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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>13689</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARY CHATMAN</NamePerson>
        <Title>SR VP PATIENT CARE SERVICES</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>271680</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23832</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM H LEE SR</NamePerson>
        <Title>SR VP CHIEF STRATEGY OFFICER</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>221055</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>22808</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2237650</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>345794</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>187349</TotalOtherCompensation>
      <NumberIndividualsGT100K>139</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CARDINAL HEALTH MEDICAL PRODUCTS &amp; SERVI</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 905876</AddressLine1>
            <City>CHARLOTTE</City>
            <State>NC</State>
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          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SUPPLIES</DescriptionOfServices>
        <Compensation>21699349</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CARDINAL HEALTH</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 402592</AddressLine1>
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            <State>GA</State>
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          </AddressUS>
        </AddressOfContractor>
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        <Compensation>17278616</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>SODEXO MARRIOTT SERVICE INC</BusinessNameLine1>
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        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 536922</AddressLine1>
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            <State>GA</State>
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        <Compensation>6445177</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MEDTRONIC</BusinessNameLine1>
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        <AddressOfContractor>
          <AddressUS>
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            <State>GA</State>
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        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SUPPLIES</DescriptionOfServices>
        <Compensation>6276873</Compensation>
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      <ContractorCompensation>
        <NameOfContractor>
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            <BusinessNameLine1>MCKESSON INFORMATION SOLUTIONS</BusinessNameLine1>
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          <AddressUS>
            <AddressLine1>PO BOX 98347</AddressLine1>
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            <State>IL</State>
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          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>INFORMATION TECHNOLOGY</DescriptionOfServices>
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      </ContractorCompensation>
      <NumberOfContractorsGT100K>28</NumberOfContractorsGT100K>
      <RelatedOrganizations>2635523</RelatedOrganizations>
      <AllOtherContributions>3209056</AllOtherContributions>
      <TotalContributions>5844579</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT SERVICE</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>491909788</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>491909788</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>EDUCATION REVENUE</Description>
        <BusinessCode>611430</BusinessCode>
        <TotalRevenueColumn>3995213</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3995213</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CONTRACT SERVICES</Description>
        <BusinessCode>621110</BusinessCode>
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        <RelatedOrExemptFunctionIncome>868498</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER PROGRAM SERVICE</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>672934</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>672934</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>497446433</TotalProgramServiceRevenue>
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        <TotalRevenueColumn>8163924</TotalRevenueColumn>
        <ExclusionAmount>8163924</ExclusionAmount>
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      <IncomeFromInvestBondProceeds>
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      <LessRentalExpenses>
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      </LessRentalExpenses>
      <RentalIncomeOrLoss>
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      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>1122925</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>595392</UnrelatedBusinessRevenue>
        <ExclusionAmount>527533</ExclusionAmount>
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      <GrossAmountSalesAssets>
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        <Other>0</Other>
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      <TotalRevenue>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>581500</ProgramServices>
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      <CompCurrentOfficersDirectors>
        <Total>758933</Total>
        <ManagementAndGeneral>758933</ManagementAndGeneral>
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      <OtherSalariesAndWages>
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      <PensionPlanContributions>
        <Total>-237790</Total>
        <ProgramServices>-237790</ProgramServices>
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      <OtherEmployeeBenefits>
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        <ProgramServices>22448975</ProgramServices>
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      <PayrollTaxes>
        <Total>13462199</Total>
        <ProgramServices>12163226</ProgramServices>
        <ManagementAndGeneral>1298973</ManagementAndGeneral>
