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        <ProgramServices>4142203</ProgramServices>
        <ManagementAndGeneral>1072615</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>19258</Total>
        <ProgramServices>15297</ProgramServices>
        <ManagementAndGeneral>3961</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>841967</Total>
        <ProgramServices>668786</ProgramServices>
        <ManagementAndGeneral>173181</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>363860</Total>
        <ProgramServices>289019</ProgramServices>
        <ManagementAndGeneral>74841</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>10363</Total>
        <ManagementAndGeneral>10363</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>79363</Total>
        <ManagementAndGeneral>79363</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>654</Total>
        <ManagementAndGeneral>654</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesOther>
        <Total>2091700</Total>
        <ProgramServices>1466376</ProgramServices>
        <ManagementAndGeneral>625324</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>6056</Total>
        <ManagementAndGeneral>6056</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>1032715</Total>
        <ProgramServices>969864</ProgramServices>
        <ManagementAndGeneral>62851</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>248580</Total>
        <ProgramServices>201748</ProgramServices>
        <ManagementAndGeneral>46832</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>106047</Total>
        <ProgramServices>55377</ProgramServices>
        <ManagementAndGeneral>50670</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>50021</Total>
        <ProgramServices>15559</ProgramServices>
        <ManagementAndGeneral>34462</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>241866</Total>
        <ProgramServices>197072</ProgramServices>
        <ManagementAndGeneral>44794</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>91427</Total>
        <ProgramServices>33320</ProgramServices>
        <ManagementAndGeneral>58107</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>REPAIR &amp; MAINTENANCE</Description>
        <Total>845385</Total>
        <ProgramServices>834931</ProgramServices>
        <ManagementAndGeneral>10454</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>649013</Total>
        <ProgramServices>649013</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>15922</Total>
        <ProgramServices>485</ProgramServices>
        <ManagementAndGeneral>15437</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LICENSE AND PERMITS</Description>
        <Total>15744</Total>
        <ProgramServices>4379</ProgramServices>
        <ManagementAndGeneral>11365</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>14352</Total>
        <ProgramServices>753</ProgramServices>
        <ManagementAndGeneral>13599</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>11939111</Total>
        <ProgramServices>9544182</ProgramServices>
        <ManagementAndGeneral>2394929</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>518134</BOY>
        <EOY>352223</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>31455</BOY>
        <EOY>23912</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>1351934</BOY>
        <EOY>1898481</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>14592</BOY>
        <EOY>7686</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>168440</BOY>
        <EOY>157356</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>37790</BOY>
        <EOY>42314</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>7559340</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>5764503</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1783631</BOY>
        <EOY>1794837</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>212266</BOY>
        <EOY>53371</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>4118242</BOY>
        <EOY>4330180</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>911967</BOY>
        <EOY>1058403</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>1936</BOY>
        <EOY>1936</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>9815697</BOY>
        <EOY>10631545</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>10729600</BOY>
        <EOY>11691884</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-6644224</BOY>
        <EOY>-7386769</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>32866</BOY>
        <EOY>25065</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-6611358</BOY>
        <EOY>-7361704</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>4118242</BOY>
        <EOY>4330180</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-750346</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc3">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc4">
      <Form4720Filed4955Tax>false</Form4720Filed4955Tax>
      <CorrectionMade>false</CorrectionMade>
      <Form1120PolFiled>false</Form1120PolFiled>
      <Form4720Filed>false</Form4720Filed>
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>654</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>654</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <SubstantiallyAllDuesNondeduct>false</SubstantiallyAllDuesNondeduct>
      <OnlyInHouseLobbying>false</OnlyInHouseLobbying>
