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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ROBINS ANESTHESIA SERVICES LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>212 HOSPITAL DRIVE STE J</AddressLine1>
            <City>WARNER ROBINS</City>
            <State>GA</State>
            <ZIPCode>31088</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ANESTHESIA SVCS</DescriptionOfServices>
        <Compensation>1220729</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>RGL ASSOCIATES</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 1054</AddressLine1>
            <City>BRUNSWICK</City>
            <State>GA</State>
            <ZIPCode>31521</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>BILLING/ COLLECTIONS</DescriptionOfServices>
        <Compensation>1078338</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>IN COMPASS HEALTH INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>318 MAXWELL ROAD STE 500</AddressLine1>
            <City>ALPHARETTA</City>
            <State>GA</State>
            <ZIPCode>30009</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HOSPITALISTS</DescriptionOfServices>
        <Compensation>973063</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ADVANCED ICU CARE INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>999 EXECUTIVE PARK STE 210</AddressLine1>
            <City>ST LOUIS</City>
            <State>MO</State>
            <ZIPCode>63141</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ICU MONITORING</DescriptionOfServices>
        <Compensation>935730</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>36</NumberOfContractorsGT100K>
      <GovernmentGrants>300000</GovernmentGrants>
      <AllOtherContributions>98168</AllOtherContributions>
      <TotalContributions>398168</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>258228243</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>258228243</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CAFETERIA</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>827477</TotalRevenueColumn>
        <ExclusionAmount>827477</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>EMPLOYEE PHARMACY</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>266495</TotalRevenueColumn>
        <ExclusionAmount>266495</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PURCHASE DISCOUNTS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>33628</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>33628</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>VENDING</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>6991</TotalRevenueColumn>
        <ExclusionAmount>6991</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>169589</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4129</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>165460</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>259532423</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>5241169</TotalRevenueColumn>
        <ExclusionAmount>5241169</ExclusionAmount>
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      <IncomeFromInvestBondProceeds>
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        <ExclusionAmount>277577</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
      <GrossRents>
        <Real>322820</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>147893</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>174927</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>174927</TotalRevenueColumn>
        <ExclusionAmount>174927</ExclusionAmount>
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      <GrossAmountSalesAssets>
        <Securities>30650803</Securities>
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      <LessCostOthBasisSalesExpenses>
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        <Other>25806</Other>
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      <GainOrLoss>
        <Securities>1088497</Securities>
        <Other>-15612</Other>
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      <NetGainOrLossInvestments>
        <TotalRevenueColumn>1072885</TotalRevenueColumn>
        <ExclusionAmount>1072885</ExclusionAmount>
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        <TotalRevenueColumn>266697149</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>258266000</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>8032981</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>342064</Total>
        <ProgramServices>342064</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>1546270</Total>
        <ProgramServices>190060</ProgramServices>
        <ManagementAndGeneral>1356210</ManagementAndGeneral>
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      <OtherSalariesAndWages>
        <Total>85917355</Total>
        <ProgramServices>75673732</ProgramServices>
        <ManagementAndGeneral>10243623</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>3890925</Total>
        <ProgramServices>3298926</ProgramServices>
        <ManagementAndGeneral>591999</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
        <Total>13123568</Total>
        <ProgramServices>10905848</ProgramServices>
        <ManagementAndGeneral>2217720</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>6246211</Total>
        <ProgramServices>5514915</ProgramServices>
        <ManagementAndGeneral>731296</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>352154</Total>
        <ManagementAndGeneral>352154</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>98000</Total>
        <ManagementAndGeneral>98000</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>18137775</Total>
        <ProgramServices>13740968</ProgramServices>