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      <FeesForServicesLegal>
        <Total>2952686</Total>
        <ProgramServices>48599</ProgramServices>
        <ManagementAndGeneral>2904087</ManagementAndGeneral>
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      <FeesForServicesAccounting>
        <Total>232403</Total>
        <ManagementAndGeneral>232403</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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        <ManagementAndGeneral>154352</ManagementAndGeneral>
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      <FeesForServicesInvstMgmntFees>
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        <ManagementAndGeneral>128353</ManagementAndGeneral>
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      <FeesForServicesOther>
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        <ProgramServices>18622850</ProgramServices>
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      <Advertising>
        <Total>58231</Total>
        <ManagementAndGeneral>58231</ManagementAndGeneral>
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      <OfficeExpenses>
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        <ProgramServices>52999180</ProgramServices>
        <ManagementAndGeneral>13102964</ManagementAndGeneral>
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      <InformationTechnology>
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        <ProgramServices>123455</ProgramServices>
        <ManagementAndGeneral>5763803</ManagementAndGeneral>
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      <Occupancy>
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        <ProgramServices>7540515</ProgramServices>
        <ManagementAndGeneral>908573</ManagementAndGeneral>
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      <Travel>
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        <ManagementAndGeneral>359042</ManagementAndGeneral>
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      <Interest>
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        <ProgramServices>10917151</ProgramServices>
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        <ProgramServices>19000682</ProgramServices>
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        <ProgramServices>5512176</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>65375064</ProgramServices>
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      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
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        <ProgramServices>38561134</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>13585</ProgramServices>
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      <TotalFunctionalExpenses>
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        <Fundraising>0</Fundraising>
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        <EOY>1486626</EOY>
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        <EOY>1842626</EOY>
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      <TotalAssets>
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        <BOY>17301998</BOY>
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      <TotalLiabilities>
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        <EOY>283308760</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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      <TotalNetAssetsFundBalances>
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        <EOY>154000591</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>437309351</EOY>
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      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
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      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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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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        <AggregateContributions>RESTRICTED</AggregateContributions>
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    <IRS990ScheduleC documentId="RetDoc1039600001">
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        <CurrentYear>1000000</CurrentYear>
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        <CurrentYearMinus1>250000</CurrentYearMinus1>
        <CurrentYear>250000</CurrentYear>
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      <GrassrootsLobbyingExpenditures>
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        <OtherCostOrOtherBasis>16227093</OtherCostOrOtherBasis>
        <BookValue>16227093</BookValue>
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        <BookValue>3774599</BookValue>
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      <TotalOfBookValueLandBuildings>161599284</TotalOfBookValueLandBuildings>
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        <BookValue>9279654</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
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      <OtherSecurities>
        <Description>ASSETS LIMITED - CURRENT</Description>
        <BookValue>22152606</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
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      <OtherSecurities>
        <Description>ASSETS LIMITED - NON-CURRENT</Description>
        <BookValue>118501996</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>149934256</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>INTEREST PAYABLE</Description>
        <Amount>5174212</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>MALPRACTICE</Description>
        <Amount>5655749</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>THIRD PARTY PAYOR SETTLEMENTS</Description>
        <Amount>798372</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED PENSION BENEFIT LIABILITIES</Description>
        <Amount>7258581</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>RICHARD HILL FINANCING ARRANGEMENT</Description>
        <Amount>811988</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>19698902</TotalOfAmounts>
      <TotalRevenue>517150070</TotalRevenue>
