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      <Description>COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC., IS A NOT-FOR-PROFIT COMPANY SERVING COLUMBUS AND SURROUNDING COUNTIES. IN KEEPING WITH ITS TAX-EXEMPT MISSION, COLUMBUS AMBULATORY HEALTHCARE SERVICES PROVIDES A WIDE VARIETY OF PRIMARY AND SPECIALTY PHYSICIAN SERVICES TO ALL PATIENTS REQUESTING SUCH SERVICES, REGARDLESS OF ABILITY TO PAY. MANY OF THESE PATIENTS ARE CLASSIFIED AS INDIGENT RESIDENTS OF MUSCOGEE COUNTY, AND AS SUCH ARE COVERED THROUGH A CONTRACTUAL AGREEMENT THE MEDICAL CENTER, INC. (A TAX-EXEMPT AFFILIATE) HAS WITH THE COLUMBUS CONSOLIDATED GOVERNMENT.SEVERAL OBJECTIVES ARE ACCOMPLISHED THROUGH THE PROVISION BY COLUMBUS AMBULATORY HEALTHCARE SERVICES OF THESE NON-CRITICAL SERVICES:- THE BURDEN ON THE MEDICAL CENTER'S EMERGENCY DEPARTMENT IS RELIEVED AS THAT SERVICE IS USED LESS OFTEN AS A PRIMARY SOURCE OF CARE. THIS ENABLES EMERGENCY SERVICE PERSONNEL TO CONCENTRATE ON TRUE EMERGENCIES. - THE OVERALL HEALTH CARE COST TO THE COMMUNITY IS REDUCED, SINCE IT IS LESS COSTLY TO TREAT A NON-CRITICAL PATIENT THROUGH AMBULATORY SERVICES THAN AN EMERGENCY SERVICE, WHICH IS STAFFED AND MAINTAINED TO RESPOND TO LIFE-THREATENING CONDITIONS. - INDIGENT PATIENTS RECEIVE WHAT COULD BE THEIR ONLY SOURCE OF AFFORDABLE, AVAILABLE CARE THROUGH MULTIPLE SPECIALTY CLINICS AND THE SERVICES OF VISITING SPECIALISTS. - ACCESS TO A MULTITUDE OF SERVICES IS INCREASED FOR INDIGENT AND LOW-INCOME PATIENTS AS CLINIC STAFF NETWORK WITH SUPPORT GROUPS, CHARITABLE ORGANIZATIONS AND SOCIAL SERVICE AGENCIES IN THE AREA.INDIGENT CARE PROGRAMCOLUMBUS AMBULATORY HEALTHCARE SERVICES, INC. AND THE MEDICAL CENTER - ALSO AN AFFILIATE OF COLUMBUS REGIONAL HEALTHCARE SYSTEM - PROVIDE OUTPATIENT AND INPATIENT SERVICES TO THE CITY'S INDIGENT THROUGH A CONTRACTUAL AGREEMENT WITH THE COLUMBUS CONSOLIDATED GOVERNMENT. THE OBJECTIVE OF THIS INDIGENT CARE PROGRAM IS TO PROVIDE COMPREHENSIVE HEALTH CARE FOR COLUMBUS RESIDENTS WHO ARE NOT COVERED UNDER A PRIVATE OR GOVERNMENTAL INSURANCE PLAN. INDIVIDUALS MEETING RESIDENCY AND INCOME REQUIREMENTS HAVE ACCESS TO A PRIMARY CARE CLINIC AND VARIOUS SPECIALTY CLINICS STAFFED BY QUALIFIED PHYSICIANS AND OTHER HEALTH CARE PERSONNEL. THE CLINICS PROVIDE DIAGNOSIS AND TREATMENT AND HEALTH EDUCATION.IF INPATIENT ADMISSION IS REQUIRED, PATIENTS RECEIVE CARE AT THE MEDICAL CENTER, WHERE THEY HAVE ACCESS TO A FULL RANGE OF DIAGNOSTIC AND TREATMENT SERVICES. IN ADDITION TO ENSURING CARE FOR THE CITY'S INDIGENT POPULATION, THE AGREEMENT WITH THE COLUMBUS CONSOLIDATED GOVERNMENT ALSO PROVIDES FOR ACUTE INPATIENT CARE AND CERTAIN OUTPATIENT CARE FOR THE COMMUNITY'S PRISON POPULATION.DURING FISCAL YEAR 2012, 2,706 FAMILIES, OR 4,841 INDIVIDUALS, WERE ENROLLED IN THE INDIGENT CARE PROGRAM. DURING THE SAME PERIOD, THERE WERE 19,659 OUTPATIENT CLINIC VISITS AND 332 INPATIENT ADMISSIONS FOR QUALIFIED RESIDENTS AND PRISONERS. ADDITIONALLY, 118,174 PRESCRIPTIONS FOR INDIGENT CARE PROGRAM ENROLLEES WERE FILLED IN THE AMBULATORY CARE PHARMACY.IN FISCAL YEAR 2012, TOTAL CHARGES TO PROVIDE INPATIENT AND OUTPATIENT SERVICES THROUGH THE INDIGENT CARE PROGRAM WERE $27,517,369.TOTAL PAYMENTS FROM THE COLUMBUS CONSOLIDATED GOVERNMENT TO THE MEDICAL CENTER, INC. FOR INDIGENT HEALTH CARE SERVICES PROVIDED BY ALL AFFILIATES WERE $12,803,682, LEAVING A DEFICIT OF $14,713,687.OUTPATIENT CLINICSTHE MAJORITY OF SERVICES PROVIDED UNDER THE INDIGENT CARE PROGRAM ARE THROUGH THE OUTPATIENT CLINICS OF COLUMBUS AMBULATORY HEALTHCARE SERVICES. INDIGENT PATIENTS ALSO ARE ELIGIBLE FOR OUTPATIENT, DIAGNOSTIC AND THERAPEUTIC SERVICES OFFERED THROUGH THE MEDICAL CENTER.THE MEDICINE CLINIC OF COLUMBUS AMBULATORY HEALTHCARE SERVICES IS THE PRIMARY CONTACT POINT FOR PATIENTS AND THE "GATE-KEEPER" FOR REFERRAL TO THE SPECIALTY CLINICS. HERE, PATIENTS RECEIVE INITIAL ASSESSMENTS, TREATMENT AND REFERRAL AS APPROPRIATE. PATIENT EDUCATION AND REFERRALS TO SOCIAL SERVICE AGENCIES AND SUPPORT GROUPS AS NEEDED ALSO ARE PROVIDED THROUGH THIS CLINIC. OUTPATIENT CLINIC UTILIZATION FOR QUALIFIED RESIDENTS DURING FISCAL YEAR 2012 IS SUMMARIZED IN THE TABLE BELOW:CLINIC VOLUME- EYE 1,331- CARDIOLOGY 217- COLPOSC/TUMOR/GYN 77- MEDICINE 10,679- NEUROLOGY 112- PODIATRY 100- SURGERY 396- NEPHROLOGY 