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      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
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        <Explanation>THE PRESIDENT OF BEEBE MEDICAL CENTER HAS QUARTERLY BREAKFAST MEETINGS WITH STATE AND LOCAL POLITICIANS.</Explanation>
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      <HeldWorksOfArtAmts />
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        <InvestmentEarningsOrLosses>1917505</InvestmentEarningsOrLosses>
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      <BoardDesignatedEOYBalance>0.98000</BoardDesignatedEOYBalance>
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      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>true</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>true</AreRelatedOrgsListedScheduleR>
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        <Depreciation>251749</Depreciation>
        <BookValue>1273996</BookValue>
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        <Description>DEFERRED COMPENSATION</Description>
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        <Description>WORK COMP &amp; MALP INS RECVBLE</Description>
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      <OtherLiabilities>
        <Description>ACC. POST RETIREMENT BENEFIT</Description>
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      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION OBLIG.</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>NET CAPITAL LEASE OBLIGATIONS</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED PENSION LIABILITY</Description>
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      <OtherLiabilities>
        <Description>ACCRUED MEDICAL MALPRACTICE</Description>
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      <OtherLiabilities>
        <Description>ACC. WORKERS COMP. LIABILITY</Description>
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      <OtherLiabilities>
        <Description>ASBESTOS REMOVAL OBLIGATION</Description>
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      <OtherLiabilities>
        <Description>LITIGATION SETTLEMENT</Description>
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      <OtherLiabilities>
        <Description>UNAMORTIZED BOND PREMIUM</Description>
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        <NetCommunityBuildingExpense>3394671</NetCommunityBuildingExpense>
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        <NetCommunityBuildingExpense>3504139</NetCommunityBuildingExpense>
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      <BadDebtExpenseReported>true</BadDebtExpenseReported>
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      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>95179546</AmountReimbursedByMedicare>
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      <MedicareSurplusOrShortfall>-35026622</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
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      <Form990ScheduleHPartVSectionA>
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          <BusinessNameLine1>BEEBE MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
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          <City>LEWES</City>
          <State>DE</State>
          <ZIPCode>19958</ZIPCode>
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        <LicensedHospital>X</LicensedHospital>
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        <Er24Hours>X</Er24Hours>
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          <Address>
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            <State>DE</State>
            <ZIPCode>19947</ZIPCode>
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          <FacilityType>IMAGING CENTER &amp; LAB DRAWS</FacilityType>
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        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BEEBE LAB EXPRESS</BusinessNameLine1>
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          <Address>
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            <City>MILLSBORO</City>
            <State>DE</State>
            <ZIPCode>19966</ZIPCode>
          </Address>
          <FacilityType>LAB DRAWS, WOUND CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MILLSBORO LABREHAB</BusinessNameLine1>
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          <Address>
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            <City>MILLSBORO</City>
            <State>DE</State>
            <ZIPCode>19966</ZIPCode>
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          <FacilityType>IMAGING CENTER, LAB DRAWS REHABILITATION THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
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            <City>MILLVILLE</City>
            <State>DE</State>
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            <City>MILLVILLE</City>
            <State>DE</State>
            <ZIPCode>19967</ZIPCode>
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        <OtherFacilities>