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      <ExcessOrDeficitForYear>26103307</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-2260050</NetUnrealizedGLOnInvestments>
      <OtherAmount>-18564456</OtherAmount>
      <TotalAdjustments>-20824506</TotalAdjustments>
      <ExcessOrDeficitPerFS>5278801</ExcessOrDeficitPerFS>
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      <NetUnrealizedGainsInvestments>-2260050</NetUnrealizedGainsInvestments>
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      <RevenueNotRptdF990>-20824506</RevenueNotRptdF990>
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      <RevenueNotRptdOnFinStmt>128353</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>517150070</TotalRevenuePerForm990>
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      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
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      <InvestmentExpensesNotIncluded2>128353</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>128353</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>491046763</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE HEALTH SYSTEM IS PARTIALLY COMPRISED OF ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. WITH RESPECT TO ANY UNRELATED BUSINESS INCOME GENERATED BY ITS FOR-PROFIT SUBSIDIARIES, THE HEALTH SYSTEM RECORDS INCOME TAXES USING THE LIABILITY METHOD UNDER WHICH THE DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR TO BE SETTLED. THE HEALTH SYSTEM HAS EVALUATED ITS TAX POSITIONS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2011. FISCAL YEARS ENDED ON OR AFTER DECEMBER 31, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CHANGE IN POST-RETIREMENT BENEFITS 600,000. EQUITY TRANSFERS TO AFFILIATES -19,164,456. TOTAL TO SCHEDULE D, PART XI, LINE 8: -18,564,456.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>EQUITY TRANSFERS TO AFFILIATES -19,164,456. CHANGE IN POST-RETIREMENT BENEFITS 600,000.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <AcctsActvsOutUSTable>
        <Region>CENTRAL AMERICA AND THE CARIBBEAN</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>CAPTIVE INSURANCE</TypeOfActivitiesConducted>
        <TotalExpenditures>7921283</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfOffices>0</SubtotalNumberOfOffices>
      <SubtotalNumberOfEmployees>0</SubtotalNumberOfEmployees>
      <ContNumberOfOffices>0</ContNumberOfOffices>
      <ContNumberOfEmployees>0</ContNumberOfEmployees>
      <TotalNumberOfOffices>0</TotalNumberOfOffices>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <SubtotalAmountSpent>7921283</SubtotalAmountSpent>
      <ContAmountSpent>0</ContAmountSpent>
      <TotalAmountSpent>7921283</TotalAmountSpent>
      <TransferToForeignCorp>0</TransferToForeignCorp>
      <InterestInForeignTrust>0</InterestInForeignTrust>
      <OwnForeignCorp>1</OwnForeignCorp>
      <PassiveForeignInvestCo>0</PassiveForeignInvestCo>
      <ForeignPartnership>0</ForeignPartnership>
      <BoycottCountries>0</BoycottCountries>
      <Form990ScheduleFPartV>
        <Identifier>METHOD USED TO ACCCOUNT FOR EXPENDITURES:</Identifier>
        <Explanation>SCHEDULE F, PART I, LINE 3: PREMIUMS PAID EXPRESSED IN U.S. DOLLARS</Explanation>
      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>125.000000000000</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent250>X</Pcent250>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>0</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>30430217</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>30430217</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06730</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>85174586</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>72988337</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12186249</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02690</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>24865594</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>21440561</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3425033</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00760</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>140470397</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>94428898</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>46041499</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.10180</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>1031667</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1031667</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00230</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>8196651</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>8196651</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01810</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>13080666</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6478998</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6601668</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01460</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>363365</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>363365</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>1213481</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1213481</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00270</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>23885830</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6478998</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>17406832</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03850</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>164356227</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>100907896</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>63448331</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.14030</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>39275</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>39275</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>31442</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>31442</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CommunitySupport>
      <EnvironmentalImprovements>