      <AgreeToCarryoverPriorYear>false</AgreeToCarryoverPriorYear>
      <Form990ScheduleCPartIV>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1</ReturnReference>
        <Explanation>THE ORGANIZATION PAYS MEMBERSHIP DUES TO NATIONAL AND STATE ORGANIZATIONS. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THOSE ORGANIZATIONS PARTICIPATE.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc5">
      <DisclosedOrgsLegalControl>false</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
        <InvestmentCostOrOtherBasis>128897</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>192543</OtherCostOrOtherBasis>
        <BookValue>321440</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>4189590</OtherCostOrOtherBasis>
        <Depreciation>3078362</Depreciation>
        <BookValue>1111228</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>203737</OtherCostOrOtherBasis>
        <Depreciation>94203</Depreciation>
        <BookValue>109534</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2844573</OtherCostOrOtherBasis>
        <Depreciation>2591938</Depreciation>
        <BookValue>252635</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>1794837</TotalOfBookValueLandBuildings>
      <Form990ScheduleDPartXIV>
        <Identifier>LIABILITY UNDER FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 3, PART X</ReturnReference>
        <Explanation>THE COMPANY IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE COMPANY APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE COMPANY ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2012 AND 2011 OR FOR THE YEARS THEN ENDED. THE COMPANY'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2009-2011.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc7">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>1.25000</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent200D>X</Pcent200D>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>525246</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>525246</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04380</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>3493894</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3679648</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>-185754</NetCommunityBenefitExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>4019140</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3679648</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>339492</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04380</PercentOfTotalExpense>
      </TotalCharityCare>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>637340</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>286082</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>351258</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02930</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>637340</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>286082</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>351258</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02930</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>4656480</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3965730</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>690750</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07310</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>2462</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>2462</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </CommunitySupport>
      <Total>
        <TotalCommunityBuildingExpense>2462</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>2462</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2218856</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>3172530</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>3172530</CostOfCareReimbursedByMedicare>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>LOUIS SMITH MEMORIAL HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>116 W THIGPEN AVE</AddressLine1>
          <City>LAKELAND</City>
          <State>GA</State>
          <ZIPCode>31635</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <Er24Hours>X</Er24Hours>
        <Other>PHY OFC, CLINICS, SNF</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>LOUIS SMITH MEMORIAL HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>125.0</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>200.0</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <LowestNegotiatedRates>X</LowestNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>1</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>LAKELAND VILLA CONVALESCENT CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>120 W THIGPEN AVENUE</AddressLine1>
            <City>LAKELAND</City>
            <State>GA</State>
            <ZIPCode>31635</ZIPCode>
          </Address>
          <FacilityType>SKILLED NURSING FACILITY</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>SUBSIDIZED HEALTH SERVICES EXPLANATION</Identifier>
        <ReturnReference>PART I LINE 7G</ReturnReference>
        <Explanation>THIS SECTION INCLUDES A PHYSICIANS OFFICE WHICH PROVIDES CARE TO THE COMMUNITY REGARDLESS OF ABILITY TO PAY THE ORGANIZATIONS SERVICE AREA IS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE</Identifier>
        <ReturnReference>PART I LINE 7 COLUMN F</ReturnReference>