163- GASTROENTEROLOGY - ADULT 177- PULMONARY 44- COUMADIN 435- LABS AND INJECTIONS 4,709- PHARMACOTHERAPY 1,219TOTAL CLINIC VISITS 19,659FAMILY PRACTICE CENTERTHE FAMILY PRACTICE CENTER, ALSO OFFERED THROUGH COLUMBUS AMBULATORY HEALTHCARE SERVICES AND THE MEDICAL CENTER, INC. PROVIDES A VARIETY OF HEALTH AND MEDICAL SERVICES TO FAMILIES OF THE REGION, REGARDLESS OF THEIR ABILITY TO PAY. SERVICES OFFERED THROUGH THE FAMILY PRACTICE CENTER INCLUDE FAMILY MEDICINE, OCCUPATIONAL MEDICINE, GERIATRIC SERVICES, PRENATAL AND PEDIATRIC SERVICES, OBSTETRICS, X-RAY AND LABORATORY SERVICES, COUNSELING AND TRAVEL IMMUNIZATIONS.THE FAMILY PRACTICE CENTER IS OPERATED BY THE FACULTY OF THE FAMILY PRACTICE RESIDENCY PROGRAM, WHICH WAS ESTABLISHED BY THE MEDICAL CENTER IN 1972 TO TRAIN PRIMARY CARE PHYSICIANS TO SERVE PRIMARILY IN RURAL AND OTHER MEDICALLY UNDERSERVED AREAS. THE CENTER SERVES AS A TRAINING SITE FOR PROGRAM RESIDENTS.</Description>
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        <Officer>X</Officer>
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        <ReportableCompFromRelatedOrgs>675595</ReportableCompFromRelatedOrgs>
        <OtherCompensation>136516</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>ROLAND L THACKER</NamePerson>
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        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>427987</ReportableCompFromRelatedOrgs>
        <OtherCompensation>100636</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DONALD ELDER</NamePerson>
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        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>323678</ReportableCompFromRelatedOrgs>
        <OtherCompensation>146938</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KAREN SMITH</NamePerson>
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        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>65443</ReportableCompFromRelatedOrgs>
        <OtherCompensation>22829</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHRISTOPHER JOHNSON MD</NamePerson>
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        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>424801</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>25747</OtherCompensation>
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        <NamePerson>MICHAEL MENDES MD</NamePerson>
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        <ReportableCompFromOrganization>673477</ReportableCompFromOrganization>
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        <OtherCompensation>26260</OtherCompensation>
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        <NamePerson>THOMAS STEWART MD</NamePerson>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
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            <State>MA</State>
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        </AddressOfContractor>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
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            <City>DULUTH</City>
            <State>GA</State>
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        </AddressOfContractor>
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        <Compensation>355691</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>LABORATORY CORPORATION OF AMERICA</BusinessNameLine1>
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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
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            <City>BURLINGTON</City>
            <State>NC</State>
            <ZIPCode>27261</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LAB TESTING SERVICES</DescriptionOfServices>
        <Compensation>166388</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>3</NumberOfContractorsGT100K>
      <ProgramServiceRevenue>
        <Description>PATIENT REVENUE</Description>
        <BusinessCode>621990</BusinessCode>
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      <TotalProgramServiceRevenue>10011906</TotalProgramServiceRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>10011906</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>10011906</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>400</ProgramServices>
