENTS. . CREATE A GOVERNING BOARD THAT IS REPRESENTATIVE OF THE COMMUNITY IT SERVES; - MORE THAN 75 COMMUNITY MEMBERS ARE ACTIVELY INVOLVED IN GOVERNANCE THROUGH NORTHEAST GEORGIA HEALTH SYSTEM, NGMC AND OTHER SUBSIDIARY BOARDS AND COMMITTEES. . ALLOW MEDICAL STAFF PRIVILEGES TO ANY PROFESSIONAL WHO IS QUALIFIED AND APPLIES; AND, - NGMC HAS A MEDICAL STAFF OF MORE THAN 500 PHYSICIANS REPRESENTING NUMEROUS ADVANCED SPECIALTIES SUCH AS GYNECOLOGIC ONCOLOGY, ELECTROPHYSIOLOGY, CARDIAC SURGERY, CRITICAL CARE MEDICINE, NEONATOLOGY AND PERINATOLOGY. . REINVEST SURPLUS FUNDS IN OPERATIONS. - AS NOT-FOR-PROFIT ORGANIZATIONS, NGMC AND ITS PARENT ORGANIZATION, NORTHEAST GEORGIA HEALTH SYSTEM, REINVEST ALL NET OPERATING REVENUE INTO THE COMMUNITY THROUGH NEW FACILITIES, SUCH AS THE NORTH PATIENT TOWER AND WOMEN AND CHILDREN'S PAVILION, AND IN NEW ADVANCED TECHNOLOGY, SUCH AS THE REGION'S FIRST 3T MRI, THE STATE'S FIRST STEREOTAXIS ODYSSEY MAGNETIC CATHETERIZATION SYSTEM AND REGION 2'S ONLY HYPERBARIC OXYGEN THERAPY CHAMBER. NGMC PARTICIPATES IN THE INDIGENT CARE TRUST FUND (ICTF), A 20-YEAR-OLD PROGRAM THAT EXPANDS MEDICAID ELIGIBILITY AND SERVICES, SUPPORTS RURAL HEALTH CARE FACILITIES THAT SERVE THE MEDICALLY INDIGENT AND FUNDS PRIMARY HEALTH CARE PROGRAMS FOR MEDICALLY INDIGENT GEORGIANS. GEORGIA'S DISPROPORTIONATE SHARE HOSPITAL (DSH) PROGRAM IS FUNDED THROUGH THE ICTF, AND ASSISTS HOSPITALS AND OTHER HEALTH PROVIDERS THAT CARE FOR HIGH PROPORTIONS OF MEDICAID, UNINSURED AND/OR LOW-INCOME PATIENTS. IN 2012, NGMC RECEIVED $10,159,861 IN NET FUNDS ALLOCATED THROUGH THE ICTF AND UPPER PAYMENT LIMIT (UPL) PROGRAM TO PARTIALLY OFFSET A FINANCIAL LOSS OF $38.2 MILLION IN COST THE MEDICAL CENTER INCURRED TREATING UNINSURED AND MEDICAID PATIENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>COMMUNITY BENEFITS: SITUATED IN A REGION WITH AN UNINSURED RATE THAT IS HIGHER THAN THE STATE AVERAGE, AREA HEALTH CONSUMERS CAN FACE SIGNIFICANT BARRIERS IN AFFORDING CARE. NGMC HAS SIGNIFICANTLY CONTRIBUTED TO LOCAL PROGRAMS THAT AIM TO ADDRESS THESE ISSUES, PRIMARILY THROUGH ITS SUPPORT OF THE GOOD NEWS CLINICS AND HEALTH ACCESS INITIATIVE (HAI). GOOD NEWS CLINICS: WITHIN HALL COUNTY, THERE ARE SEVERAL LOW-COST ALTERNATIVES TO HELP PEOPLE AVOID CHOOSING THE HOSPITAL'S EMERGENCY DEPARTMENT FOR PRIMARY CARE SERVICES. SERVING AS THE LARGEST FREE CLINIC IN GEORGIA, THE GOOD NEWS CLINICS OFFER PRIMARY MEDICAL, OPHTHALMOLOGY SERVICES AND DENTAL CARE, AS WELL AS MEDICATIONS TO INDIGENT, HOMELESS AND LOW-INCOME INDIVIDUALS AT OR BELOW 150 PERCENT OF THE FEDERAL POVERTY LEVEL IN HALL COUNTY WHO HAVE NO HEALTHCARE INSURANCE AND CANNOT AFFORD HIS OR HER MEDICAL CARE. ALL SERVICES ARE PROVIDED FREE OF CHARGE, EVEN THOUGH THE CLINIC RECEIVES NO FEDERAL, STATE OR LOCAL GOVERNMENT FUNDING. PATIENTS