        <TotalCommunityBuildingExpense>787</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>787</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </EnvironmentalImprovements>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>29435</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>29435</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CoalitionBuilding>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>4919</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>4919</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Other>
        <TotalCommunityBuildingExpense>18638</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>18638</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Other>
      <Total>
        <TotalCommunityBuildingExpense>124496</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>124496</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>38573050</BadDebtExpenseAmount>
      <AmountAttributableTo>11412154</AmountAttributableTo>
      <AmountReimbursedByMedicare>116897907</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>107639019</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>9258888</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>MEMORIAL HEALTH UNIVERSITY MEDICAL CTR</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>4700 WATERS AVENUE</AddressLine1>
          <City>SAVANNAH</City>
          <State>GA</State>
          <ZIPCode>31404</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>MEMORIAL HEALTH MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>125.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>250.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: THE COST WAS DERIVED USING THE COST ACCOUNTING SYSTEM TRENDSTAR, A DECISION SUPPORT SOFTWARE, WHICH ADDRESSES ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY ROOM, COMMERICAL INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF PAY. A COST-TO-CHARGE RATIO WAS USED TO DETERMINE CHARITY CARE. THE TOTAL OPERATING EXPENSE WAS DIVIDED BY PATIENT REVENUES TO CALCULATE AN OVERALL RATIO THAT WAS THEN APPLIED TO INDIGENT AND CHARITY CARE CHARGES TO ARRIVE AT COST.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7G: LEVEL I TRAUMA CENTER: AS SOUTHEAST GEORGIA'S ONLY LEVEL 1 TRAUMA CENTER, MHUMC IS EQUIPPED TO PROVIDE THE HIGHEST LEVEL OF EMERGENCY CARE AS ESTABLISHED BY THE AMERICAN COLLEGE OF SURGEONS. WE ARE ONE OF ONLY FOUR LEVEL 1 CENTERS IN THE STATE OF GEORGIA, AND THE ONLY LEVEL 1 CENTER LOCATED BETWEEN CHARLESTON, SOUTH CAROLINA, AND JACKSONVILLE, FLORIDA. TO MAINTAIN OUR LEVEL 1 STATUS, WE HAVE DESIGNATED TRAUMA SURGEONS, A HIGHLY TRAINED TRAUMA TEAM, A TRAUMA OPERATING ROOM, THREE TRAUMA TREATMENT ROOMS, AND INTENSIVE CARE UNITS AVAILABLE AROUND THE CLOCK. MHUMC RECENTLY ESTABLISHED A NEW INSTITUTE FOR INJURY RESEARCH AND PREVENTION THAT WILL SEEK TO PREVENT INJURIES THROUGH EDUCATION, RESEARCH, AND COMMUNITY OUTREACH. THE LOSSES INCURRED BY PROVIDING THIS SERVICE TO THE COMMUNITY WERE $4,794,187.THE CENTER FOR BEHAVIORAL MEDICINE: THE CENTER FOR BEHAVIORAL MEDICINE AT MHUMC INCLUDES A 26-BED ADULT INPATIENT UNIT AND A 10-BED SENIORCARE PROGRAM. OUR BEHAVIORAL MEDICINE PROGRAMS OFFER COMPASSIONATE CARE THAT ADDRESS THE PHYSICAL, PSYCHOLOGICAL, EMOTIONAL, SOCIAL, AND SPIRITUAL NEEDS OF PEOPLE WITH MENTAL HEALTH DISORDERS. OUR GOAL IS TO HELP PATIENTS DEAL WITH THEIR ILLNESS AND RETURN TO A BETTER LIFE. THE MENTAL HEALTH TEAM IS LED BY THE PATIENT'S ATTENDING PSYCHIATRIST AND INCLUDES NURSES, SOCIAL WORKERS, CASE MANAGERS, RECREATION THERAPISTS, MENTAL HEALTH TECHNICIANS, AND OTHER SPECIALISTS WHO ARE CONSULTED AS NEEDED. IN 2011, THE LOSSES INCURRED BY PROVIDING THIS SERVICE TO THE COMMUNITY WERE $1,807,481. LEVEL 1 TRAUMA CENTER: $ 4,794,187 BEHAVIORAL HEALTH SERVICES: 1,807,481 NET EXPENSE TO LINE 7(G): $ 6,601,668</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(B), COLUMN (A) IS $38,573,050. MHUMC EXCLUDED THE FULL AMOUNT, $38,573,050 FOR PURPOSES OF CALCULATING THE PERCENTAGE IN COLUMN (F) ON PART I, LINE 7.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART II: THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES FOCUS ON THE SIX DIMENSIONS OF HEALTH AS DEFINED BY THE WORLD HEALTH ORGANIZATION: PHYSICAL, SOCIAL, MENTAL, EMOTIONAL, SPIRITUAL, AND ENVIRONMENTAL. WE ACTIVELY PARTICIPATE AND SUPPORT ECONOMIC DEVELOPMENT AND CHAMBER OF COMMERCE INITIATIVES. THE ORGANIZATION IS A VOTING MEMBER OF THE LOCAL EMERGENCY PLANNING COMMITTEE AND AS THE REGIONAL COORDINATING HOSPITAL, PLANS AND COORDINATES RESOURCES DURING A DISASTER OR EVACUATION. MHUMC UNDERSTANDS THAT POVERTY AND LOW EDUCATIONAL ATTAINMENT LEADS TO POOR HEALTH OUTCOMES; THEREFORE, THE MAJORITY OF OUR COMMUNITY BUILDING ACTIVITIES FOCUS ON THE FOUR COMMUNITY COLLABORATIVE GROUPS BELOW: - CHATHAM COUNTY SAFETY NET PLANNING COUNCIL: COUNTYWIDE PLANNING GROUPS FOR HEALTHCARE FOR UNDERSERVED MEMBERS OF THE COMMUNITY. - STEP-UP SAVANNAH: SAVANNAH'S ANTI-POVERTY INITIATIVE. THIS COLLABORATIVE STRIVES TO ENHANCE ECONOMIC INDEPENDENCE BY WORKING WITH INDIVIDUALS AND ORGANIZATIONS TO REDUCE BARRIERS TO SELF-SUFFICIENCY. - YOUTH FUTURES AUTHORITY: THE YFA COLLABORATIVE ADDRESSES ISSUES RELEVANT TO CHILDREN, YOUTH, AND FAMILIES. THE VISION FOR YFA IS THAT "EVERY CHILD WILL BE BORN HEALTHY, GROW UP HEALTHY, BE SECURE FROM ABUSE AND NEGLECT, AND BECOME A LITERATE, PRODUCTIVE, AND ECONOMICALLY SELF-SUSTAINING CITIZEN." - HEALTHY SAVANNAH - HEALTHY SAVANNAH IS DEDICATED TO MAKING SAVANNAH A HEALTHIER PLACE TO LIVE. THIS GROUP IS WORKING TO MAKE THE "HEALTHY CHOICE THE EASY CHOICE". PROGRAM GOALS INCLUDE INCREASING OPPORTUNITIES FOR CITIZENS TO ENGAGE IN PHYSICAL ACTIVITY AND CONSUME A NUTRITIOUS, BALANCED DIET.