      </GrantsToDomesticOrgs>
      <OtherSalariesAndWages>
        <Total>10429253</Total>
        <ProgramServices>10429253</ProgramServices>
      </OtherSalariesAndWages>
      <OtherEmployeeBenefits>
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        <ProgramServices>999684</ProgramServices>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
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        <ProgramServices>523498</ProgramServices>
      </PayrollTaxes>
      <FeesForServicesManagement>
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        <ManagementAndGeneral>9324</ManagementAndGeneral>
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      <FeesForServicesOther>
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        <ProgramServices>1881419</ProgramServices>
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      <Advertising>
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        <ProgramServices>23717</ProgramServices>
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      <OfficeExpenses>
        <Total>455867</Total>
        <ProgramServices>455867</ProgramServices>
      </OfficeExpenses>
      <InformationTechnology>
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        <ProgramServices>2601</ProgramServices>
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      <Occupancy>
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        <ProgramServices>561375</ProgramServices>
        <ManagementAndGeneral>32437</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>63869</ProgramServices>
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      <ConferencesMeetings>
        <Total>15545</Total>
        <ProgramServices>15545</ProgramServices>
      </ConferencesMeetings>
      <Interest>
        <Total>227943</Total>
        <ManagementAndGeneral>227943</ManagementAndGeneral>
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      <DepreciationDepletion>
        <Total>34188</Total>
        <ManagementAndGeneral>34188</ManagementAndGeneral>
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      <Insurance>
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        <ManagementAndGeneral>760891</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>250411</Total>
        <ProgramServices>250411</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROFESSIONAL DUES</Description>
        <Total>17054</Total>
        <ProgramServices>17054</ProgramServices>
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      <OtherExpenses>
        <Description>EQUIPMENT RENTAL</Description>
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        <ProgramServices>14190</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>NON-CAPITALIZED EQUIPME</Description>
        <Total>7784</Total>
        <ProgramServices>7784</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>16832</Total>
        <ProgramServices>10914</ProgramServices>
        <ManagementAndGeneral>5918</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>16328282</Total>
        <ProgramServices>15257581</ProgramServices>
        <ManagementAndGeneral>1070701</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
        <BOY>-4321352</BOY>
        <EOY>-4015157</EOY>
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      <AccountsReceivable>
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      <MortNotesPyblSecuredInvestProp>
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        <EOY>7527406</EOY>
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        <BOY>8049261</BOY>
        <EOY>7633943</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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        <BOY>139099</BOY>
        <EOY>607580</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>139099</BOY>
        <EOY>607580</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>8188360</BOY>
        <EOY>8241523</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-6316376</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>6784857</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
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      <TotalLobbyingExpenditures>
        <AffiliatedGroupTotals>32330</AffiliatedGroupTotals>