WHO NEED SPECIALTY CARE ARE REFERRED TO HEALTH ACCESS INITIATIVE. SINCE 1999, NGMC HAS PROVIDED $3,598,172 IN SUPPORT OF GOOD NEWS CLINICS AND AN AVERAGE ANNUAL SUPPORT OF $306,935 FROM FY2007-2012. IN 2012, NGMC CONTRIBUTED OVER $351,142 IN FINANCIAL SUPPORT. HEALTH ACCESS INITIATIVE: LAUNCHED IN 2003, HALL COUNTY'S HEALTH ACCESS INITIATIVE (HAI) IS A REFERRAL SERVICE FOUNDED BY THE HALL COUNTY MEDICAL SOCIETY THAT MATCHES FINANCIALLY ELIGIBLE PATIENTS TO PHYSICIANS WHO HAVE VOLUNTEERED TO PROVIDE FREE TREATMENT TO PATIENTS WHO QUALIFY FOR SERVICES, PROVIDES HELP WITH OBTAINING MEDICATIONS AND OFFERS ANCILLARY SERVICES SUCH AS X-RAYS AND TRANSLATION SERVICES. HAI ALSO PROVIDES ANCILLARY SERVICES AND OUTREACH EDUCATION FOR ITS COMMUNITY, AND COLLABORATES WITH OTHER MEDICAL CENTERS, SUCH AS NGMC. IN FY12, HEALTH ACCESS PROVIDED 6,180 SPECIALTY REFERRAL PATIENT VISITS AND SERVED 1,617 PATIENTS. A NETWORK OF 200+ SPECIALTY PHYSICIANS AND NORTHEAST GEORGIA MEDICAL CENTER PROVIDED PATIENT VISITS AND INPATIENT AND OUTPATIENT SERVICES PROVIDING SPECIALTY CARE SERVICES VALUED AT $20.4 MILLION. TO QUALIFY FOR ITS SERVICES, A PATIENT'S INCOME MUST BE AT OR BELOW 150 PERCENT FEDERAL POVERTY LEVEL AND HAVE NO MEDICAL INSURANCE. THE PATIENT MUST LIVE IN HALL COUNTY AND MUST BE REFERRED BY A PHYSICIAN THAT IS IN THE HAI NETWORK. FIRST CONCEIVED IN 1998, THE NEED FOR THE PROGRAM WAS LARGELY DETERMINED BY A COMMUNITY NEEDS ASSESSMENT CONDUCTED BY HEALTHY HALL, A COALITION OF COMMUNITY MEMBERS, INCLUDING NGMC. SINCE ITS LAUNCH, THE HOSPITAL HAS FISCALLY CONTRIBUTED TO HAI. IN ADDITION, SINCE 2005, HAI HAS RECEIVED MORE THAN $1,288,695 FROM THE MEDICAL CENTER FOUNDATION. OTHER HAI PARTNERS INCLUDE THE HALL COUNTY HEALTH DEPARTMENT AND MEDLINK OF GAINESVILLE, A FEDERALLY QUALIFIED HEALTH CENTER. IN 2006, HEALTHCARE GEORGIA FOUNDATION NAMED THE HAI PROGRAM "COMMUNITY SERVICE COLLABORATIVE OF THE YEAR." NGMC ALSO PLAYS A MAJOR ROLE IN FUNDING A PRIMARY CARE CLINIC AT THE HALL COUNTY HEALTH DEPARTMENT TO IMPROVE ACCESS TO PRIMARY HEALTHCARE SERVICES FOR LOW-INCOME PEOPLE IN OUR COMMUNITY. IN FY12, NGMC CONTRIBUTED OVER $1.2 MILLION. IN FY11, NORTHEAST GEORGIA MEDICAL CENTER RECEIVED A NATIONAL CHARITABLE HEALTHCARE AWARD FROM JACKSON HEALTHCARE FOR COLLABORATIVE SUPPORT OF GOOD NEWS CLINICS AND HEALTH ACCESS INITIATIVE. ADDITIONAL HIGHLIGHTS OF COMMUNITY BENEFIT PROGRAMS: NGMC VALUES COOPERATIVE EFFORTS WITH COMMUNITY SERVICES AND OTHER HEALTHCARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF AREA CITIZENS. NGMC DEMONSTRATES ITS VALUE FOR COLLABORATIVE EFFORTS WITHIN THE COMMUNITY THROUGH MANY PARTNERSHIPS RANGING FROM SERVING AS LEAD AGENCY OF THE SAFE KIDS COALITION OF GAINESVILLE-HALL COUNTY, TO PARTNERING WITH COMMUNITY HEALTH ORGANIZATIONS, TO HELPING REACH