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            <City>MILTON</City>
            <State>DE</State>
            <ZIPCode>19968</ZIPCode>
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          <FacilityType>LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
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          <Address>
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            <City>REHOBOTH BEACH</City>
            <State>DE</State>
            <ZIPCode>19971</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT SURGERY, IMAGING LAB, REHABILITATION</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>TUNNELL CANCER CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>18947 JOHN J WILLIAMS HIGHWAY</AddressLine1>
            <City>REHOBOTH BEACH</City>
            <State>DE</State>
            <ZIPCode>19971</ZIPCode>
          </Address>
          <FacilityType>CANCER CENTER, SLEEP LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BEEBE HOME HEALTH</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>20232 ENNIS ROAD</AddressLine1>
            <City>GEORGETOWN</City>
            <State>DE</State>
            <ZIPCode>19947</ZIPCode>
          </Address>
          <FacilityType>HOME HEALTH AGENCY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BEEBE SCHOOL OF NURSING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>420 MARKET STREET</AddressLine1>
            <City>LEWES</City>
            <State>DE</State>
            <ZIPCode>19958</ZIPCode>
          </Address>
          <FacilityType>CERTIFIED NURSING SCHOOL</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>GULL HOUSE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>38149 TERRACE ROAD</AddressLine1>
            <City>REHOBOTH BEACH</City>
            <State>DE</State>
            <ZIPCode>19971</ZIPCode>
          </Address>
          <FacilityType>ADULT DAY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BEEBE ENDOSCOPY CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>33633 SAVANNAH ROAD</AddressLine1>
            <City>LEWES</City>
            <State>DE</State>
            <ZIPCode>19958</ZIPCode>
          </Address>
          <FacilityType>ENDOSCOPY CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>DELAWARE SLEEP DISORDER CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>200 HYGEIA DRIVE 2300</AddressLine1>
            <City>NEWARK</City>
            <State>DE</State>
            <ZIPCode>19713</ZIPCode>
          </Address>
          <FacilityType>SLEEP LAB</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>PART I, LINE 7, COLUMN F :</Identifier>
        <Explanation>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $12,831,828. PART III, LINE 4: Beebe Medical Center has adopted Healthcare Financial Management Association Statement No. 15, Valuation and Financial Statement Presentation of Charity Care and Bad Debts by Institutional Healthcare Providers. The organization's audited financial statements do not include a footnote discussing bad debt expense, accounts receivable or allowance for doubtful accounts. Bad debt expense represents uncollectible balances on patient accounts after deducting discounts and payments. A cost-to-charge ratio was applied to determine the cost of bad debts. PART III, LINE 8: Beebe Medical Center serves the community as a whole. It is the only hospital within 23 miles and is the only tertiary hospital within 40 miles. Beebe Medical Center accepts all patients regardless of ability to pay. Beebe Medical Center's primary service area is rural with a very high Medicare population. Medicare represents over 55% of hospital business. Medicare rates do not keep up with health care costs and with the high percentage of Medicare volumes the Medicare shortfall of $35,026,622 is considered a community benefit. PART III, LINE 9B: Beebe Medical Center is a not-for-profit, community-based healthcare facility. It is hospital policy that no one will be denied medically necessary hospital services based upon the patient's ability to pay for those services. A public notice of the availability of financial aid is visible within the hospital. Beebe Medical Center complies with all federal, state, and contractual laws, regulations, and Requirements. Objective: The patient or guarantor has the ultimate financial responsibility for care received from Beebe Medical Center. Beebe Medical Center cooperates and assists all patients in the fulfillment of their financial responsibility. This cooperation includes assistance with enrollment in public or private insurance programs, charity-based programs, financial assistance programs, or other third-party payment programs. Patients have the responsibility to provide timely and accurate information when seeking consideration under the Beebe Medical Center Charity and Financial Aid Policy. Procedures: 1. Self Pay Patient receives services from Beebe Medical Center (BMC) and is registered as a self pay with no insurance coverage. a. A statement of charges is sent to the patient 5 days from date of service, listing the summary of charges and insurance on file if applicable. b. A Financial Assistance Program