      </TotalLobbyingExpenditures>
      <OtherExemptPurposeExpenditures>
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      <TotalExemptPurposeExpenditures>
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      <GrassrootsNontaxableAmount>
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        <CurrentYearMinus2>1000000</CurrentYearMinus2>
        <CurrentYearMinus1>1000000</CurrentYearMinus1>
        <CurrentYear>1000000</CurrentYear>
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        <CurrentYearMinus2>31169</CurrentYearMinus2>
        <CurrentYearMinus1>27379</CurrentYearMinus1>
        <CurrentYear>32330</CurrentYear>
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        <CurrentYearMinus2>250000</CurrentYearMinus2>
        <CurrentYearMinus1>250000</CurrentYearMinus1>
        <CurrentYear>250000</CurrentYear>
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        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
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      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
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      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
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        <CompBasedOnRelatedOrgs>428600</CompBasedOnRelatedOrgs>
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        <BonusRelatedOrgs>80831</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>2546391</OtherCompensationRelatedOrgs>
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        <DeferredCompRelatedOrgs>65671</DeferredCompRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>11670</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>3133163</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <CompBasedOnRelatedOrgs>386915</CompBasedOnRelatedOrgs>
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        <BonusRelatedOrgs>45000</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>243680</OtherCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
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        <TotalCompensationFilingOrg>266585</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>NAJAN VALADI MD</NamePerson>
        <BaseCompensationFilingOrg>249965</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>19676</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>407</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10132</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14699</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>294879</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>EMPLOYER CONTRIBUTION TO 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN: LANCE B. DUKE $ 92,400 DONALD ELDER $ 50,000 ROLAND THACKER $ 57,400 PART I, LINE 4B: PAYOUT FROM 457(F) EXECUTIVE RETIREMENT BENEFIT PLAN (INCLUDED IN REPORTABLE COMPENSATION). LARRY SANDERS $2,309,841 LANCE B. DUKE $ 142,742 DONALD ELDER $ 81,980 ROLAND THACKER $ 70,728 DURING 2012, ALL PREVIOUSLY ACCRUED OBLIGATIONS UNDER THE SERP WERE PAID TO THE RESPECTIVE MEMBERS OF MANAGEMENT AND A NEW SERP THAT IS CONSISTENT IN STRUCTURE WAS IMPLEMENTED. DURING THE FISCAL YEAR, MR. SANDERS RETIRED FROM COLUMBUS REGIONAL HEALTHCARE SYSTEMS AFTER SERVING AS ITS CHAIRMAN AND CEO FOR 30 YEARS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS OF COLUMBUS AMBULATORY HEALTHCARE SERVICES. IS APPOINTED BY THE BOARD OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS OF COLUMBUS AMBULATORY HEALTHCARE SERVICES. IS APPOINTED BY THE BOARD OF COLUMBUS REGIONAL HEALTHCARE 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 COLUMBUS AMBULATORY HEALTHCARE SERVICES. IS APPOINTED BY THE BOARD OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC. - A RELATED 501(C)(3) ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>INFORMATION FOR FORM 990 WAS PROVIDED TO AN INDEPENDENT CPA FIRM FOR PREPARATION OF RETURN. AFTER RETURN WAS PREPARED IT WAS REVIEWED BY THE TREASURER OF THE ORGANIZATION. CURRENTLY, A COPY OF THE FORM 990 IS NOT PROVIDED TO THE GOVERNING BODY PRIOR TO FILING. THE BOARD IS PROVIDED A CONDENSED AND THOROUGH OVERVIEW OF INFORMATION ON THE FORM 990 BY THE TREASURER OF THE ORGANIZATION. PRESENTATION OF THIS INFORMATION TO THE BOARD WILL BE MADE AS CLOSE TO THE FILING DATE AS