AT-RISK POPULATIONS IN NEED OF HEALTHCARE. IN FY12, OVER $4.8 MILLION WAS PROVIDED IN COMMUNITY BENEFIT PROGRAMS/OUTREACH. COMMUNITY EDUCATION WAS PROVIDED THROUGH FREE COMMUNITY LECTURES, VARIOUS SUPPORT GROUPS, AND THE SEMI-ANNUAL HEALTH MAGAZINE, COMMUNICARE. PRESENTATIONS WERE MADE THROUGH THE SPEAKER'S BUREAU, AND NGMC ALSO OFFERED SMOKING CESSATION CLASSES, AS WELL AS LIVING LIGHTER, A WEIGHT LOSS PROGRAM. NGMC OFFERED SEVEN FREE COMMUNITY EDUCATION SEMINARS IN 2012 ON TOPICS INCLUDING COLORECTAL CANCER, HEALTH TIPS FOR SENIORS, WOMEN'S HEALTH EDUCATION AND MORE. THESE SEMINARS GENERATED MORE THAN 400 PARTICIPANTS AND MANY DIFFERENT PHYSICIANS FROM PRACTICES THROUGHOUT THE COMMUNITY PARTICIPATED IN THE SEMINARS. HIGHLIGHTS OF COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES: PARTNERING TO REACH THE UNINSURED: HEALTH ACCESS INITIATIVE, GOOD NEWS CLINICS, AND HALL COUNTY HEALTH DEPARTMENT. NGMC CONTINUES PARTNERING WITH OTHERS IN THE COMMUNITY ON THE ISSUE OF REACHING THE UNINSURED OR UNDERSERVED WITH THE HEALTHCARE THEY NEED. NGMC IS AN ACTIVE MEMBER AND PARTNER WITH INITIATIVES AIMED AT THIS IMPORTANT ISSUE SUCH AS HEALTH ACCESS INITIATIVE (HAI). IN 2012, HAI INITIATIVE BENEFITTED FROM MAJOR FUNDING THROUGH THE MEDICAL CENTER FOUNDATION'S (MCF) HEALTHY JOURNEY CAMPAIGN. THE MEDICAL CENTER ALSO PROVIDED OFFICE SPACE AS AN IN-KIND DONATION. BY AGREEMENT, HAI CLIENTS UTILIZE BOTH INPATIENT AND DIAGNOSTIC SERVICES AT THE MEDICAL CENTER. HAI ENROLLS ADULT (18 - 64-YEAR-OLDS) RESIDENTS OF HALL COUNTY WHO ARE UNINSURED AND NOT ELIGIBLE FOR OTHER PUBLIC PROGRAMS AND ARE AT OR BELOW 150% OF FEDERAL POVERTY LEVEL ($30,000 FOR A FAMILY OF 4). CLOSE TO ONE-FOURTH OF THE HALL COUNTY POPULATION (22%) HAS INCOME BELOW 150% OF THE FEDERAL POVERTY LEVEL GUIDELINES (US CENSUS, 2000). APPROXIMATELY 21% OF THE POPULATION IN HALL COUNTY IS UNINSURED. FUNDING FROM NGMC ALSO HELPS PROVIDE MEDICATIONS, MEDICAL SUPPLIES AND OTHER SUPPORT FOR GOOD NEWS CLINICS - THE LARGEST FREE CLINIC IN GEORGIA. FOUNDED IN 1992, GOOD NEWS CLINICS IS A CHRISTIAN MINISTRY THAT PROVIDES MEDICAL CARE TO THE INDIGENT AND UNINSURED POPULATION AT NO CHARGE. IN FY12, OVER $350,000 WAS DONATED TO HELP GOOD NEWS CLINICS PROVIDE CARE TO INDIGENT PATIENTS WHO WERE AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES AND DID NOT QUALIFY FOR OTHER PROGRAMS. NGMC PLAYS A MAJOR ROLE IN FUNDING A PRIMARY CARE CLINIC AT THE HALL COUNTY HEALTH DEPARTMENT TO IMPROVE ACCESS TO PRIMARY HEALTHCARE SERVICES FOR LOW-INCOME PEOPLE IN OUR COMMUNITY. IN FY12, NGMC CONTRIBUTED OVER $1.2 MILLION. NGMC VOLUNTEERS: IN FY12, NEARLY 600 NGMC VOLUNTEERS CONTRIBUTED MORE THAN 56,000 VOLUNTEER HOURS, EQUIVALENT TO 27 FULL TIME EMPLOYEES AND A VALUE OF OVER $1.2 MILLION. WHILE THESE FIGURES ARE NOT INCLUDED IN THE