        <ManagementAndGeneral>4396807</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>687260</Total>
        <ManagementAndGeneral>687260</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>11419660</Total>
        <ProgramServices>9945356</ProgramServices>
        <ManagementAndGeneral>1474304</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>3148863</Total>
        <ManagementAndGeneral>3148863</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>2927539</Total>
        <ManagementAndGeneral>2927539</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>375965</Total>
        <ProgramServices>315478</ProgramServices>
        <ManagementAndGeneral>60487</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>61488</Total>
        <ProgramServices>36046</ProgramServices>
        <ManagementAndGeneral>25442</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>3762992</Total>
        <ManagementAndGeneral>3762992</ManagementAndGeneral>
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      <DepreciationDepletion>
        <Total>13233508</Total>
        <ProgramServices>9204820</ProgramServices>
        <ManagementAndGeneral>4028688</ManagementAndGeneral>
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      <Insurance>
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        <ProgramServices>1134931</ProgramServices>
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      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
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        <ProgramServices>34374659</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PATIENT SUPPLIES &amp; PHAR</Description>
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        <ProgramServices>32800039</ProgramServices>
        <ManagementAndGeneral>47997</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>EQUIPMENT MAINTENANCE</Description>
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        <ProgramServices>4489845</ProgramServices>
        <ManagementAndGeneral>2419683</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>RISK MANAGEMENT</Description>
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        <ManagementAndGeneral>696838</ManagementAndGeneral>
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      <AllOtherExpenses>
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        <ProgramServices>2680427</ProgramServices>
        <ManagementAndGeneral>1691378</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <Fundraising>0</Fundraising>
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        <EOY>750000</EOY>
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      <LandBuildingsEquipmentBasis>244942825</LandBuildingsEquipmentBasis>
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      <LandBuildingsEquipmentBasisNet>
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        <EOY>77750</EOY>
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      <TotalAssets>
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      <OtherLiabilities>
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        <EOY>31063702</EOY>
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      <TotalLiabilities>
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        <EOY>139332850</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>206756812</BOY>
        <EOY>228379169</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>228379169</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>350148878</BOY>
        <EOY>367712019</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>21089755</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>532602</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
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      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
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    </IRS990>
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        <ContributorNameBusiness>
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        </ContributorNameBusiness>
        <ContributorAddressUS>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <TotalOfBookValueLandBuildings>111085419</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>ACCRUED PENSION LIABILITY</Description>
        <Amount>31063702</Amount>
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      <TotalOfAmounts>31063702</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>HOUSTON HOSPITALS, INC. IS PART OF THE HOUSTON HEALTHCARE SYSTEM, INC. THE SYSTEM 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 SYSTEM 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 SYSTEM 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 SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2011 AND 2010 OR FOR THE YEARS THEN ENDED. THE SYSTEM'S OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2008-2010.</Explanation>
      </Form990ScheduleDPartXIV>
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      <WrittenPolicy>1</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
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      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
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      <CharityCareAtCost>
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      </CharityCareAtCost>
      <UnreimbursedMedicaid>
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        <NetCommunityBuildingExpense>779</NetCommunityBuildingExpense>
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      </PhysicalImprovementsAndHousing>
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        <NetCommunityBuildingExpense>15546</NetCommunityBuildingExpense>