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: THE MEDICARE ALLOWABLE COST REPORTED ON LINE 6 AGREES TO THE MHUMC MEDICARE COST REPORT. THE ORGANIZATION RECEIVES ADDITIONAL MEDICARE REIMBURSEMENTS BASED ON THE DEMOGRAPHICS OF AND LEVEL OF CHARITY CARE IT PROVIDES WITHIN THE COMMUNITY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: THE ORGANIZATION'S DEBT COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE SELF-PAY. THE ORGANIZATION MAINTAINS COLLECTION PRACTICES THAT APPLY TO ALL SELF-PAY PATIENTS INCLUDING WRITTEN LIMITATIONS ON ABUSIVE PHONE CALLS. A PATIENT CAN QUALIFY FOR TWO TYPES OF CHARITY CARE: FREE CARE AND REDUCED COST CARE. IF A PATIENT QUALIFIES FOR FREE CARE, THE AMOUNT IS WRITTEN OFF AND NO ATTEMPTS ARE MADE TO COLLECT ON THE ACCOUNT. IF A PATIENT QUALIFIES FOR REDUCED COST CHARITY CARE, COLLECTIONS ARE PURSUED ON THE REMAINDER OF THE DISCOUNTED PATIENT LIABILITY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: AS A FOUNDING MEMBER OF THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL (THE COUNCIL), THE ORGANIZATION SERVES THE COMMUNITY AS A HEALTHCARE PROVIDER, EMPLOYER, AND COMMUNITY PARTNER. WE CONSIDER IT OUR MORAL DUTY TO CARE FOR ALL MEMBERS OF THE COMMUNITY AND ACTIVELY PARTNER WITH COMMUNITY ORGANIZATIONS TO IMPROVE THE HEALTH OF THE REGION. IN 1997, THE ORGANIZATION IDENTIFIED ACCESS TO PRIMARY CARE AS THE GREATEST COMMUNITY HEALTH NEED IN THE REGION AND BEGAN INVESTING RESOURCES IN EXISTING SERVICES TO INCREASE ACCESS TO CARE. THE HEALTH CARE NEEDS OF THOSE LACKING INSURANCE WAS SO GREAT THAT THE ORGANIZATION HELPED CREATE A COUNTYWIDE PLANNING GROUP FOR HEALTHCARE FOR UNINSURED AND UNDERINSURED MEMBERS OF THE COMMUNITY KNOWN AS THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL. THE COUNCIL'S GOALS ARE TO STRENGTHEN THE HEALTHCARE INFRASTRUCTURE, BUILD CAPACITY WITHIN THE COMMUNITY, IMPROVE ACCESS TO HEALTHCARE FOR THE UNINSURED AND UNDERINSURED, AND IMPROVE HEALTH OUTCOMES. WITH THE ASSISTANCE OF THE HEALTH SCIENCES FACULTY AT ARMSTRONG ATLANTIC STATE UNIVERSITY, THE COUNCIL ANNUALLY CONDUCTS AN EVALUATION OF ITS PROGRESS TOWARD THE GOALS IDENTIFYING HEALTH NEEDS, GAPS IN SERVICES, AND DISPARITIES. A COPY OF THE LAST EVALUATION REPORT IS AVAILABLE ON THE WEBSITE WWW.CHATHAMSAFETYNET.ORG. MEMORIAL'S DIRECTOR OF PUBLIC POLICY SERVES ON THE EXECUTIVE COMMITTEE OF THE COUNCIL AS CHAIR OF THE EVALUATION COMMITTEE. THIS COMMITTEE HAS REPRESENTATIVES FROM ALL CLINIC PROVIDERS, TWO HOSPITAL SYSTEMS, AND MANY SOCIAL SERVICE ORGANIZATIONS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: TO COMMUNICATE THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY TO PATIENTS, INFORMATION IS MADE AVAILABLE AT ALL POINTS OF REGISTRATION (INTAKE AND DISCHARGE) AND FINANCIAL COUNSELORS ARE AVAILABLE TO DISCUSS SPECIFIC CASES. A FINANCIAL COUNSELOR WILL INITIATE A SCREENING AFTER A CALL FOR REQUESTED ASSISTANCE IS RECEIVED DIRECTLY FROM THE PATIENT OR VIA THE CENTRALIZED SCHEDULING DEPARTMENT (FOR ALL REQUESTED ELIGIBLE NON-URGENT/EMERGENCY SERVICES INCLUDING BUT NOT LIMITED TO: OUTPATIENT TESTING, INPATIENT ADMISSIONS, OUTPATIENT TESTS AND PROCEDURES, AND SURGERY CASES). THE FINANCIAL COUNSELOR WILL UTILIZE THE FINANCIAL ASSISTANCE SCREENING FORM TO DETERMINE PROGRAM ELIGIBILITY. QUESTIONS ON THE FORM HELP TO DETERMINE THE ELIGIBILITY OF THE PATIENT BASED ON HOUSEHOLD SIZE, INCOME, AND MEDICAL DIAGNOSIS. ONCE ELIGIBILITY HAS BEEN DETERMINED, THE FINANCIAL COUNSELOR WILL SET UP AN APPOINTMENT FOR THE PATIENT TO COME TO THE FINANCIAL ASSISTANCE OFFICE TO COMPLETE THE APPROPRIATE APPLICATION BASED ON THE ANSWERS PROVIDED DURING THE SCREENING. PROGRAMS PROVIDED INCLUDE BUT ARE NOT LIMITED TO: GEORGIA OR SOUTH CAROLINA MEDICAID, CANCER STATE AID, VICTIM OF CRIME, GEORGIA INDIGENT TRUST FUND, OR THE HOSPITAL'S OWN CHARITY PROGRAM. AFTER THE APPROPRIATE PROGRAM APPLICATION HAS BEEN COMPLETED, THE PATIENT WILL BE ASKED FOR REQUIRED VERIFICATIONS (I.E., BANK STATEMENTS, CHECK STUBS, STATEMENT OF SUPPORT). THE PATIENT IS INFORMED AT THIS TIME THAT IF REQUIRED VERIFICATIONS ARE NOT RECEIVED PRIOR TO THE SCHEDULED APPOINTMENT, THEIR APPOINTMENT WILL BE RESCHEDULED UNTIL ALL REQUESTED VERIFICATIONS ARE PROVIDED. FOR INPATIENT ADMISSIONS, IF POSSIBLE, A FINANCIAL COUNSELOR WILL VISIT PATIENTS DURING THEIR STAY AND WILL UTILIZE THE FINANCIAL ASSISTANCE SCREENING FORM TO DETERMINE PROGRAM ELIGIBILITY. ONCE ELIGIBILITY IS DETERMINED, A FINANCIAL COUNSELOR WILL REQUEST VERIFICATIONS NECESSARY TO APPROVE THE PATIENT FOR SPECIFIED PROGRAMS. IF THE PATIENT IS FOUND TO BE OVER-INCOME FOR FULL ASSISTANCE, THE FINANCIAL COUNSELOR WILL BE REQUIRED TO ASK FOR PAYMENT FOR SERVICES, USING BOTH THE POINT OF SERVICE DEPOSIT SCHEDULE AND THE SELF-PAY FEE SCHEDULE. IF THE PATIENT IS UNABLE TO PAY AT THE DATE OF SERVICE AND UNABLE TO MAKE SUITABLE PAYMENT ARRANGEMENTS, THE PATIENT WILL BE INFORMED THAT THEY WILL BE BILLED FOR SERVICES AND TOLD TO CONTACT THE BILLING OFFICE AFTER DISCHARGE. FOR ER VISITS AND WALK IN OUTPATIENT TESTING OR PROCEDURES (URGENT ONLY), REGISTRATION STAFF WILL ASK PATIENTS FOR INSURANCE AND/OR A DEPOSIT AT THE TIME OF SERVICE. DEPOSITS FROM EMERGENCY DEPARTMENT PATIENTS ARE COLLECTED ONLY AFTER MEDICAL SCREENING. IF THE PATIENT STATES THAT HE HAS NO INSURANCE AND IS UNABLE TO MAKE A FULL DEPOSIT, THE REGISTRATION STAFF WILL THEN USE THE FRONT END SCREENING QUESTIONS TO ATTEMPT TO DETERMINE THE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF THE PROVIDED ANSWERS APPEAR TO QUALIFY THEM FOR FINANCIAL ASSISTANCE, THE REGISTRAR WILL CALL THE FINANCIAL ASSISTANCE INBOUND TEAM AND HAVE THEM SPEAK TO THE PATIENT (IF THE PATIENT'S VISIT FALLS WITHIN THE OFFICE'S BUSINESS HOURS MONDAY THROUGH FRIDAY 8AM TO 5PM). IF THE PATIENT'S VISIT FALLS OUTSIDE OF REGULAR BUSINESS HOURS, THE PATIENT WILL BE GIVEN A PATIENT FINANCIAL ASSISTANCE BROCHURE AND DIRECTED TO CONTACT THE DEPARTMENT DURING BUSINESS HOURS. IF THE PATIENT IS FOUND TO BE ELIGIBLE FOR ASSISTANCE UNDER THE GEORGIA INDIGENT CARE TRUST GUIDELINES, THE PATIENT WILL BE GRANTED THIS ELIGIBILITY FOR A YEAR ONLY ON SERVICES REQUESTED THAT ARE RELATED TO THE URGENT/EMERGENT MEDICAL CONDITION. THE PATIENT WILL NOT BE AUTOMATICALLY COVERED FOR MEDICAL CONDITIONS THAT ARE NOT RELATED AND WILL BE EXPECTED TO FOLLOW POLICY REQUIREMENTS WHEN REQUESTING ADDITIONAL SERVICES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: MEMORIAL HEALTH IS A LARGE PROVIDER OF CHARITY CARE AND MEDICAID IN SOUTHEAST GEORGIA, SERVING 35 COUNTIES IN SOUTHEAST GEORGIA AND SOUTHERN SOUTH CAROLINA. OUR PRIMARY SERVICE AREA EXTENDS TO GEORGIA COUNTIES CHATHAM, EFFINGHAM, AND BRYAN. ACCORDING TO THE 2011 CENSUS, 22.0% OF CHATHAM COUNTY RESIDENTS LIVED IN POVERTY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 5: SENIOR EXECUTIVES, TEAM LEADERS, AND SOME TEAM MEMBERS AT THE ORGANIZATION ARE INVOLVED AT EVERY LEVEL OF THE COMMUNITY THROUGH THEIR SERVICE TO MANY NONPROFIT ORGANIZATIONS, LOCAL COMMUNITY AGENCIES, AND EDUCATIONAL INSTITUTIONS. TEAM LEADERS AND MEMBERS INVESTED 1,718 HOURS OF SERVICE FOR A TOTAL COMMUNITY BENEFIT OF $85,805.</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>JC LEWIS PRIMARY HEALTH CARE CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>20 FAHM ST</AddressLine1>