letter is sent 10 days from date of service explaining the hospital financial assistance options, listing the federal poverty levels. The letter encourages the patient to contact Patient Financial Service to see eligibility in the programs offered at BMC. 2. Patient applies and submits all relative documentation for the BMC financial assistance program application process. a. Approval for eligibility for the BMC financial assistance program is communicated in a letter indicating the coverage period. The patient may receive 50% to 100% of financial assistance based on financial information presented. All accounts on the hospital books are written off to charity or financial assistance based on the approval level. b. Financial assistance expires annually at which time the patient is asked to update the information on file. c. The patient receives a laminated card indicating the application time period and the financial assistance number. d. The patient is instructed to present the card at each episode of care at registration. BMC financial assistance in entered in the registration in the same manner as insurer coverage. 3. Patient returns for services at BMC presenting with the financial assistance card at registration. a. Self pay is registered as the primary plan and financial assistance is registered as secondary coverage. b. A weekly report is generated listing all patients that visited the hospital with a financial assistance listed in the secondary insurance. c. The report is reviewed by the hospital financial counselor and the account is written off according to the assistance program of which the patient is eligible. i. If patient qualifies for the BMC Charity program, BMC Charity write off is 100% of charges. Patient receives no further statements from Beebe Medical Center. ii. If patient qualifies for the BMC Financial assistance discounted program - account is written off for the percentage of discount that the patient qualified for. Financial assistance can be granted for up to 50% of charges. 1. Patient will then receive a bill for the balance on the account. 2. Patient statement advises them to contact the financial counselor for payment arrangements. 3. The new accounts are combined with existing payment arrangements and a monthly payment is recalculated based on feedback from the patient on ability to pay. PART VI, ITEM 2 - NEEDS ASSESSMENT: Beebe Medical Center has various methods for assessing the health status of the communities it serves: o Community-based Board of Directors o Community Health Committee of the Board of Directors o Non-director members of the Community Health Committee, Building and Equipment Committee, and Quality and Safety committee o Consumer Perception Survey o Neighbors' Committee o Patient Family Advisory Council o Press-Ganey patient satisfaction survey o Public data o Community focus groups PART VI, ITEM 3 - PATIENT EDUCATION OF ELIGIBILITY ASSISTANCE: All inpatient self pay patients are presented with a financial assistance information package during the hospital stay. A letter is sent on the 3rd day after billing, outlining charity eligibility guidelines. Self pay accounts in which patient is not eligible to participate in a payment contract are counseled by financial assistance representatives. Charity and financial assistance policy is published on the hospital website. Statements on accounts have messages informing patients to contact the hospital if in need of financial assistance. Part VI, Item 4 - COMMUNITY INFORMATION: The Medical Center is located in Sussex County, the southern-most of three Delaware counties, which consists of 938 square miles, or 48% of Delaware's entire land area. Because of its climate and low property taxes, Sussex County has become an attractive retirement community. All of the county's growth over the next decade is projected to come from persons moving into the county. Traditionally, Sussex County has been regarded as a rural agricultural area. In many respects, it remains an agricultural area with 167 persons per square mile compared with the statewide average of 401 persons. However, the eastern edge of Sussex County that fronts on the Delaware Bay and Atlantic Ocean has become a major tourist resort and, most recently, a favored retirement area, retail, and hospitality center. Eastern and Southeastern Sussex County, which is Beebe Medical Center's primary service area, is particularly attractive due to its proximity to the Atlantic Ocean and Delaware Bay. As a result, the Medical Center generally experiences a significant increase in patient visits during the summer periods. The retirement age group is the fastest growing segment of the population in the Medical Center's service area due to the many retirement communities that have developed in the Sussex County area. With the 2000 Census, the Medicare age group comprised 22% of the population in the Medical Center's primary service area, compared with 18.5% for all of Sussex County. The 10-year (1990-2000) national growth rate of persons age 65 and older was at 12%, while in Delaware, the rate was 26%. However, in Sussex County, the 10-year growth rate of persons age 65 