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        <NetCommunityBuildingExpense>10212</NetCommunityBuildingExpense>
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      <CoalitionBuilding>
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        <NetCommunityBuildingExpense>4987</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
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        <NetCommunityBuildingExpense>1155</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
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        <NetCommunityBuildingExpense>125671</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </WorkforceDevelopment>
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        <PersonsServed>242</PersonsServed>
        <TotalCommunityBuildingExpense>158350</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>158350</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00070</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>10793643</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>59425373</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>67890843</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-8465470</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>2</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>HOUSTON MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1601 WATSON BLVD</AddressLine1>
          <City>WARNER ROBINS</City>
          <State>GA</State>
          <ZIPCode>31093</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>PERRY HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1120 MORNINGSIDE DR</AddressLine1>
          <City>PERRY</City>
          <State>GA</State>
          <ZIPCode>31069</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>HOUSTON MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>225.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>300.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <OtherFactors>X</OtherFactors>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>0</IncludesPublicityMeasures>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>PERRY HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>225.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>300.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <OtherFactors>X</OtherFactors>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>0</IncludesPublicityMeasures>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>8</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>THE SURGERY CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1647 WATSON BLVD</AddressLine1>
            <City>WARNER ROBINS</City>
            <State>GA</State>
            <ZIPCode>31093</ZIPCode>
          </Address>
          <FacilityType>HOSPITAL BASED OUTPATIENT SURGERY CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HOUSTON LAKE MED-STOP</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2510 HIGHWAY 127</AddressLine1>
            <City>KATHLEEN</City>
            <State>GA</State>
            <ZIPCode>31047</ZIPCode>
          </Address>
          <FacilityType>HOSPITAL BASED URGENT CARE FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HOUSTON LAKE REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2510 HIGHWAY 127</AddressLine1>
            <City>KATHLEEN</City>
            <State>GA</State>
            <ZIPCode>31047</ZIPCode>
          </Address>
          <FacilityType>HOSPITAL BASED OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PAVILION MED-STOP</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>233 N HOUSTON RD STE 140</AddressLine1>
            <City>WARNER ROBINS</City>
            <State>GA</State>
            <ZIPCode>31093</ZIPCode>
          </Address>
          <FacilityType>HOSPITAL BASED URGENT CARE FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PAVILION REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>233 N HOUSTON RD STE 140</AddressLine1>
            <City>WARNER ROBINS</City>
            <State>GA</State>
            <ZIPCode>31093</ZIPCode>
          </Address>
          <FacilityType>HOSPITAL BASED OUTPATIENT REHAB FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PAVILION DIAGNOSTIC CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>233 N HOUSTON RD STE 140</AddressLine1>
            <City>WARNER ROBINS</City>
            <State>GA</State>
            <ZIPCode>31093</ZIPCode>
          </Address>
          <FacilityType>HOSPITAL BASED OUTPATIENT IMAGING FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>LAKE JOY MED-STOP</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1118 HIGHWAY 96 WEST</AddressLine1>
            <City>KATHLEEN</City>
            <State>GA</State>
            <ZIPCode>31047</ZIPCode>
          </Address>
          <FacilityType>HOSPITAL BASED URGENT CARE FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HOUSTON HEALTHCARE IMAGING SERVICES</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>114 SOUTHERLAND DRIVE</AddressLine1>
            <City>WARNER ROBINS</City>
            <State>GA</State>
            <ZIPCode>31088</ZIPCode>
          </Address>