          <City>SAVANNAH</City>
          <State>GA</State>
          <ZIPCode>31401</ZIPCode>
        </AddressUS>
        <EINOfRecipient>580827524</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>300000</AmountOfCashGrant>
        <PurposeOfGrant>TO PROVIDE RESPITE CARE TO SAVANNAH'S HOMELESS AND NEAR HOMELESS POPULATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COMMUNITY HEALTH MISSION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>310 EISENHOWER DR</AddressLine1>
          <City>SAVANNAH</City>
          <State>GA</State>
          <ZIPCode>31406</ZIPCode>
        </AddressUS>
        <EINOfRecipient>582611264</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>125000</AmountOfCashGrant>
        <PurposeOfGrant>TO PROVIDE FREE HEALTHCARE TO PROVERTY STRICKEN ADULTS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MEDBANK FOUNDATION INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 15372</AddressLine1>
          <City>SAVANNAH</City>
          <State>GA</State>
          <ZIPCode>31406</ZIPCode>
        </AddressUS>
        <EINOfRecipient>351418332</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>70000</AmountOfCashGrant>
        <PurposeOfGrant>TO PROVIDE PRESCRIPTION ASSISTANCE TO LOW-INCOME PATIENTS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CHATHAM COUNTY SAFETY NET PLANNING COUNCIL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>24 OGLETHORPE PROFESSIONAL BLVD 4TH</AddressLine1>
          <AddressLine2>FLOOR</AddressLine2>
          <City>SAVANNAH</City>
          <State>GA</State>
          <ZIPCode>31406</ZIPCode>
        </AddressUS>
        <EINOfRecipient>261119132</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>TO SUPPORT THE OPERATIONAL NEEDS OF THE COUNCIL</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>RONALD MCDONALD HOUSE CHARITIES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4710 WATERS AVE</AddressLine1>
          <City>SAVANNAH</City>
          <State>GA</State>
          <ZIPCode>31404</ZIPCode>
        </AddressUS>
        <EINOfRecipient>581630107</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>9000</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORT FOR RONALD MCDONAL HOUSE CHARITIES OF THE COSTAL EMPIRE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SUSAN G KOMEN FOR THE CURE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 145</AddressLine1>
          <City>SAVANNAH</City>
          <State>GA</State>
          <ZIPCode>31402</ZIPCode>
        </AddressUS>
        <EINOfRecipient>562583644</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>30000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSOR FOR 2011 SUSAN G KOMEN SAVANNAH RACE FOR THE CURE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SAVANNAH MUSIC FESTIVAL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>200 E ST JULIAN ST STE 601</AddressLine1>
          <City>SAVANNAH</City>
          <State>GA</State>
          <ZIPCode>31401</ZIPCode>
        </AddressUS>
        <EINOfRecipient>581401616</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>37500</AmountOfCashGrant>
        <PurposeOfGrant>PLEDGE TO THE 2011 SAVANNAH MUSIC FESTIVAL</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>GEORGIA HISTORICAL SOCIETY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>501 WITAKER ST</AddressLine1>
          <City>SAVANNAH</City>
          <State>GA</State>
          <ZIPCode>31401</ZIPCode>
        </AddressUS>
        <EINOfRecipient>580593403</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>GOLD SPONSORSHIP FOR THE GEORGIA HISTORY FESTIVAL</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>8</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 DIRECTOR OF PUBLIC POLICY AND EXECUTIVE DIRECTOR OF MARKETING AND EXTERNAL AFFAIRS ARE RESPONSIBLE FOR EVALUATING THE COMMUNITY'S NEEDS AND DETERMINING TO WHICH ORGANIZATIONS TO CONTRIBUTE. THEY ARE ALSO RESPONSIBLE FOR PROVIDING A RETURN ON INVESTMENT REPORT AND REVIEWING IT WITH SENIOR MANAGEMENT ANNUALLY.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>1</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT F BROWN JR MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>269039</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>56689</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>20066</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>1223</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>23302</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>370319</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARGARET GILL</NamePerson>
        <BaseCompensationFilingOrg>412698</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>5969</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1462</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>23700</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>443829</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DARCY DAVIS</NamePerson>
        <BaseCompensationFilingOrg>47476</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>96689</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1143</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6769</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>152077</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RAMON MEGUIAR</NamePerson>
        <BaseCompensationFilingOrg>344398</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>5819</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1485</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15679</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>367381</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LARRY APPEL</NamePerson>