QUANTITATIVE PORTION OF THE COMMUNITY BENEFIT REPORT, THEY SHOW THE DEPTH OF SUPPORT THE COMMUNITY GIVES NGMC. THE TEEN VOLUNTEER PROGRAM HAD 106 TEENS TO PARTICIPATE IN 2012. THE TEENS CAME FROM 8 COUNTIES AND REPRESENTED 27 DIFFERENT SCHOOLS WITHIN THE AREA. THE MEDICAL CENTER FOUNDATION RAISES FUNDS TO BENEFIT THE COMMUNITY: THE MCF IS THE FUNDRAISING ARM OF NGMC AND NGHS AND RAISES FUNDS TO IMPROVE THE HEALTH OF THE COMMUNITY. THE FOUNDATION'S OPERATING EXPENSES ARE SUPPORTED BY NGMC SO THAT DONATED FUNDS CAN BE USED TO SUPPORT NGMC PROJECTS AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. FOLLOWING ARE ITEMS OF INTEREST TO NOTE: - THE 2011 MEDICAL CENTER OPEN GOLF TOURNAMENT, HELD IN FY12, RAISED OVER $233,000 TO BENEFIT MY SISTER'S PLACE TO CARE FOR HOMELESS WOMEN AND THEIR CHILDREN IN OUR COMMUNITY. - SINCE 1997, OVER $3.4 MILLION HAS BEEN RAISED FOR COMMUNITY HEALTH IMPROVEMENT PROJECTS THROUGH THE MEDICAL CENTER OPEN. - W.A.T.C.H. (WE ARE TARGETING COMMUNITY HEALTHCARE)MEMBERS HAVE DONATED MORE THAN $4 MILLION TO SUPPORT THE HEALTHY JOURNEY CAMPAIGN SINCE THE PROGRAM'S INCEPTION IN 2000. SAFE KIDS COALITION WORKS TO KEEP KIDS SAFE: THE GAINESVILLE-HALL COUNTY SAFE KIDS COALITION, LED BY NGMC, IS PART OF THE NATIONAL SAFE KIDS CAMPAIGN, THE FIRST AND ONLY NATIONAL ORGANIZATION DEDICATED SOLELY TO THE PREVENTION OF UNINTENTIONAL CHILDHOOD INJURY, WHICH IS THE NATION'S NUMBER ONE KILLER OF CHILDREN AGES 14 AND UNDER. THIS PROGRAM PROVIDES AFFORDABLE SAFETY EQUIPMENT SUCH AS CAR SEATS AND BIKE HELMETS TO AREA CHILDREN IN NEED. WORKING WITH A COALITION MADE UP OF LAW ENFORCEMENT, AREA SCHOOLS, COMMUNITY VOLUNTEERS AND OTHERS, SAFE KIDS PROVIDES EDUCATIONAL MATERIALS AND PROGRAMS THAT TEACH CHILDREN AND THEIR PARENTS HOW TO AVOID ACCIDENTS AND INJURIES. SAFE KIDS CONTINUED THE WORK OF INJURY PREVENTION FOR FAMILIES IN THE HALL COUNTY COMMUNITY IN 2012 THANKS TO THE SUPPORT OF MCF AND THE HEALTHY JOURNEY CAMPAIGN. IN FY12, MEMBERS OF THE GAINESVILLE-HALL COUNTY SAFE KIDS COALITION PROVIDED OVER 350 PROGRAMS AND EVENTS THAT REACHED AN ESTIMATED 56,000 CHILDREN AND THEIR FAMILY MEMBERS, TEACHERS AND CAREGIVERS. THROUGH THESE PROGRAMS, OVER 2,500 SAFETY DEVICES WERE DISTRIBUTED TO FAMILIES WHO WERE IN NEED OF THEM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>GETTING OLDER AND BETTER WORKSHOP: OVER 150 PEOPLE PARTICIPATED IN THE GETTING OLDER AND BETTER WORKSHOP IN MAY AT FIRST UNITED METHODIST CHURCH IN GAINESVILLE AND THE SPOUT SPRINGS LIBRARY IN FLOWERY BRANCH. THIS EVENT WAS SPONSORED BY THE MEDICAL CENTER AUXILIARY, PROVIDED BY NGMC, AND FEATURED AMANDA CAIN, MD, WHO SPOKE ON SENIOR HEALTH TIPS. SPONSORSHIPS AND DONATIONS: IN FY12, NGMC SPONSORED OR MADE A DONATION TO APPROXIMATELY 15 COMMUNITY AGENCIES SERVING HEALTH AND HUMAN SERVICE