          <FacilityType>HOSPITAL BASED OUTPATIENT IMAGING FACILITY</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 3C: GEORGIA REQUIRES ORGANIZATIONS TO USE 125% OF FPG. HOUSTON HEALTHCARE USES A SLIDING SCALE BEGINNING AT 125% WHEN DETERMINING ELIGIBILITY. CASH RESOURCES GREATER THAN $5,OOO IS CONSIDERED IN ADDITION TO INCOME.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: WORKSHEETS 1 AND 2 CONTAINED IN THE FORM 990, SCHEDULE H INSTRUCTIONS WERE USED TO DETERMINE THE COST-TO-CHARGE RATIO USED TO DETERMINE THE HOSPITAL'S CHARITY CARE AND MEDICAID COSTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7G: HOUSTON HEALTHCARE PROVIDES THE FACILITIES (FREE STANDING BUILDING) FOR THE HOUSTON COUNTY VOLUNTEER MEDICAL CLINIC. THIS FACILITY PROVIDES FREE MEDICAL/PHARMACEUTICAL HELP FOR THOSE CITIZENS OF HOUSTON COUNTY THAT HAVE AN EMPLOYED FAMILY MEMBER IN THEIR HOUSEHOLD BUT ARE NOT INSURED. THE TOTAL INCOME FOR THE HOUSEHOLD MUST BE LESS THAN 200% OF THE IDENTIFIED POVERTY LEVEL. THE VOLUNTEER CLINIC IS AN INTEGRAL PART OF OUR COMMUNITY HEALTHCARE SYSTEM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, L7 COL(F): BAD DEBT EXPENSE OF $34,374,659 HAS BEEN REMOVED FROM TOTAL EXPENSE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART II: HOUSTON HEALTHCARE STAFF PROVIDE AND PARTICIPATE IN SEVERAL COMMUNITY BUILDING ACTIVITIES. SOME EXAMPLES INCLUDE: SERVING ON THE CHAMBER OF COMMERCE BOARD, RAINBOW HOUSE CHILDREN'S ADVOCACY AND RESOURCE CENTER BOARD OF DIRECTORS, AND VARIOUS CIVIC GROUPS. HOUSTON HEALTHCARE HOSTS A NON-PROFIT EXPO TO INCREASE THE OVERALL AWARENESS OF SERVICES AND RESOURCES IN THE COMMUNITY.DUE TO PHYSICIAN SHORTAGES IN SPECIALTY SPECIFIC AREAS, RECRUITMENT EFFORTS WERE INCREASED IN 2011. EXAMPLES OF SHORTAGES WERE ENDOCRINOLOGY, RHEUMATOLOGY, GENERAL SURGERY AND OTOLARYNGOLOGY. EACH YEAR STAFF MEMBERS PROMOTE AND RAISE FUNDS FOR THE UNITED WAY OF CENTRAL GEORGIA, AND PARTICIPATE IN COMMUNITY EVENTS THAT RAISE FUNDS FOR RELAY FOR LIFE, MARCH OF DIMES AND KOMEN FOR THE CURE.HOUSTON HEALTHCARE SPONSORS THE FAITH AND COMMUNITY NURSES COALITION. THE COALITION IS MADE UP OF VOLUNTEER REGISTERED NURSES SERVING 25 CHURCHES IN THE CENTRAL GEORGIA AREA. HOUSTON HEALTHCARE PROVIDES A MONTHLY MEETING AND LUNCH FOR THE NURSES. AT EACH MEETING, THE NURSES RECEIVE INFORMATION AND TRAINING ON PROVIDING A HEALTH PROGRAM FOR THEIR CHURCH AS WELL AS THE COMMUNITIES THE CHURCHES SERVE. HOUSTON HEALTHCARE ALSO PROVIDES AN ORIENTATION FOR NURSES WHO DESIRE TO INITIATE A HEALTH PROGRAM IN THEIR CHURCH.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: THE COST OF INDIGENT AND CHARITY CARE FOR PATIENTS WHO QUALIFY UNDER OUR ORGANIZATIONS POLICY IS REPORTED IN PART I, LINE 7 OF THE SCHEDULE H. ALTHOUGH WE CANNOT QUANTIFY THE AMOUNT, WE BELIEVE THERE IS A CONSIDERABLE AMOUNT OF BAD DEBT WHICH CAN BE ATTRIBUTED TO INDIGENT AND CHARITY CARE PATIENTS. PATIENTS ARE OFTEN UNRESPONSIVE TO THE INFORMATION CONCERNING OUR INDIGENT POLICY, WHICH IS PROVIDED TO THEM AT THE TIME OF SERVICE AND THROUGHOUT THE BILLING PROCESS. FREQUENTLY THEY DO NOT SUBMIT AN APPLICATION FOR ASSISTANCE UNTIL THEY ARE CONTACTED BY A COLLECTION AGENCY. THERE IS NO FOOTNOTE IN THE FINANCIAL STATEMENTS CONCERNING BAD DEBTS. WORKSHEET 1, 2, AND 3 CONTAINED IN THE FORM 990, SCHEDULE H INSTRUCTIONS WERE USED TO DETERMINE THE COST-TO-CHARGE RATIO USED TO DETERMINE THE HOSPITALS BAD DEBT AND CHARITY CARE COSTS. BAD DEBTS SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE THE ORGANIZATION TREATS PATIENTS WITHOUT CONSIDERATION OF THEIR ABILITY TO PAY THEREFORE HAVING TO ABSORB THE EXPENSE OF UNCOLLECTED ACCOUNTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: 100% OF THE HOSPITAL'S MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFITS SINCE THE ORGANIZATION PROVIDES HEALTHCARE ACCESS FOR MEDICARE PATIENTS AND ACCEPTS PAYMENT BELOW COST BENEFITING OUR COMMUNITY LARGELY MADE UP OF MEDICARE BENEFICIARIES. THE SOURCE OF ALLOWABLE COSTS REPORTED IN LINE 6 WAS THE HOSPITAL'S 2011 MEDICARE COST REPORTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: THE BAD DEBT POLICY FOR HOUSTON HOSPITALS STATES THAT COLLECTIONS ARE CEASED UPON THE PATIENT'S APPROVAL FOR INDIGENT OR CHARITY CARE. PER THE ORGANIZATION'S CHARITY CARE POLICY, APPROVAL OF ELIGIBILITY EXPIRES IN 6 MONTHS, AT WHICH TIME, A PATIENT MUST REAPPLY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>HOUSTON MEDICAL CENTER</Identifier>
        <Explanation>PART V, SECTION B, LINE 11H: INDIGENCE IS ALSO DETERMINED BY OTHER FACTORS SUCH AS DEATH, IMPRISONMENT, OR QUALIFICATION UNDER GRANTS OR OTHER INDIGENT/CHARITY PROGRAMS, AS LISTED IN THE ORGANIZATION'S POLICY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PERRY HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 11H: INDIGENCE IS ALSO DETERMINED BY OTHER FACTORS SUCH AS DEATH, IMPRISONMENT, OR QUALIFICATION UNDER GRANTS OR OTHER INDIGENT/CHARITY PROGRAMS, AS LISTED IN THE ORGANIZATION'S POLICY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>HOUSTON MEDICAL CENTER</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: ALTHOUGH THE ORGANIZATION'S POLICY DOES NOT INDICATE THE MEASURES TAKEN TO PUBLICIZE THE FACILITY'S POLICY WITHIN THE COMMUNITY SERVED, IT DOES PUBLICIZE AS REQUIRED BY THE STATE'S INDIGENT CARE TRUST FUND (ICTF) POLICY. THE ORGANIZATION'S INDIGENT AND CHARITY CARE POLICY IS POSTED ON THE FACILITIES WEBSITE ALONG WITH THE INDIGENT AND CHARITY CARE GUIDELINES. A NOTICE IS PRINTED ON THE PATIENTS' BILLS, IN COMMUNITY NEWSPAPERS TWICE A YEAR, POSTED ON THE WALLS AT ALL ADMISSION AREAS, CARDS ARE AVAILABLE ON THE COUNTERS IN BOTH ENGLISH AND SPANISH, AND THE POLICY AND INDIGENT APPLICATIONS ARE AVAILABLE UPON REQUEST. HOUSTON HEALTHCARE INFORMS AND EDUCATES THE COMMUNITY ABOUT THE AVAILABILITY AND ELIGIBILITY FOR FINANCIAL ASSISTANCE BY PROVIDING THESE CARDS AT COMMUNITY EVENTS, HEALTH FAIRS AND EDUCATION SEMINARS. THE CARDS AND SIGNAGE ARE PROVIDED IN ENGLISH AND SPANISH. INFORMATION IS ALSO GIVEN OUT REGARDING AVAILABILITY AND ELIGIBILITY FOR FINANCIAL SERVICES IN ENGLISH AND SPANISH AT NUMEROUS COMMUNITY EVENTS SUCH AS HEALTH FAIRS. (BOXES A-G WOULD BE CHECKED)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PERRY HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: ALTHOUGH THE ORGANIZATION'S POLICY DOES NOT INDICATE THE MEASURES TAKEN TO PUBLICIZE THE FACILITY'S