and older is 53%, or four times the national average and twice the statewide average. The population of Sussex County increased 37.8% between 2000 and 2010, growing to 215,900 people in 2010 residing year-round in the hospital's service area. The most recent population growth projection for persons older than 65 years for the Medical Center's primary service area is expected to be 24.3%. PART VI, ITEM 5 - PROMOTION OF COMMUNITY HEALTH: Community building activities include interpretation services to support increasing Hispanic population. Providing mentors in conjunction with colleges and high schools in the area for students pursuing nursing/healthcare careers. Recruitment and retention of physicians in underserved areas relative to community needs assessment. PART VI, ITEM 6 - AFFILIATED HEALTHCARE SYSTEM: Beebe Medical Center is a member of an affiliated health care system that includes Beebe Physician Network (BPN), a not-for-profit tax-exempt corporation that operates a physician network providing integrated physician services in coordination with the Medical Center. Beebe Medical Center is located in a community that has been designated as a phy</Explanation>
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        <ReturnReference>990 SCHEDULE H, PART VI</ReturnReference>
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          <City>LEWES</City>
          <State>DE</State>
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        <NamePerson>THOMAS STEINER</NamePerson>
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        <Identifier>SCHEDULE J, PAGE 1, LINE 4B:</Identifier>
        <Explanation>Voluntary participation is open to all Executive staff members or employed physicians who are designated by the Committee of the Board of Directors. Participants elect to reduce the amount of compensation which would otherwise be earned and payable in the following plan year in whole dollar amounts or in 1% increments up to 100% to be deposited into a trust account. Participants become vested at the time specified in their deferral election. Title to the trust remains with Beebe Medical Center until requirements are fulfilled. SCHEDULE J, PART I, LINE 7: Executives and management team members are eligible for bonuses if they meet specific organizational objectives including quality and safety issues, patient satisfaction scores, and certain financial goals. For Vice presidents, 60% of their eligible incentive is based upon organization - wide goals and 40% is based upon individual goals. For the CEO, 100% of the eligible incentive is based upon organization - wide or team goals. Certain physicians are eligible for an incentive based on the physician's individual practice number of worked RVU's.</Explanation>
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        <Explanation>DESCRIPTION OF PURPOSE BEEBE MEDICAL CENTER - MAIN CAMPUS EXPANSION, RENOVATION &amp; EQUIPMENT: *EXPAND EMERGENCY DEPARTMENT FROM 18 TO 36 BEDS AND RENOVATE EXISTING EMERGENCY DEPARTMENT AREA, PLUS EQUIPMENT *RELOCATE AND EXPAND (FROM 12 TO 20 BEDS) THE CRITICAL CARE UNIT, PLUS EQUIPMENT *ADD A 42-BED MEDICAL/SURGICAL UNIT, PLUS EQUIPMENT *RENOVATIONS TO ADD DUAL-CAPABLE ANGIOGRAPHY SUITE AND RENOVATIONS TO THE CARDIAC REHAB SUITE, PLUS EQUIPMENT BEEBE HEALTH CAMPUS - EXPANSION AND EQUIPMENT: *CONSTRUCTION AND EQUIPPING OF A RADIATION ONCOLOGY CENTER *CONSTRUCTION AND EQUIPPING A MEDICAL ONCOLOGY FACILITY SCHEDULE K, PART I, LINE B, COLUMN (F) DESCRIPTION OF PURPOSE REFUNDING BOND ISSUE TO FINANCE THE CURRENT REFUNDING OF THE DELAWARE HEALTH FACILITIES AUTHORITY'S $37,475,000 REVENUE BONDS, BEEBE MEDICAL CENTER PROJECT, SERIES 1994 OF WHICH $28,855,000 WERE OUTSTANDING AS OF JUNE 1, 2004, THE FIRST CALL DATE. SCHEDULE K, PART II, LINE 3, COLUMN (A) THE DIFFERENCE BETWEEN TOTAL PROCEEDS AND THE ISSUE PRICE REPORTED IN PART I IS INVESTMENT PROCEEDS.</Explanation>
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        <DescriptionOfTransaction>ANESTHESIA SERVICES</DescriptionOfTransaction>
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        <DescriptionOfTransaction>BMC REIMBURSED FOR EMPLOYEE</DescriptionOfTransaction>
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          <NamePerson>SUSSEX EMERGENCY ASSOCIATES</NamePerson>
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        <DescriptionOfTransaction>SEE PART V</DescriptionOfTransaction>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SALIBA FAMILY LLC</NamePerson>
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        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>185860</AmountOfTransaction>
        <DescriptionOfTransaction>SEE PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartV>
        <Identifier>SCHEDULE L, PART IV</Identifier>