NEEDS, RANGING FROM SUPPORTING THE AMERICAN CANCER SOCIETY TO TEEN PREGNANCY PREVENTION. SPONSORSHIPS/DONATIONS TOTALED OVER $30,000 IN FY12. EMPLOYEES LEAD THE WAY, UNITED WAY PACESETTER &amp; MORE: NGHS EMPLOYEES CONTRIBUTED OVER $127,000 TO UNITED WAY AS A CORNERSTONE COMPANY. NGMC EMPLOYEES ARE VERY ACTIVE IN THE COMMUNITY, VOLUNTEERING AT THE GOOD NEWS CLINICS, IN THEIR CHURCHES ON MISSION TRIPS AND FOR COMMUNITY AGENCIES SUCH AS THE HUMANE SOCIETY AND HABITAT FOR HUMANITY. WHEN IT COMES TO SUPPORTING MCF'S EMPLOYEE GIVING CLUB, W.A.T.C.H. (WE ARE TARGETING COMMUNITY HEALTHCARE), OVER 2,300 EMPLOYEES DONATED OVER $413,000 IN FY12. BLOOD DRIVES: NGMC EMPLOYEES DONATED OVER 330 UNITS OF BLOOD IN FY12. SUPPORT OF COMMUNITY EVENTS: NGMC EMPLOYEES ALSO TURNED OUT IN FULL FORCE FOR COMMUNITY EVENTS SUCH AS THE AMERICAN HEART WALK, MARCH OF DIMES' WALKAMERICA AND AMERICAN CANCER SOCIETY'S RELAY FOR LIFE, AVERAGING PARTICIPATION OF 200 EMPLOYEES PER EVENT. TRAINING AND EDUCATION FOR HEALTHCARE PROFESSIONALS AND OTHER STUDENTS: - NGMC SUPPORTS THE TRAINING AND EDUCATION OF NURSES AND OTHER HEALTHCARE PROFESSIONALS. - NGMC IS A TRAINING SITE FOR HANDICAPPED HIGH SCHOOL STUDENTS WHO WORK IN THE AREAS OF MATERIALS MANAGEMENT, NUTRITIONAL SERVICES, PHARMACY AND LINENS. 22 STUDENTS AND 2 INSTRUCTORS PARTICIPATED IN FY12; - 52 STUDENTS FROM AREA HIGH SCHOOLS PARTICIPATED IN THE YOUTH APPRENTICESHIP PROGRAM IN FY12; - NGMC PARTNERS WITH LANIER TECH TO HOUSE A RADIOLOGY TECH PROGRAM AND HELPS FUND FACULTY; ALSO PROVIDES CLASSROOM SPACE FOR LANIER TECH'S LPN PROGRAM; - 74 JOB SHADOWS WERE PLACED AT NGMC DURING FY12, ALLOWING HIGH SCHOOL AND POSTSECONDARY STUDENTS FROM AREA SCHOOLS TO SHADOW PROFESSIONAL HEALTHCARE STAFF.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NORTHEAST GA SPECIALTY GROUP LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>743 SPRING STREET</AddressLine1>
          <City>GAINESVILLE</City>
          <State>GA</State>
          <ZIPCode>30501</ZIPCode>
        </AddressUS>
        <EIN>260556328</EIN>
        <PrimaryActivities>HEALTHCARE CLINICS</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NGPG QUICKCARE LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>743 SPRING STREET</AddressLine1>
          <City>GAINESVILLE</City>
          <State>GA</State>
          <ZIPCode>30501</ZIPCode>
        </AddressUS>
        <EIN>205064238</EIN>
        <PrimaryActivities>HEALTHCARE CLINICS</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE BRASELTON CLINIC LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>743 SPRING STREET</AddressLine1>
          <City>GAINESVILLE</City>
          <State>GA</State>
          <ZIPCode>30501</ZIPCode>
        </AddressUS>
        <EIN>260556190</EIN>