POLICY WITHIN THE COMMUNITY SERVED, IT DOES PUBLICIZE AS REQUIRED BY THE STATE'S INDIGENT CARE TRUST FUND (ICTF) POLICY. THE ORGANIZATION'S INDIGENT AND CHARITY CARE POLICY IS POSTED ON THE FACILITIES WEBSITE ALONG WITH THE INDIGENT AND CHARITY CARE GUIDELINES. A NOTICE IS PRINTED ON THE PATIENTS' BILLS, IN COMMUNITY NEWSPAPERS TWICE A YEAR, POSTED ON THE WALLS AT ALL ADMISSION AREAS, CARDS ARE AVAILABLE ON THE COUNTERS IN BOTH ENGLISH AND SPANISH, AND THE POLICY AND INDIGENT APPLICATIONS ARE AVAILABLE UPON REQUEST. HOUSTON HEALTHCARE INFORMS AND EDUCATES THE COMMUNITY ABOUT THE AVAILABILITY AND ELIGIBILITY FOR FINANCIAL ASSISTANCE BY PROVIDING THESE CARDS AT COMMUNITY EVENTS, HEALTH FAIRS AND EDUCATION SEMINARS. THE CARDS AND SIGNAGE ARE PROVIDED IN ENGLISH AND SPANISH. INFORMATION IS ALSO GIVEN OUT REGARDING AVAILABILITY AND ELIGIBILITY FOR FINANCIAL SERVICES IN ENGLISH AND SPANISH AT NUMEROUS COMMUNITY EVENTS SUCH AS HEALTH FAIRS. (BOXES A-G WOULD BE CHECKED)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>HOUSTON MEDICAL CENTER</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: IN 2011, ANY BALANCES DUE BY THE PATIENT WERE BILLED GROSS CHARGES LESS 10 PERCENT. THIS IS THE AVERAGE OF OUR 3 LOWEST DISCOUNTED CONTRACTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PERRY HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: IN 2011, ANY BALANCES DUE BY THE PATIENT WERE BILLED GROSS CHARGES LESS 10 PERCENT. THIS IS THE AVERAGE OF OUR 3 LOWEST DISCOUNTED CONTRACTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: EVERY THREE YEARS HOUSTON HEALTHCARE COMPLETES A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS USED TO IDENTIFY THE PRIORITY AREAS FOR THE COMMUNITY BENEFIT PLAN. IN 2009 THE CHNA INFORMATION WAS COLLECTED FROM SEVERAL SOURCES INCLUDING GEORGIA HOSPITAL ASSOCIATION, DISTRICT PUBLIC HEALTH, AND GEORGIA STATE UNIVERSITY, AS WELL AS, COMMUNITY COALITIONS. HOUSTON HEALTHCARE ALSO OBTAINED INFORMATION DIRECTLY FROM COMMUNITY PERSONS BY CONDUCTING TWO SURVEYS - ONE COMPLETED BY LOCAL SENIOR ADULTS IN OUR COMMUNITY, AND THE OTHER DESIGNED BY MERCER UNIVERSITY TO COLLECT INFORMATION ON TEEN HEALTH ISSUES. INTERNAL INFORMATION WAS GATHERED ON THE PRIMARY CAUSES OF BOTH ADMISSIONS AND READMISSIONS AND FOR EACH HOSPITAL IN OUR SYSTEM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: INFORMATION REGARDING THE INDIGENT CARE TRUST FUND IS AVAILABLE AT EACH OF OUR REGISTRATION AREAS AND DISPLAYED WITH SIGNAGE AND CARDS. WE ALSO INFORM OUR PATIENTS AND FAMILIES OF OUR INDIGENT AND CHARITY CARE POLICY DURING THE INPATIENT AND OUTPATIENT ADMISSION PROCESS. OUR SYSTEM WEBSITE PROVIDES INFORMATION ON OUR PATIENT FINANCIAL SERVICES, WHICH INCLUDES BILLING, INSURANCE, AND OUR INDIGENT AND CHARITY CARE GUIDELINES AND POLICY. THE FIRST BILLING STATEMENT SENT OUT TO PATIENTS ALSO ADDRESSES THIS PROCESS WITH SPECIFIC INSTRUCTIONS. THESE CARDS WITH FINANCIAL INFORMATION ARE AVAILABLE AT COMMUNITY EVENTS, HEALTH FAIRS AND EDUCATION SEMINARS. THE CARDS AND SIGNAGE ARE PROVIDED IN ENGLISH AND SPANISH.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: HOUSTON HEALTHCARE SERVES THE MEDICAL NEEDS OF RESIDENTS IN THE CENTRAL GEORGIA AREA. OUR PRIMARY SERVICE AREA INCLUDES HOUSTON COUNTY AND PEACH COUNTY. PEOPLE IN SURROUNDING COUNTIES ALSO TURN TO US FOR THEIR MEDICAL SERVICES. THESE COUNTIES INCLUDE BLECKLEY, CRAWFORD, DODGE, DOOLY, MACON, PULASKI, TAYLOR, TWIGGS AND BIBB COUNTY AND ARE CONSIDERED OUR SECONDARY SERVICE AREA.ALL HOUSTON HEALTHCARE FACILITIES ARE LOCATED IN HOUSTON COUNTY AND ARE GOVERNED BY TWO BOARDS OF TRUSTEES. THE EXECUTIVE TEAM ALSO OVERSEES ALL OPERATIONS AND ACTIVITIES FOR THE SYSTEM. MEETING THE DIVERSE HEALTH NEEDS OF THE 139,900 COUNTY RESIDENTS IS AN ON-GOING CHALLENGE. THE COMMUNITY INCLUDES AN INCREASING NUMBER OF RETIREES AND ELDERLY LIVING IN OR MOVING TO HOUSTON COUNTY DUE TO THE MILD CLIMATE AND LOWER COST OF LIVING IN THE AREA. GEORGIA HAS THE 11TH FASTEST GROWING POPULATION OF OLDER PEOPLE, ACCORDING TO THE GEORGIA HOSPITAL ASSOCIATION (GHA) IN 2009. IN HOUSTON COUNTY, 19.5% ARE ON MEDICAID (2010 CENSUS), 12.4% ARE ON PEACH CARE. THE LOW LITERACY RATE IS ESTIMATED AT 13%. ONE IN EVERY 5 OF GEORGIA'S NON-ELDERLY POPULATION IS UNINSURED.HOUSTON HEALTHCARE SERVES A DIVERSE POPULATION. THE AREA RESIDENTS INCLUDE 63% CAUCASIAN, 28% AFRICAN AMERICAN, 6% HISPANIC AND 2% OTHER. WITH OVER 2,300 EMPLOYEES, HOUSTON HEALTHCARE IS THE 3RD LARGEST EMPLOYER IN HOUSTON COUNTY. ROBINS AIR FORCE BASE IS THE LARGEST WITH OVER 22,500 EMPLOYEES, FOLLOWED BY THE HOUSTON COUNTY BOARD OF EDUCATION WITH 3,700 TEACHERS AND STAFF. PERDUE FARMS, WITH 2,000 POULTRY WORKERS (MANY OF WHOM ARE HISPANIC) IS THE 4TH LARGEST, AND FRITO LAY, PRODUCER OF SNACK FOODS WITH OVER 1,400 WORKERS, IS THE 5TH LARGEST.THE THREE LEADING CAUSES OF DEATH INCLUDE 34% DIE FROM CARDIOVASCULAR DISEASE, 21% FROM CANCER AND 18% FROM STROKE. THERE IS ALSO AN INCREASING NUMBER OF PERSONS WITH DIABETES. GEORGIA STATE UNIVERSITY REPORTS CENTRAL GEORGIA COUNTIES HAVE AN AVERAGE OF 11% OF THE POPULATION WITH DIABETES. GEORGIA CONTINUES WITH HIGHER RATES OF PRE-TERM BIRTHS (LESS THAN 37 WEEKS) AND LOW BIRTH NEWBORNS THAN THE AVERAGE FOR THE UNITED STATES. HOUSTON COUNTY PERINATAL COALITION HAS ALSO IDENTIFIED AN INCREASING NUMBER OF PREGNANCIES AMONG TEENS. OUR HEALTH DISTRICT, DISTRICT 5-2, HAS A SIGNIFICANTLY HIGHER RATE OF TOBACCO USAGE AS WELL AS LUNG CANCER. THE OBESITY RATE IN CENTRAL GEORGIA RESIDENTS IS 31.1 PERCENT. THESE FACTS DEMONSTRATE THE NEED FOR EDUCATION ON LIFE STYLE CHANGES RELATED TO NUTRITION, EXERCISE AND TOBACCO AVOIDANCE. THROUGH THE 2009 COMMUNITY HEALTH NEEDS ASSESSMENT, HOUSTON HEALTHCARE HAS IDENTIFIED FOUR FOCUS AREAS OF COMMUNITY HEALTHCARE