POSSIBLE, BUT MAY NOT BE PRIOR TO THE FILING DATE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>IT IS THE POLICY OF COLUMBUS REGIONAL THAT EMPLOYEES AND AGENTS CANNOT PARTICIPATE IN ANY ACTIVITIES THAT CONFLICT WITH, OR APPEAR TO CONFLICT WITH, THEIR PROFESSIONAL RESPONSIBILITIES TO THE ORGANIZATION. IT IS THE POLICY OF COLUMBUS REGIONAL TO PROVIDE MECHANISMS BY WHICH EMPLOYEES, MEDICAL STAFF,AND OTHER ASSOCIATES OF THE ORGANIZATION MAY REPORT SUSPECTED VIOLATIONS OF GOVERNMENT LAWS OR CORPORATE POLICIES WITHOUT FEAR OF RETALIATION OR TERMINATION OF EMPLOYMENT. EMPLOYEES AND AGENTS HAVE A RESPONSIBILITY TO REPORT SUSPECTED VIOLATIONS, PROVIDED THEY ARE REPORTING IN GOOD FAITH AND HAVE EVIDENCE TO SUPPORT THEIR SUSPICION. COLUMBUS REGIONAL ENCOURAGES THE DEVELOPMENT OF AN "OPEN DOOR" POLICY BY MANAGERS TO WELCOME COMMENTS, CONCERNS AND QUESTIONS FROM THEIR EMPLOYEES AND AGENTS. SUSPECTED CONFLICT OF INTEREST VIOLATIONS MAY BE REPORTED TO MANAGERS OR SUPERVISORS. VIOLATIONS MAY ALSO BE REPORTED TO THE CORPORATE COMPLIANCE OFFICER (BY PHONE, E-MAIL OR IN PERSON), BY COMPLETING A FORM, OR BY CONTACTING THE COMPLIANCE HELPLINE. IF AN INDIVIDUAL IS HESITANT ABOUT USING ANY OF THESE REPORTING MECHANISMS, HE/SHE MAY CONTACT COLUMBUS REGIONAL'S PRESIDENT AND CHIEF EXECUTIVE OFFICER. ALL REPORTS OF SUSPECTED VIOLATIONS ARE INVESTIGATED IN A PROMPT AND REASONABLE MANNER BY THE CORPORATE COMPLIANCE OFFICER OR, AS APPROPRIATE, BY A MEMBER OF THE CORPORATE COMPLIANCE COMMITTEE. AN INHERENT AND IMPORTANT PART OF COLUMBUS REGIONAL'S CORPORATE COMPLIANCE PROGRAM INVOLVES MEASURING THE EFFECTIVENESS OF THE PROGRAM IN ADHERING TO SPECIFIC GOVERNMENTAL REGULATIONS, CORPORATE POLICIES AND BUSINESS ETHICAL STANDARDS. AT THE DESIGNATION OF MANAGEMENT, COMPLIANCE ACTIVITIES ARE REVIEWED. THE CORPORATE COMPLIANCE OFFICER ENSURES THAT THE RESULTS OF COMPLIANCE-RELATED AUDITS, HELPLINE ACTIVITY, EMPLOYEE COMPLIANCE ACTIVITIES AND OTHER COMPLIANCE ISSUES DEEMED RELEVANT ARE REPORTED ON A PERIODIC BASIS TO COLUMBUS REGIONAL'S CEO AND FINANCE AND PLANNING COMMITTEE AS DESIGNATED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>COLUMBUS REGIONAL TAKES VERY SERIOUSLY THE RESPONSIBILITY TO APPROPRIATELY AND EFFECTIVELY MANAGE THE EXECUTIVE COMPENSATION AND BENEFITS PROGRAM FOR ITS KEY EXECUTIVES. SETTING THE COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, APPROVING THE COMPENSATION OF OTHER SENIOR EXECUTIVES, AND OVERSEEING THE EXECUTIVE COMPENSATION PROGRAM AS A WHOLE, ARE THE RESPONSIBILITIES OF THE COMPENSATION COMMITTEE OF THE BOARD. COLUMBUS REGIONAL HAS HAD A COMPENSATION COMMITTEE FOR MANY YEARS. THE COMMITTEE IS CURRENTLY CHAIRED BY A 20+ YEAR BOARD MEMBER. TO ASSIST THE COMMITTEE, THE BOARD HAS ENGAGED THE SERVICES OF A NATIONALLY RECOGNIZED EXECUTIVE COMPENSATION CONSULTING FIRM. COLUMBUS REGIONAL'S EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO ATTRACT AND RETAIN HIGHLY QUALIFIED EXECUTIVES TO FULFILL COLUMBUS REGIONAL'S MISSION OF PROMOTING THE HEALTH AND HEALING OF PATIENTS. COLUMBUS REGIONAL'S PEER GROUP CONSISTS OF NON-PROFIT HEALTHCARE ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY FROM ACROSS THE NATION. BASE SALARIES OF EXECUTIVES ARE POSITIONED AT SPECIFIC PERCENTILE TARGETS OF COLUMBUS REGIONAL'S PEER GROUP. CURRENT STUDIES INDICATE THAT OUR BASE SALARIES ARE AT TARGETED LEVELS. COLUMBUS REGIONAL STRIVES TO PROVIDE ALL EXECUTIVES WITH RETIREMENT BENEFITS THAT ARE EQUIVALENT FOR ALL EMPLOYEES. RETIREMENT CONTRIBUTIONS ARE BASED ON A CLEARLY STATED INCOME REPLACEMENT TARGET AS DETERMINED BY RETIREMENT PLAN CONSULTANTS. THE GOAL OF COLUMBUS REGIONAL IS TO PROVIDE MARKET COMPETITIVE COMPENSATION AND BENEFITS PROGRAMS FOR ALL EMPLOYEES AT ALL LEVELS OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE CONFLICT OF INTEREST POLICY, IN ADDITION TO OTHER CORPORATE AND GOVERNING POLICIES, IS NOT MADE AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>TRANSFER TO AFFILIATES 6,784,857. TOTAL TO FORM 990, PART XI, LINE 5: 6,784,857.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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          <BusinessNameLine1>REGIONAL ORTHOPEDICS LLC</BusinessNameLine1>
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          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