        <BaseCompensationFilingOrg>252096</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>29040</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>24151</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21560</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>326847</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM N WESSINGER</NamePerson>
        <BaseCompensationFilingOrg>233056</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>50</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>61305</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13689</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>308100</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARY CHATMAN</NamePerson>
        <BaseCompensationFilingOrg>271680</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1143</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>22689</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>295512</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM H LEE SR</NamePerson>
        <BaseCompensationFilingOrg>205221</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>15834</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>22808</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>243863</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4A</ReturnReference>
        <Explanation>PHILLIP SCHAENGOLD RECEIVED AMOUNDS UNDER A SEVERANCE AGREEMENT OF $91,115. DARCY DAVIS RECEIVED AMOUNTS UNDER A SEVERANCE AGREEMENT OF $62,500.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>CHATHAM COUNTY HOSPITAL AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>586003667</IssuerEIN>
        <CUSIPNumber>162033GB4</CUSIPNumber>
        <DateIssued>2004-07-01</DateIssued>
        <IssuePrice>50000000</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCTION &amp; EQUIPMENT PURCHASE</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>51442998</TotalProceeds>
        <AmountInReserveFund>5733063</AmountInReserveFund>
        <CapitalizedInterest>6211139</CapitalizedInterest>
        <IssuanceCostsFromProceeds>734675</IssuanceCostsFromProceeds>
        <CapitalExpenditures>38794121</CapitalExpenditures>
        <YearOfSubstCompletion>2006</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>1</EngageBondCounselContracts>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <EngageBondCounselResearch>1</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00940</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00940</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartVI>
        <Identifier>FORM 990, SCH K, PART I</Identifier>
        <ReturnReference>DESCRIPTION OF PURPOSE</ReturnReference>
        <Explanation>THE PROJECT CONSISTS OF THE CONSTRUCTION AND EQUIPPING OF NEW FACILITIES; THE RENOVATION, EXPANSION, IMPROVEMENT AND EQUIPPING OF EXISTING FACILITIES; AND THE FINANCING OF ROUTINE BUDGETED CAPITAL EXPENDITURES, INCLUDING THE CONSTRUCTION AND EQUIPPING OF A FIVE STORY CARDIOVASCULAR SERVICES PATIENT TOWER AND A 500 CAR PARKING DECK ADJACENT TO SUCH TOWER. ALL COMPONENTS OF THE PROJECT WILL BE LOCATED ON THE MAIN CAMPUS OF THE SYSTEM IN SAVANNAH, GEORGIA. PURSUANT TO THE BOND INDENTURE, THE HOSPITAL MAY MAKE CHANGES IN PROJECT COMPONENTS.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoanTable>
        <NamePerson>PHILLIP S SCHAENGOLD</NamePerson>
        <PurposeOfLoan>RELOCATION</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>100000</OriginalPrincipalAmount>
        <BalanceDue>68333</BalanceDue>
        <Default>0</Default>
        <ApprovedByBoard>1</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>68333</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SEAN DAVIS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEAN DAVIS HAS A FAMILY RELATIONSHIP WITH THE CFO DARCY DAVIS</Relationship>
        <AmountOfTransaction>12981</AmountOfTransaction>
        <DescriptionOfTransaction>SEAN DAVIS IS COMPENSATED BY THE ORGANIZATION AS AN EMPLOYEE.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>ARTICLE VIII, SECTION 5 OF THE BYLAWS STATES THAT THE SOLE MEMBER OF THE CORPORATION SHALL BE MEMORIAL HEALTH, INC., A CORPORATION INCORPORATED UNDER THE GEORGIA NONPROFIT CORPORATION CODE, WHICH SHALL HAVE AND MAY EXERCISE TO THE CORPORATION ALL RIGHTS AND AUTHORITIES GRANTED BY LAW TO THE MEMBERS OF NONPROFIT CORPORATIONS IN GEORGIA OR BY THESE BYLAWS. THE MEMBER SHALL SELECT MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE MEMBER SHALL SELECT MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO SENIOR MANAGEMENT WITHIN THE ORGANIZATION'S ACCOUNTING DEPARTMENT FOR INTERNAL REVIEW. A DRAFT IS THEN PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD FOR REVIEW.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>BOARD MEMBERS ARE REQUIRED TO UPDATE AND SUBMIT A NEW CONFLICT OF INTEREST STATEMENT BY JANUARY 31 OF EACH YEAR. THE CHAIRMAN OF THE BOARD, PRESIDENT, AND CHIEF EXECUTIVE OFFICER AND THE CORPORATE COMPLIANCE OFFICER SHALL BECOME FAMILIAR WITH THE STATEMENTS OF THE BOARD MEMBERS IN ORDER TO GUIDE THEIR CONDUCT SHOULD A CONFLICT ARISE AT SUCH TIMES AS ANY MATTER COMES BEFORE THE BOARD THAT MAY POTENTIALLY RESULT IN A CONFLICT OF INTEREST. THE AFFECTED BOARD MEMBER SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER OR NOT DISCLOSED IN A WRITTEN STATEMENT. THE AFFECTED BOARD MEMBER MAY MAKE A PRESENTATION TO THE BOARD OR A COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE MUST LEAVE THE MEETING DURING THE DISCUSSION OF AND THE VOTE ON THE TRANSACTION OR ARRANGEMENT CONSIDERED TO BE A CONFLICT OF INTEREST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE ORGANIZATION USES SULLIVAN-COTTER (AN UNRELATED, INDEPENDENT THIRD PARTY COMPANY) TO ANALYZE APPROPRIATE COMPENSATION FOR THE CEO, EXECUTIVES, DIRECTORS AND TOP MANAGEMENT. FOR ALL OTHER POSITIONS, THE ORGANIZATION USES COMPENSATION ANALYST, SALARY.COM, TO ANALYZE COMPENSATION AND COMPILE DATA FOR COMPARABILITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF GEORGIA SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC AS THIS IS NOT A REQUIREMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -2,260,050. CHANGE IN POST-RETIREMENT BENEFITS 600,000. EQUITY TRANSFERS TO AFFILIATES -19,164,456. TOTAL TO FORM 990, PART XI, LINE 5: -20,824,506.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE ORGANIZATION MAINTAINS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITIES FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONTINUATION OF PROGRAM SERVICE ACCOMPLISHMENT STATEMENTS:</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4:</ReturnReference>