NEEDS. THE FOUR AREAS INCLUDE: (1) WELLNESS PROMOTION TARGETING MAJOR RISK FACTORS OF TOBACCO, NUTRITION AND EXERCISE; (2) ACCESS TO CARE - PROVIDING ASSISTANCE IN ESTABLISHING "MEDICAL HOMES" FOR LOWER INCOME, UNINSURED/ UNDERINSURED INDIVIDUALS; (3) CHRONIC DISEASE INCLUDING HEART DISEASE, CANCER, DIABETES, AND HYPERTENSION; AND (4) VULNERABLE POPULATIONS WHO REQUIRE ADDITIONAL ASSISTANCE AND OFTEN INDIVIDUALIZED CARE. POPULATIONS IDENTIFIED AS IN THE VULNERABLE POPULATION SUCH GROUPS SUCH AS ELDERLY PERSONS, PREGNANT WOMEN AND NEWBORNS, AS WELL AS PERSONS WITH LONG TERM ILLNESSES THAT WOULD BENEFIT FROM EDUCATION AND SUPPORT GROUPS. AN EXAMPLE IS PERSONS WITH ALZHEIMER'S OR MULTIPLE SCLEROSIS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 5: HOUSTON HOSPITALS, INC. OPERATES TWO LICENSED HOSPITAL FACILITIES WHICH PROVIDE EMERGENCY CARE 24/7.HOUSTON HEALTHCARE BOARD MEMBERS ARE ACTIVE MEMBERS IN OUR COMMUNITY. THEY ARE EMPLOYED OR RETIRED FROM VARIOUS COMMUNITY ORGANIZATIONS SUCH AS LOCAL SCHOOLS, LOCAL AND STATE GOVERNMENT, PHYSICIAN PRACTICES, LAW FIRMS, AND INSURANCE AGENCIES. THEIR EDUCATION, EXPERIENCE AND COMMUNITY INVOLVEMENT ENABLES OUR ORGANIZATION TO PROVIDE NEEDED SERVICES AND BENEFITS TO MEET THE COMMUNITY NEEDS. AN OPEN MEDICAL STAFF ENABLES THE ORGANIZATION TO PROVIDE THE SERVICES NEEDED BY THE COMMUNITY, AND IT ALLOWS NEEDED ACCESS TO THE INDIGENT, AS WELL AS MEDICARE, MEDICAID AND TRICARE POPULATIONS. HOUSTON HEALTHCARE SUPPORTS THE HOUSTON COUNTY VOLUNTEER MEDICAL CLINIC IN SEVERAL WAYS: PROVIDING A BUILDING FOR THE FREE CLINIC, ASSISTING WITH STAFF SALARY COST, AS WELL AS ACCEPTING REFERRALS FROM THE CLINIC FOR REQUIRED SERVICES SUCH AS LAB, RADIOLOGY, ETC.HOUSTON HOSPITALS, INC. EDUCARE DEPARTMENT PROVIDES THREE MEETING FACILITIES TO NOT FOR PROFIT HEALTHCARE AND COMMUNITY ENHANCEMENT ORGANIZATIONS FOR WEEKLY/MONTHLY STAFF MEETINGS AND MEETINGS FOR MEMBERS OF THE HOUSTON COUNTY COMMUNITY. EXAMPLES OF COMMUNITY ORGANIZATIONS THAT USE THESE FACILITIES INCLUDE AARP, AMERICAN HEART ASSOCIATION, SUSAN G. KOMEN FOR THE CURE FOUNDATION, MARCH OF DIMES, ALZHEIMER'S ASSOCIATION, AND SAFEKIDS OF HOUSTON COUNTY. ALL OF THESE ORGANIZATIONS, PLUS SEVERAL OTHERS, USE THESE FACILITIES FREE OF CHARGE EACH WEEK/MONTH. IN ADDITION, HOUSTON HOSPITALS, INC. EDUCARE DEPARTMENT PROVIDES MORE THAN 45 ON-GOING HEALTH AND WELLNESS EDUCATION PROGRAMS AS WELL AS NUMEROUS HEALTH FAIRS/SCREENINGS EACH YEAR THAT SERVES SEVERAL THOUSAND RESIDENTS OF HOUSTON COUNTY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6: HOSPITAL AUTHORITY OF HOUSTON COUNTY, GEORGIA - GOVERNMENTAL AGENCY FROM WHICH HOUSTON HOSPITAL'S INC. LEASES HOUSTON MEDICAL CENTER AND PERRY HOSPITAL. THE AUTHORITY HAS ALSO ENTERED INTO A LONG-TERM LEASE WITH ALL OF ITS FACILITIES AND PROPERTIESHOUSTON HEALTHCARE SYSTEM, INC. - 501(C)(3); PARENT ORGANIZATION WHICH LEASES THE HOSPITALS FROM THE AUTHORITY. HOUSTON HOSPITALS, INC. IS RESPONSIBLE FOR THE DAY-TO-DAY OPERATIONS OF THE HOSPITALS.HOUSTON HEALTHCARE PROPERTIES, INC. - 501(C)(3); ORGANIZATION WHICH IS USED FOR MANAGEMENT OF OTHER PROPERTIES NOT OWED OR USED BY HOUSTON HOSPITALS, INC.HOUSTON HEALTHCARE EMS, INC. - 501(C)(3); PROVIDES AMBULANCES SERVICES FOR HOUSTON HOSPITALS, INC. AND IT'S COMMUNITY.HOUSTON HEALTH VENTURES, INC. - FOR PROFIT ORGANIZATION. PARTNERS WITH OTHER MEDICAL ORGANIZATIONS TO PROVIDE INCREASED HEALTHCARE SERVICES TO THE COMMUNITY.HOUSTON HEALTHCARE COMPLEX MSO, INC. - THIS NON-PROFIT CORPORATION WAS ORIGINALLY FORMED TO EMPLOY PHYSICIANS FOR THE BENEFIT OF THE HOSPITAL AUTHORITY, ENGAGE IN MANAGED CARE CONTRACTING AND PROVIDE "BACK OFFICE" SUPPORT TO PHYSICIAN OFFICES, SUCH AS BILLING. THIS CORPORATION IS PRESENTLY INACTIVE AND NOW EXISTS SOLELY FOR THE PURPOSE OF HOLDING THE OWNERSHIP INTEREST OF HOUSTON HEALTHCARE SYSTEM, INC. (FORMERLY THE HOSPITAL AUTHORITY) IN PATIENTSELECT, LLC. THIS OWNERSHIP INTEREST CONSISTS OF A $85,000 INVESTMENT IN 85 CLASS A UNITS AND A $765,000 INVESTMENT IN 153 CLASS B UNITS OF PATIENTSELECT, LLC.PATIENTSELECT LLC - PHYSICIAN ORGANIZATION FOR WHICH HOUSTON HEALTHCARE COMPLEX MSO, INC HAS PARTNERSHIP INTEREST IN.CHARITABLE GIVING FUND - THIS IS A NEW CORPORATION FOR WHICH 501(C)(3) STATUS HAS BEEN REQUESTED. THIS NON-PROFIT CORPORATION IS SET UP TO RECEIVE CHARITABLE CONTRIBUTIONS AND TO PAY THEM OVER TO OTHER CHARITABLE ORGANIZATIONS OR, TO BE USED IN OTHER CHARITABLE PURPOSES PERMITTED UNDER GEORGIA NONPROFIT CORPORATION CODE, 501(C)(3) CODE, AND AS DETERMINED BY THE BOARD OF TRUSTEES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>REPORTS FILED WITH STATES</Identifier>
        <ReturnReference>PART VI, LINE 7</ReturnReference>
        <Explanation>GA</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MACON STATE COLLEGE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>100 COLLEGE STATION DRIVE</AddressLine1>
          <City>MACON</City>
          <State>GA</State>
          <ZIPCode>31206</ZIPCode>
        </AddressUS>
        <EINOfRecipient>581028275</EINOfRecipient>
        <IRCSection>GOVERNMENTAL</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>NURSING PROGRAM SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MIDDLE GEORGIA TECHNICAL COLLEGE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>80 COHEN WALKER DRIVE</AddressLine1>
          <City>WARNER ROBINS</City>
          <State>GA</State>
          <ZIPCode>31088</ZIPCode>
        </AddressUS>
        <EINOfRecipient>581727346</EINOfRecipient>
        <IRCSection>GOVERNMENTAL</IRCSection>
        <AmountOfCashGrant>75000</AmountOfCashGrant>
        <PurposeOfGrant>NURSING PROGRAM SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MIDDLE GEORGIA COMMUNITY ACTION AGENCY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 2286</AddressLine1>