          <ZIPCode>31901</ZIPCode>
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          <BusinessNameLine1>REGIONAL PHYSICIANS GROUP LLC</BusinessNameLine1>
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          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
          <ZIPCode>31901</ZIPCode>
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        <PrimaryActivities>PHYSICIANS</PrimaryActivities>
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          <BusinessNameLine1>STADIUM DIAGNOSTIC CENTER LLC</BusinessNameLine1>
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          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
          <ZIPCode>31901</ZIPCode>
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        <EIN>020574744</EIN>
        <PrimaryActivities>PHYSICIANS</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
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        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>STADIUM ACUTE CARE CENTER LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
          <ZIPCode>31901</ZIPCode>
        </AddressUS>
        <EIN>020574738</EIN>
        <PrimaryActivities>ACUTE CARE CENTER</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
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        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartI>
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          <BusinessNameLine1>REGIONAL ONCOLOGY LLC</BusinessNameLine1>
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          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
          <ZIPCode>31901</ZIPCode>
        </AddressUS>
        <EIN>582578648</EIN>
        <PrimaryActivities>ONCOLOGY BILLING</PrimaryActivities>
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        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartI>
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          <BusinessNameLine1>REGIONAL ANESTHESIA ASSOCIATES LLC</BusinessNameLine1>
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          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
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        <PrimaryActivities>ANESTHESIA BILLING</PrimaryActivities>
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        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartI>
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          <BusinessNameLine1>COLUMBUS RADIATION ONCOLOGY TREATMENT CENTER LLC</BusinessNameLine1>
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          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
          <ZIPCode>31901</ZIPCode>
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        <PrimaryActivities>ONCOLOGY</PrimaryActivities>
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        <EOYAssets>8241523</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE MEDICAL CENTER INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
          <ZIPCode>31901</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>ACUTE CARE HOSPITAL</PrimaryActivities>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>COLUMBUS REGIONAL HEALTHCARE SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COLUMBUS REGIONAL MEDICAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
          <ZIPCode>31901</ZIPCode>
        </AddressUS>
        <EIN>581501642</EIN>
        <PrimaryActivities>FUNDRAISING/INVESTMENT</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>COLUMBUS REGIONAL HEALTHCARE SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CRHS LONG TERM AND HOME CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
          <ZIPCode>31901</ZIPCode>
        </AddressUS>
        <EIN>581778572</EIN>
        <PrimaryActivities>SKILLED NURSING</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>COLUMBUS REGIONAL HEALTHCARE SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COLUMBUS REGIONAL HEALTHCARE SYSTEM INC</BusinessNameLine1>
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          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
          <ZIPCode>31901</ZIPCode>
        </AddressUS>
        <EIN>581719994</EIN>