        <Explanation>FOR THE TRANSACTIONS WITH DELAWARE ANESTHESIA ASSOCIATES, STEPHEN M FANTO, MD, A DIRECTOR OF BEEBE MEDICAL CENTER, IS A PARTNER IN THIS ENTITY. FOR THE TRANSACTIONS WITH SUSSEX EMERGENCY ASSOCIATES, THE SPOUSE OF PATRICIA SHREEVE, A DIRECTOR OF BEEBE MEDICAL CENTER, IS AN OWNER OF THIS ENTITY. IN ADDITION, PAUL T. COWAN, JR., DO, A DIRECTOR OF BEEBE MEDICAL CENTER, IS AN OWNER OF THIS ENTITY. SUSSEX EMERGENCY ASSOCIATES IS UNDER CONTRACT WITH BEEBE MEDICAL CENTER TO PROVIDE EMERGENCY ROOM PHYSICIAN SERVICES. FOR THE TRANSACTIONS WITH SALIBA FAMILY LLC, ANIS SALIBA, MD, A BEEBE MEDICAL CENTER BOARD MEMBER, IS A MEMBER OF THE LLC. BEEBE MEDICAL CENTER RENTS OFFICE SPACE FROM THE LLC.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <Explanation>FORM 990, PART VI, SECTION A, LINE 2 TWO DIRECTORS OF BEEBE MEDICAL CENTER AND ONE BEEBE MEDICAL FOUNDATION BOARD MEMBER ALSO SERVE AS SHAREHOLDERS AND DIRECTORS OF A LOCAL BANK. FORM 990, PART VI, SECTION A, LINE 4 Beebe Medical Center amended Section 8.06 of its Bylaws to now read: MEDICAL STAFF AND COMMITTEE MEMBERS A NOTWITHSTANDING SECTIONS 8.01 THROUGH 8.05, THIS SECTION 8.06 SHALL GOVERN THE INDEMNIFICATION OF THE MEMBERS OF THE MEDICAL STAFF, DEPARTMENT HEADS, AND MEMBERS OF DULY CONSTITUTED COMMITTEES OF THE MEDICAL STAFF. TO THE EXTENT COVERED BY THE CORPORATION'S APPLICABLE LIABILITY INSURANCE, THE CORPORATION SHALL INDEMNIFY (INCLUDING PAYMENT OF ATTORNEYS' FEES AND OTHER EXPENSES) AND HOLD HARMLESS PAST, PRESENT AND FUTURE MEMBERS OF THE MEDICAL STAFF, DEPARTMENT HEADS, AND MEMBERS OF DULY CONSTITUTED COMMITTEES OF THE MEDICAL STAFF FOR ANY WRONGFUL ACT BY ANY SUCH PERSON IN HIS OR HER CAPACITY AS SUCH, AND FOR ANY MATTER CLAIMED AGAINST ANY SUCH PERSON SOLELY BY REASON OF HIS OR HER STATUS AS SUCH. NOTHWITHSTANDING ANY OTHER PARAGRAPH OF THIS SECTION 8.06, THIS SECTION 8.06 EXCLUDES INDEMNIFICATION AND DEFENSE IN CONNECTION WITH A CLAIM ARISING OUT OF THE PRACTICE OF MEDICINE. FORM 990, PART VI, SECTION B, LINE 11A THE FORM 990 IS REVIEWED INTERNALLY BY MANAGEMENT OF BEEBE MEDICAL CENTER, INC. THE RETURN IS REVIEWED BY A THIRD PARTY ACCOUNTING FIRM, PRICEWATERHOUSECOOPERS LLP. A COPY OF THE FORM 990 WAS PROVIDED TO THE GOVERNING BODY BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C BEEBE MEDICAL CENTER REQUIRES ANNUAL COMPLETION OF A CONFLICT OF INTEREST STATEMENT FOR ALL BOARD MEMBERS, EXECUTIVES, AND MANAGEMENT TEAM MEMBERS. NON-MANAGEMENT TEAM MEMBERS ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST STATEMENT UPON HIRE. CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE BOARD FOR THE EXISTENCE OF ANY ADVERSE INTEREST. FORM 990, PART VI, SECTION B, LINES 15A AND 15B THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES GOVERNS AND CONTROLS EXECUTIVE COMPENSATION. PAY IS DETERMINED BY COMPARING like positions TO OTHER TAX-EXEMPT HEALTH SYSTEMS SIMILAR TO BEEBE MEDICAL CENTER IN SIZE AND COMPLEXITY LOCATED REGIONALLY AND THROUGHOUT THE UNITED STATES. PAY IS POSITIONED AT a range around THE 50TH PERCENTILE OF BEEBE MEDICAL CENTER'S PEER GROUP, on a national basis. THE EXECUTIVE COMMITTEE UTILIZES A CONSULTANT FOR EXECUTIVE COMPENSATION ADVICE. MINUTES OF MEETINGS ARE MAINTAINED TO DOCUMENT DELIBERATION AND DECISIONS. form 990, part vi, section c, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 5 EQUITY LOSSES IN SUBSIDIARIES $(7,008,978) UNREALIZED GAINS ON INVESTMENTS 656,055 INCREASE IN THE INTEREST IN FOUNDATION NET ASSETS 4,734,424 CHANGE IN BENEFIT PLAN LIABILITIES 4,486,136 NET ASSETS RELEASED FROM RESTRICTIONS FOR OTHER PURPOSES (50,336) INCREASE IN VALUE OF REMAINDER TRUST 99,993 INCREASE IN VALUE OF PERPETUAL TRUST 42,229 ------------- $ 2,959,523 =============</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SOUTHERN DELAWARE SURGERY CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>18941 JOHN J WILLIAMS HIGHWAY</AddressLine1>
          <City>REHOBETH</City>
          <State>DE</State>
          <ZIPCode>19971</ZIPCode>
        </AddressUS>
        <EIN>571188197</EIN>
        <PrimaryActivities>O/P SURGERY</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BEEBE PHYSICIAN NETWORK INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 760</AddressLine1>
          <City>LEWES</City>
          <State>DE</State>
          <ZIPCode>19958</ZIPCode>
        </AddressUS>
        <EIN>212011066</EIN>
        <PrimaryActivities>PHYS SUPPORT</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BEEBE MEDCTR</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BEEBE MEDICAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>902 SAVANNAH ROAD</AddressLine1>
          <City>LEWES</City>
          <State>DE</State>
          <ZIPCode>19958</ZIPCode>
        </AddressUS>
        <EIN>510319455</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BEEBE MEDCTR</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BEEBE PHYSICIAN NETWORK INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>6100000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BEEBE MEDICAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>559309</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BEEBE MEDICAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>94788</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <Identifier>SCHEDULE R, PART I</Identifier>
        <Explanation>IDENTIFICATION OF DISREGARDED ENTITIES: SOUTHERN DELAWARE SURGERY CENTER WAS INACTIVE DURING THE YEARS ENDED JUNE 30, 2010 AND JUNE 30, 2011.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>