        <Explanation>IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN F THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990 PART IX LINE 25 FORM 990 PART IX LINE 25 11939111 ADD EXPENSES REPORTED IN PART VIII 48311 DENOMINATOR FOR COLUMN F 11987422 NOTE THAT BAD DEBTS ARE NOT INCLUDED IN TOTAL EXPENSES BUT ARE NETTED AGAINST GROSS PATIENT SERVICE REVENUE IN ACCORDANCE WITH THE PRESENTATION ON THE AUDITED FINANCIAL STATEMENTS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COSTING METHODOLOGY EXPLANATION</Identifier>
        <ReturnReference>PART I LINE 7</ReturnReference>
        <Explanation>COSTS FOR PART I LINE 7A AND 7B WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2 OTHER COSTS WERE OBTAINED FROM THE ORGANIZATIONS ACCOUNTING RECORDS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 4</ReturnReference>
        <Explanation>EXCERPT FROM AUDITED FINANCIAL STATEMENTS ALLOWANCE FOR DOUBTFUL ACCOUNTS ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE THE COMPANY ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE THE COMPANY ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IF NECESSARY FOR EXAMPLE FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY FOR RECEIVABLES ASSOCIATED WITH SELFPAY PATIENTS WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE EXISTS FOR PART OF THE BILL THE COMPANY RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE THE DIFFERENCE BETWEEN THE STANDARD RATES OR THE DISCOUNTED RATES IF NEGOTIATED AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT AND WRITTEN OFF TO BAD DEBT EXPENSE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MEDICARE EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 8</ReturnReference>
        <Explanation>MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION PRACTICES EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 9B</ReturnReference>
        <Explanation>SELFPAY PATIENTS ARE GIVEN A PATIENT ACCOUNT PAYMENT AGREEMENT AT THE TIME OF ADMISSION THEY ARE ALSO GIVEN INFORMATION THROUGH A BROCHURE REGARDING INDIGENT AND CHARITY CARE TO DETERMINE IF THEY WOULD QUALIFY</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>THE ORGANIZATION CONDUCTS REGULAR NEEDS ASSESSMENT THROUGH FORMAL AND INFORMAL SURVEYS AND PROCESSES INCLUDING COLLABORATIONS WITH PUBLIC AND COMMUNITY AGENCIES THE HOSPITAL ADMINISTRATOR SERVES ON THE HEALTH DEPARTMENT BOARD THEREFORE THE ORGANIZATION IS AWARE OF NEEDS AND HELPS AVOID DUPLICATION OF SERVICES THE ORGANIZATION IS ALSO INVOLVED IN THE CHAMBER OF COMMERCE AND OTHER COMMUNITY AND CIVIC ORGANIZATIONS AND PARTICIPATES IN CITY AND COUNTY GOVERNMENT MEETINGS WITH REPRESENTATIVES FROM EMS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>PATIENTS ARE EDUCATED ON ELIGIBILITY FOR ASSISTANCE ON SERVICES AT TIME OF ADMISSION SELFPAY PATIENTS RECEIVE INFORMATION REGARDING INDIGENT AND CHARITY POLICY AND INFORMATION REQUIRED TO BE SUBMITTED TO DETERMINE IF ELIGIBLE ONCE PATIENTS RECEIVE THEIR STATEMENT THEY CAN CONTACT CUSTOMER SERVICE REGARDING PAYMENT ARRANGEMENTS AND ASSISTANCE THAT IS AVAILABLE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>THE ORGANIZATION IS LOCATED IN LAKELAND GEORGIA WHICH IS LOCATED 20 MILES FROM VALDOSTA GEORGIA THE HOUSEHOLD INCOME IS ABOUT HALF OF THE STATE AVERAGE AND THE UNEMPLOYMENT RATE IS SLIGHTLY BELOW THE STATE AVERAGE BASED ON 2010 DATA 366 OF HOUSEHOLDS ARE LIVING IN POVERTY THE REGIONS CITIZENS EXPERIENCE HIGH LEVELS OF DIABETES AND OBESITY RATES ARE ABOVE THE STATE AVERAGE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>PRIMARY CARE IS A FIRST PRIORITY AND HAS A PROFOUND IMPACT ON THE COMMUNITIES SERVED PRIMARY CARE SERVICES ARE ESTABLISHED IN AREAS WHERE RESIDENTS ARE MOST LIKELY TO SUFFER FROM SEVERE MANPOWER SHORTAGES HIGH PROVERTY LEVELS AND A LACK OF ACCESS TO CARE THE ORGANIZATION MAINTAINS AN EMS PROGRAM WITH LIMITED FUNDS COMING FROM THE COUNTY AND PARTICIPATES WITH RED CROSS IN HOSTING BLOOD DRIVES</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc8">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>RANDY SAULS</NamePerson>
        <CompBasedOnRelatedOrgs>272926</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>49349</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>17447</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>19274</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>358996</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GREG HEMBREE</NamePerson>
        <CompBasedOnRelatedOrgs>249299</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>40752</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>16469</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>18067</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>324587</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>NEIL GINTY</NamePerson>
        <CompBasedOnRelatedOrgs>114093</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>17621</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>7673</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>10957</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>150344</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES MCGAHEE</NamePerson>