        <PrimaryActivities>SYSTEM PARENT</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COLUMBUS REGIONAL SENIOR LIVING INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
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        <PrimaryActivities>RETIREMENT COMMUNITY</PrimaryActivities>
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        <DirectControllingEntityName>
          <BusinessNameLine1>COLUMBUS REGIONAL HEALTHCARE SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>DOCTOR'S HOSPITAL INC</BusinessNameLine1>
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          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
          <ZIPCode>31901</ZIPCode>
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        <PrimaryActivities>ACUTE CARE HOSPITAL</PrimaryActivities>
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          <BusinessNameLine1>COLUMBUS REGIONAL HEALTHCARE SYSTEM INC</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>HUGHSTON HOSPITAL INC</BusinessNameLine1>
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          <AddressLine1>707 CENTER STREET</AddressLine1>
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          <State>GA</State>
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        <PrimaryActivities>ORTHOPEDIC HOSPITAL</PrimaryActivities>
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        <PublicCharityStatus>LINE 3</PublicCharityStatus>
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          <BusinessNameLine1>COLUMBUS REGIONAL HEALTHCARE SYSTEM INC</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEDICAL CENTER AUXILIARY</BusinessNameLine1>
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          <AddressLine1>707 CENTER STREET</AddressLine1>
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          <State>GA</State>
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        <PublicCharityStatus>LINE 11C, III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>THE MEDICAL CENTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DOCTOR'S HOSPITAL AUXILIARY</BusinessNameLine1>
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          <AddressLine1>616 19TH STREET</AddressLine1>
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          <State>GA</State>
          <ZIPCode>31901</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>HOSPITAL AUXILIARY</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11D, III-O</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>DOCTOR'S HOSPITAL INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>EVERGREEN MEDICAL GROUP LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 790</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
          <ZIPCode>31902</ZIPCode>
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        <EIN>582244760</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COLUMBUS DIAGNOSTIC IMAGING</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>116 INTRACOASTAL POINTE DR 300</AddressLine1>
          <City>JUPITER</City>
          <State>FL</State>
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        <EIN>262291768</EIN>
        <PrimaryActivity>DIAGNOSTIC IMAGING</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>COLUMBUS HEALTHCARE RESOURCES INC</BusinessNameLine1>
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          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
          <ZIPCode>31901</ZIPCode>
        </AddressUS>
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        <PrimaryActivity>PROPERTY MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COLUMBUS HEALTH SERVICES INC</BusinessNameLine1>
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          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
          <ZIPCode>31901</ZIPCode>
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        <PrimaryActivity>PHARMACIES</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <ShareOfTotalIncome>2566107</ShareOfTotalIncome>
        <ShareOfEOYAssets>3019506</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>WOMEN'S MEDICAL SERVICES INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>707 CENTER STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>GA</State>
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