        <PrimaryActivities>HEALTHCARE CLINICS</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NORTHEAST GEORGIA OCCUPATIONAL HEALTH LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>743 SPRING STREET</AddressLine1>
          <City>GAINESVILLE</City>
          <State>GA</State>
          <ZIPCode>30501</ZIPCode>
        </AddressUS>
        <EIN>582608332</EIN>
        <PrimaryActivities>OCCUPATIONAL MEDICINE</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>RIVER PLACE MEDICAL OFFICE PLAZA I LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>743 SPRING STREET</AddressLine1>
          <City>GAINESVILLE</City>
          <State>GA</State>
          <ZIPCode>30501</ZIPCode>
        </AddressUS>
        <EIN>581694090</EIN>
        <PrimaryActivities>RENTAL</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NORTHEAST GEORGIA HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>743 SPRING STREET</AddressLine1>
          <City>GAINESVILLE</City>
          <State>GA</State>
          <ZIPCode>30501</ZIPCode>
        </AddressUS>
        <EIN>581694090</EIN>
        <PrimaryActivities>HEALTHCARE - PARENT ORG.</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11C, III-FI</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE MEDICAL CENTER FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>743 SPRING STREET</AddressLine1>
          <City>GAINESVILLE</City>
          <State>GA</State>
          <ZIPCode>30501</ZIPCode>
        </AddressUS>
        <EIN>581694820</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NORTHEAST GEORGIA HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NORTHEAST GEORGIA PHYSICIANS GROUP INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>743 SPRING STREET</AddressLine1>
          <City>GAINESVILLE</City>
          <State>GA</State>
          <ZIPCode>30501</ZIPCode>
        </AddressUS>
        <EIN>582078064</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11B, II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NORTHEAST GEORGIA HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NORTHEAST GEORGIA HEALTH PARTNERS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>743 SPRING STREET</AddressLine1>
          <City>GAINESVILLE</City>
          <State>GA</State>
          <ZIPCode>30501</ZIPCode>
        </AddressUS>
        <EIN>582131807</EIN>
        <PrimaryActivity>PPO DEVELOPMENT</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>STRATEGIC PHYSICIAN SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>743 SPRING STREET</AddressLine1>
          <City>GAINESVILLE</City>
          <State>GA</State>
          <ZIPCode>30501</ZIPCode>
        </AddressUS>
        <EIN>260342081</EIN>
        <PrimaryActivity>HEALTHCARE PSS</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>1</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>