          <City>WARNER ROBBINS</City>
          <State>GA</State>
          <ZIPCode>31099</ZIPCode>
        </AddressUS>
        <EINOfRecipient>581192477</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>46750</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HEALTH CARE CENTRAL GEORGIA INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
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          <City>MACON</City>
          <State>GA</State>
          <ZIPCode>31202</ZIPCode>
        </AddressUS>
        <EINOfRecipient>582624455</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>85714</AmountOfCashGrant>
        <PurposeOfGrant>ANNUAL TEEN HEALTH FORUM &amp; PHARMACY PROGRAM FOR THE UNINSURED</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>PHOENIX CENTER BEHAVIORAL HEALTH SERVICE BOARD</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>940 GA HIGHWAY 96</AddressLine1>
          <City>WARNER ROBINS</City>
          <State>GA</State>
          <ZIPCode>31088</ZIPCode>
        </AddressUS>
        <EINOfRecipient>582105225</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>59600</AmountOfCashGrant>
        <PurposeOfGrant>RENOVATIONS/OPERATIONS SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>5</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>1</SeverancePayment>
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      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MELINDA HARTLEY</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERTIENA F FLETCHER</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL O'HARA</NamePerson>
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        <DeferredCompFilingOrg>4427</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>9960</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SANDRA N JOHNSON</NamePerson>
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        <BonusFilingOrg>300</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1269</OtherCompensationFilingOrg>
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        <DeferredCompFilingOrg>4271</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>9761</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>302</OtherCompensationFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>PAIGE DAWSON</NamePerson>
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        <DeferredCompFilingOrg>4332</DeferredCompFilingOrg>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4A</ReturnReference>
        <Explanation>SEVERANCE PAYMENT FRANK POWELL RECEIVED SEVERANCE PAY IN THE AMOUNT OF $65,129.</Explanation>
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    </IRS990ScheduleJ>
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        </IssuerName>
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        <CUSIPNumber>442042DK0</CUSIPNumber>
        <DateIssued>2007-08-23</DateIssued>
        <IssuePrice>71610473</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCT &amp; EQUIP HOSPITAL TOWER.</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
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        <TotalProceeds>71610473</TotalProceeds>
        <AmountInReserveFund>4894375</AmountInReserveFund>
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        <IssuanceCostsFromProceeds>871608</IssuanceCostsFromProceeds>
        <CapitalExpenditures>68788545</CapitalExpenditures>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
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        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
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        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00050</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00050</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
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        <GrossProceedsInvestedInGIC>1</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>CITIGROUP GLOBAL</BusinessNameLine1>
          <BusinessNameLine2>GIC</BusinessNameLine2>
        </NameOfGICProvider>
        <TermOfGIC>2.000000000000</TermOfGIC>
        <RegulatorySafeHarborSatisfied>1</RegulatorySafeHarborSatisfied>
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        <ExceptionToRebate>0</ExceptionToRebate>
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        </NameOfInterestedPerson>
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        <AmountOfTransaction>49795</AmountOfTransaction>
        <DescriptionOfTransaction>BRIAN GRAHAM, SON OF DIRECTOR, FRED GRAHAM, IS EMPLOYED BY HOUSTON HOSPITALS, INC.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
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        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF DIRECTOR</Relationship>
        <AmountOfTransaction>53529</AmountOfTransaction>
        <DescriptionOfTransaction>AMY DAWSON, DAUGHTER OF DIRECTOR, FRED GRAHAM, IS EMPLOYED BY HOUSTON HOSPITALS, INC.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DANIEL DEIGHTON</NamePerson>
        </NameOfInterestedPerson>
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        <AmountOfTransaction>36948</AmountOfTransaction>
        <DescriptionOfTransaction>DR. DEIGHTON IS A BOARD MEMBER OF THE ORGANIZATION. DR. DEIGHTON IS RENTING OFFICE SPACE FROM THE ORGANIZATION. RENT WAS NEGOTIATED AT ARM'S LENGTH AND IS AT FAIR MARKET VALUE.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MELANIE L WARREN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF DIRECTOR</Relationship>
        <AmountOfTransaction>71406</AmountOfTransaction>