        <CompBasedOnRelatedOrgs>455704</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>965848</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>25198</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>9233</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>1455983</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SEE NOTE ON SCHEDULE J</NamePerson>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 3</ReturnReference>
        <Explanation>THE ORGANIZATION DOES NOT COMPENSATE ANY OFFICERS OR KEY EMPLOYEES, WHO ARE SHARED EMPLOYEES COMPENSATED BY THE HOSPITAL AUTHORITY OF VALDOSTA/LOWNDES COUNTY DBA SOUTH GEORGIA MEDICAL CENTER ("AUTHORITY"), A RELATED ORGANIZATION. THE FILING ORGANIZATION, INSTEAD, RELIES ON THE METHODS USED BY THE AUTHORITY TO ESTABLISH COMPENSATION OF THE CEO AND EXECUTIVE OFFICERS. COMPENSATION DETERMINATION BY AUTHORITY INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION SURVEYS, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 4</ReturnReference>
        <Explanation>JAMES MCGAHEE 0 887,549 0</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>OTHER ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE J, PART III</ReturnReference>
        <Explanation>RANDY SAULS, CURRENT SGMC CEO, BEGAN SERVING AS CEO FOR THE FILING ORGANIZATION UPON RETIREMENT OF JAMES MCGAHEE ON AUGUST 1, 2011. MR. MCGAHEE'S COMPENSATION INCLUDES THE NET PRESENT VALUE OF CONTRACTUALLY OBLIGATED RETIREMENT PAY IN THE AMOUNT OF 887,549. THE CONTRACT, DATED JULY 20, 2011, (WHICH REVISED AND RESTATED THE PREVIOUS "TERMINATION AND BENEFITS AGREEMENT" DATED FEBRUARY 16, 2011, A REVISION OF THE PREVIOUS "COMPENSATION, BENEFITS AND TERMINATION AGREEMENT" DATED MARCH 19, 2001) WAS APPROVED BY THE AUTHORITY'S BOARD OF TRUSTEES. UPON RETIREMENT, THE TITLE TO THE 2008 TAHOE WAS TRANSFERRED TO MR. MCGAHEE. ITS FAIR MARKET VALUE IS INCLUDED IN OTHER REPORTABLE COMPENSATION.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc9">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>THE CONTROLLERS FROM LANIER HEALTH SERVICES AND THE HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY DBA SOUTH GEORGIA MEDICAL CENTER ("AUTHORITY"), A RELATED ORGANIZATION, REVIEW THE REPORT AND WORK WITH THE PREPARER TO MAKE ANY NECESSARY CHANGES OR CORRECTIONS PRIOR TO THE FILING OF THE REPORT. THEN, THE REPORT IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW. THE FORM 990 IS THEN SUBMITTED TO THE IRS IN A TIMELY MANNER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>ALL KEY MANAGEMENT PERSONNEL, THE ADMINISTRATOR, DIRECTORS, AND BOARD MEMBERS OF LANIER HEALTH SERVICES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST CERTIFICATION FORM ANNUALLY. WHEN A POTENTIAL CONFLICT OF INTEREST OCCURS, A MANAGER COMPLETES A CONFLICT OF INTEREST CERTIFICATION FORM FOR REVIEW. ALL POTENTIAL CONFLICTS OR ACTIVITIES INVOLVING KEY MANAGEMENT PERSONNEL HAVE TO BE APPROVED BY THE BOARD OF DIRECTORS. ALL OTHER POTENTIAL CONFLICTS OF INTEREST WILL BE APPROVED BY THE LANIER HEALTH SERVICES ADMINISTRATOR. INDIVIDUALS WITH CONFLICTS ARE REQUIRED TO REFRAIN FROM DISCUSSION AND VOTING ON THE ISSUE AND MUST LEAVE THE MEETING DURING DISCUSSIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>THE CEO OF THE AUTHORITY IS NOT COMPENSATED BY THE ORGANIZATION. THE HOSPITAL AUTHORITY SETS THE COMPENSATION FOR THE EXECUTIVE EMPLOYEES OF THE AUTHORITY. THIS WORK IS ACCOMPLISHED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE AUTHORITY. THIS COMMITTEE IS MADE UP OF FOUR MEMBERS OF THE AUTHORITY. THEY ARE INDEPENDENT, VOLUNTARY BOARD MEMBERS THAT ARE APPOINTED BY THE CITY OR COUNTY. THEY USE VARIOUS SALARY SURVEYS TO ASSIST THEM IN SETTING THE COMPENSATION LEVELS. THE EXECUTIVE COMPENSATION COMMITTEE KEEPS MINUTES OF ITS RECOMMENDATIONS ON SALARY DECISIONS. COMPENSATION FOR THE ORGANIZATION'S ADMINISTRATOR IS ADJUSTED ANNUALLY BY THE AUTHORITY. MARKET STUDIES ARE CONDUCTED EVERY FEW YEARS. DURING 2012, THE AUTHORITY ENGAGED A CONSULTANT TO PERFORM AN EVALUATION OF THE WAGE SCALE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>THE CFO OF THE AUTHORITY IS NAMED IN THE BYLAWS AS THE CFO OF THE ORGANIZATION. HE IS NOT COMPENSATED BY THE ORGANIZATION. THE AUTHORITY SETS THE COMPENSATION FOR THE EXECUTIVE EMPLOYEES OF THE AUTHORITY. THIS WORK IS ACCOMPLISHED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE AUTHORITY. THIS COMMITTEE IS MADE UP OF FOUR MEMBERS OF THE AUTHORITY. THEY ARE INDEPENDENT, VOLUNTARY BOARD MEMBERS THAT ARE APPOINTED BY THE CITY OR COUNTY. THEY USE VARIOUS SALARY SURVEYS TO ASSIST THEM IN SETTING THE COMPENSATION LEVELS. THE EXECUTIVE COMPENSATION COMMITTEE KEEPS MINUTES OF ITS RECOMMENDATIONS ON SALARY DECISIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>UPON ANY REQUEST FOR DOCUMENTS, THE ORGANIZATION IS REQUIRED TO OBTAIN BOARD APPROVAL AND LEGAL COUNSEL BEFORE ANY DOCUMENTS WILL BE RELEASED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PAGE 7, PART VII</ReturnReference>
        <Explanation>AVERAGE WEEKLY HOURS DEVOTED TO RELATED ORGANIZATIONS: RANDY SAULS 40 HOURS GREG HEMBREE 40 HOURS E. CAMERON HICKMAN 1 HOUR</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc10">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOSP AUTH OF VAL &amp; LOWNDES CO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2501 N PATTERSON STREET</AddressLine1>
          <City>VALDOSTA</City>
          <State>GA</State>
          <ZIPCode>31601</ZIPCode>
        </AddressUS>
        <EIN>586004467</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>