        <DescriptionOfTransaction>MELANIE L. WARREN, DAUGHTER OF DIRECTOR, TRUDIE WARREN, IS EMPLOYED BY HOUSTON HOSPITALS, INC.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LEIGH WOLK</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF DIRECTOR</Relationship>
        <AmountOfTransaction>31467</AmountOfTransaction>
        <DescriptionOfTransaction>LEIGH WOLK, DAUGHTER OF DIRECTOR, HORATIO CABASARES, M.D., IS EMPLOYED BY HOUSTON HOSPITALS, INC.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>WINDIE A RHODES</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF OFFICER</Relationship>
        <AmountOfTransaction>33919</AmountOfTransaction>
        <DescriptionOfTransaction>WINDIE A. RHODES, WIFE OF OFFICER, ROBERT RHODES, IS EMPLOYED BY HOUSTON HOSPITALS, INC.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS OF THE HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION, APPOINTS THE BOARD OF HOUSTON HOSPITALS, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS OF THE HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION, APPOINTS THE BOARD OF HOUSTON HOSPITALS, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>CERTAIN ACTIONS OF THE BOARD OF HOUSTON HOSPITAL, INC. MUST BE APPROVED BY THE BOARD OF HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE DRAFT OF THE 990 WAS PREPARED BY THE ORGANIZATION'S CONTROLLER AND PROVIDED TO AN INDEPENDENT TAX ACCOUNTANT. THE DRAFT WAS REVIEWED BY THE TAX ACCOUNTANT AND RETURNED TO THE CONTROLLER AND CFO. AFTER COMMENTS FROM THE OFFICERS, THE RETURN WAS FINALIZED. A COPY OF THE FINALIZED FORM WAS PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES SIGN CONFLICT OF INTEREST STATEMENTS ON AN ANNUAL BASIS WHICH REQUIRES THEM TO DISCLOSE ANY POTENTIAL CONFLICT. MANAGEMENT ENSURES THAT A STATEMENT IS RECEIVED FROM EVERYONE AND THAT THERE ARE NO CONFLICTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>A COMPREHENSIVE REVIEW OF THE PRESIDENT'S TOTAL COMPENSATION WAS CONDUCTED BY THE BENEFITS AND COMPENSATION COMMITTEE OF THE HOUSTON HEALTHCARE SYSTEM, A RELATED ORGANIZATION. MINUTES REFLECTING THE DELIBERATIONS OF THAT COMMITTEE ARE RECORDED AND FILED. THE COMMITTEE IS COMPRISED OF THREE MEMBERS OF THE BOARD OF DIRECTORS. IN CONSIDERING AN ADJUSTMENT IN TOTAL COMPENSATION FOR THE PRESIDENT, VARIOUS STUDIES ARE CONSIDERED AND FACTORED INTO THE FINAL DECISION, INCLUDING THE GEORGIA VHA EXECUTIVE COMPENSATION SURVEY-CHIEF EXECUTIVE OFFICER, THE GEORGIA HOSPITAL ASSOCIATION SURVEY OF EXECUTIVE COMPENSATION AND AN EXECUTIVE SALARY SURVEY OF GEORGIA HOSPITAL EXECUTIVES CONDUCTED ANNUALLY BY HR ADVANTAGE, A COMPENSATION CONSULTANT WITH A NATIONWIDE REACH. ALL OF THE ENTITIES AND INDIVIDUALS PROVIDE COMPENSATION DATA INDEPENDENT OF THE OTHER. SUBSEQUENT TO THE REVIEW, A RECOMMENDATION REGARDING THE PRESIDENT'S COMPENSATION IS REVIEWED AND MODIFIED/APPROVED BY MEMBERS OF THE FULL HOSPITAL BOARD. A SIMILAR PROCESS IS EMPLOYED FOR THE CFO. THE REVIEW IS PERFORMED ON AN ANNUAL BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 9:</ReturnReference>
        <Explanation>FRANK POWELL IS NO LONGER WITH THE ORGANIZATION. HIS ADDRESS IS 107 SWEET BAY ROAD, KATHLEEN, GA 31407.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>TRANSFER TO HOSPITAL AUTHORITY OF HOUSTON COUNTY -1,000. TRANSFER FROM PATIENT SELECT -4,743. TRANSGER FROM HOUSTON HEART INSTITUTE 21,190,085. UNREALIZED LOSS FROM INVESTMENTS -7,768,000. ROUNDING -799. NET PENSION OBLIGATION -12,882,941. TOTAL TO FORM 990, PART XI, LINE 5: 532,602.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOUSTON HEALTHCARE SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 2886</AddressLine1>
          <City>WARNER ROBINS</City>
          <State>GA</State>
          <ZIPCode>31093</ZIPCode>
        </AddressUS>
        <EIN>711045299</EIN>
        <PrimaryActivities>HEALTH SYSTEM (PARENT)</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11C, III-FI</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOSPITAL AUTHORITY OF HOUSTON COUNTY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 2886</AddressLine1>
          <City>WARNER ROBINS</City>
          <State>GA</State>
          <ZIPCode>31093</ZIPCode>
        </AddressUS>
        <EIN>580833515</EIN>
        <PrimaryActivities>HOSPITAL AUTHORITY</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOUSTON HEALTHCARE PROPERTIES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 2886</AddressLine1>
          <City>WARNER ROBINS</City>
          <State>GA</State>
          <ZIPCode>31093</ZIPCode>
        </AddressUS>
        <EIN>270174397</EIN>
        <PrimaryActivities>PROPERTY MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOUSTON HEALTHCARE SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOUSTON HEALTHCARE EMS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 2886</AddressLine1>
          <City>WARNER ROBINS</City>
          <State>GA</State>
          <ZIPCode>31093</ZIPCode>
        </AddressUS>
        <EIN>263941348</EIN>
        <PrimaryActivities>EMERGENCY SERVICES</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOUSTON HEALTHCARE SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HOUSTON HEALTHCARE COMPLEX MSO INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1601 WATSON BLVD</AddressLine1>
          <City>WARNER ROBINS</City>
          <State>GA</State>
          <ZIPCode>31093</ZIPCode>
        </AddressUS>
        <EIN>582242585</EIN>
        <PrimaryActivity>ANESTHESIA SERVICES</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HOUSTON HEALTH VENTURES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 2886</AddressLine1>
          <City>WARNER ROBINS</City>
          <State>GA</State>
          <ZIPCode>31099</ZIPCode>
        </AddressUS>
        <EIN>272814306</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>