        <Explanation>MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER 2011 COMMUNITY BENEFIT REPORT ABOUT US MEMORIAL HEALTH IS A NONPROFIT HEALTHCARE ORGANIZATION THAT SERVES 35 COUNTIES IN SOUTHEAST GEORGIA AND SOUTHERN SOUTH CAROLINA. HEADQUARTERED IN SAVANNAH, GEORGIA, OUR SYSTEM INCLUDES: - MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER (MHUMC), A 530-BED TEACHING AND RESEARCH HOSPITAL THAT HOUSES THE REGION'S ONLY LEVEL 1 TRAUMA CENTER, THE REGION'S ONLY CHILDREN'S HOSPITAL, A LEVEL III NEONATAL INTENSIVE CARE NURSERY, A CANCER RESEARCH LABORATORY, AND A FULL SPECTRUM OF TERTIARY CARE SERVICES. - MEMORIAL HEALTH UNIVERSITY PHYSICIANS (MHUP), THE AREA'S LARGEST PHYSICIAN GROUP PRACTICE, CONSISTING OF 22 PRACTICES AND 99 PRIMARY AND SPECIALTY CARE PHYSICIANS LOCATED THROUGHOUT THE REGION. - A MAJOR MEDICAL EDUCATION PROGRAM WITH SIX PHYSICIAN RESIDENCY TRACKS (DIAGNOSTIC RADIOLOGY, FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, PEDIATRICS, AND GENERAL SURGERY) AND THE SAVANNAH CAMPUS OF MERCER UNIVERSITY SCHOOL OF MEDICINE. THERE ARE APPROXIMATELY 140 RESIDENTS TRAINING AT MHUMC AND 160 MEDICAL STUDENTS AT MERCER. OUR AFFILIATION WITH MERCER HELPS MAINTAIN A SUPPLY OF NEW PHYSICIANS FOR RURAL GEORGIA. MERCER REPORTS THAT 63 PERCENT OF ITS MEDICAL SCHOOL GRADUATES (FROM ITS SAVANNAH AND MACON CAMPUSES) ARE PRACTICING IN GEORGIA. MORE THAN 70 PERCENT OF ITS GRADUATES ENTER INTO PRIMARY CARE RESIDENCY PROGRAMS. A 2010 REPORT FROM THE AMERICAN ASSOCIATION OF FAMILY PHYSICIANS' ROBERT GRAHAM CENTER RANKED MERCER SECOND IN THE NATION FOR GRADUATES PRACTICING IN LOW-INCOME AREAS OF THE SCHOOL'S HOME STATE. RECENTLY, MERCER AND MEMORIAL LAUNCHED A THREE-YEAR FAMILY MEDICINE TRACK TO ENABLE STUDENTS STUDYING FAMILY MEDICINE TO FINISH SCHOOL EARLY AND MOVE INTO THE WORKFORCE SOONER. - MEMORIAL HEALTH PARTNERS (MHP), WHICH PROVIDES MANAGED CARE AND CONTRACTING SERVICES WITH INSURERS, THIRD-PARTY ADMINISTRATORS, AND FULLY FUNDED AND SELF-FUNDED EMPLOYERS. THE MHP NETWORK INCLUDES 15 HOSPITALS IN 29 COUNTIES AND APPROXIMATELY 2,400 PHYSICIANS AND ANCILLARY CAREGIVERS. - NURSEONE, A 24-HOUR CALL CENTER THAT ANSWERS QUESTIONS FROM PATIENTS AND ASSISTS PHYSICIAN PRACTICES WITH AFTER-HOURS CALL AND SCHEDULING. - TWO URGENT-CARE FACILITIES THAT PROVIDE DAYTIME, EVENING, AND WEEKEND WALK-IN CARE FOR NON-EMERGENCY MEDICAL NEEDS. OUR PRIMARY SERVICE AREA COVERS CHATHAM, EFFINGHAM, AND BRYAN COUNTIES IN GEORGIA. IN 2011, MHUMC HAD 27,169 ADMISSIONS, PERFORMED 20,233 SURGERIES, HAD 94,519 EMERGENCY CARE VISITS, AND TREATED 271,142 OUTPATIENTS. OUR ECONOMIC IMPACT MHUMC PROVIDES VITAL MEDICAL SERVICES THAT ARE NOT AVAILABLE AT ANY OTHER HOSPITALS IN OUR REGION. WE ALSO PROVIDED $30,509,960 IN INDIGENT/CHARITY SERVICES IN 2011. WE ACCUMULATE A GREAT DEAL OF INDIGENT CARE COSTS BECAUSE: 1. WE DO NOT REFUSE SERVICE TO ANY MAN, WOMAN, OR CHILD, REGARDLESS OF THEIR ABILITY TO PAY. 2. WE ARE THE LARGEST HOSPITAL IN SOUTHEAST GEORGIA AND WE OFFER THE MOST ADVANCED MEDICAL SERVICES. AS A RESULT, WE OFTEN SEE THE MOST CRITICALLY ILL OR INJURED PATIENTS WHO THEN ACCRUE THE MOST COSTLY MEDICAL EXPENSES. MHUMC HAS A SIGNIFICANT IMPACT ON THE REGION'S ECONOMY. WE PROVIDE JOBS FOR APPROXIMATELY 4,700 PEOPLE. WE HAVE 650 PHYSICIANS ON OUR MEDICAL STAFF IN ADDITION TO NUMEROUS DOCTORATE-LEVEL SCIENTISTS, EXECUTIVES, AND ANCILLARY CARE PROVIDERS. MERCER UNIVERSITY SCHOOL OF MEDICINE - SAVANNAH CAMPUS ESTIMATES THAT IT HAS AN ECONOMIC IMPACT OF APPROXIMATELY $20 MILLION PER YEAR ON SAVANNAH AND SOUTHEAST GEORGIA. ALL OF OUR TEAM MEMBERS TAKE PRIDE IN OUR MISSION, VISION, AND VALUES. OUR MISSION: WITH COMPASSION, WE HEAL, TEACH, AND DISCOVER. OUR VISION: WE WILL CREATE A NEW STANDARD FOR HEALTHCARE BY INTEGRATING COMPASSIONATE HEALING, LIFELONG LEARNING, AND SCIENTIFIC DISCOVERY. OUR VALUES: TRUST, RESPECT, WORLD-CLASS, ENJOYMENT, AND MY MEMORIAL. OUR ACCOLADES MEMORIAL HEALTH HAS EARNED REGIONAL AND NATIONAL RECOGNITION FOR ITS HIGH-QUALITY SERVICES. OUR MOST RECENT ACCOLADES INCLUDE: - NAMED TO THE GEORGIA HOSPITAL ASSOCIATION PARTNERSHIP FOR HEALTH AND ACCOUNTABILITY HONOR ROLL. MHUMC IS ONE OF 18 HOSPITALS IN GEORGIA TO BE PLACED IN THE PRESIDENTIAL CATEGORY, ONE OF THE HIGHEST ON THE LIST. - RECEIVED AN "A" HOSPITAL SAFETY. - SCORE FROM THE LEAPFROG GROUP. - RECOGNIZED FOR QUALITY PERFORMANCE IN THE NATIONWIDE PREMIER INC. HEALTHCARE ALLIANCE QUEST: HIGH-PERFORMING HOSPITALS INITIATIVE FOR THE THIRD YEAR IN A ROW. - MEMORIAL SPINE RECEIVED UNITEDHEALTH PREMIUM SURGICAL SPINE SPECIALTY CENTER DESIGNATION FOR QUALITY CARE. - MEMORIAL BONE &amp; JOINT RECEIVED UNITEDHEALTH PREMIUM TOTAL JOINT REPLACEMENT SPECIALTY CENTER DESIGNATION FOR QUALITY CARE. MEMORIAL BONE &amp; JOINT ALSO RECEIVED UNITEDHEALTHCARE'S HIGHEST AWARDED RATINGS FOR QUALITY AND COST EFFICIENCY. - RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES -- STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>KEY SERVICES AND CENTERS OF EXCELLENCE CANCER CARE AND RESEARCH: THE CURTIS AND ELIZABETH ANDERSON CANCER INSTITUTE (ACI) AT MHUMC FEATURES A TEAM OF SURGICAL ONCOLOGISTS, GYNECOLOGIC ONCOLOGISTS, PEDIATRIC ONCOLOGISTS, AND A PRACTICE DEDICATED SOLELY TO BREAST CARE. THE ACI AND MERCER UNIVERSITY SCHOOL OF MEDICINE SHARE ON-SITE LABORATORIES WHERE SCIENTISTS STUDY THE MOLECULAR GENETICS OF LUNG, BREAST, ENDOMETRIAL, PROSTATE, AND COLON CANCER. IN 2011, THE ACI BECAME THE FIRST FACILITY IN SAVANNAH TO ACQUIRE THE VARIAN TRUEBEAM, THE MOST SOPHISTICATED RADIATION THERAPY SYSTEM IN THE WORLD. WITH TRUEBEAM, DOCTORS CAN DELIVER STEREOTACTIC RADIOSURGERY AND BODY RADIOTHERAPY IN AS LITTLE AS FIVE TO 10 MINUTES. WITH THE OLDER CYBERKNIFE TECHNOLOGY, RADIOSURGERY TREATMENTS CAN TAKE UP TO TWO HOURS. CARDIOVASCULAR CARE: THE HEART &amp; VASCULAR INSTITUTE AT MHUMC PROVIDES INPATIENT SERVICES, SURGICAL SUITES, IMAGING SERVICES, A CATHETERIZATION LAB, AND AN ANGIOGRAPHY SUITE. MHUMC WAS THE FIRST HOSPITAL IN SAVANNAH TO OFFER THE REVO MRI SURESCAN PACING SYSTEM, THE FIRST PACEMAKER APPROVED FOR USE IN CERTAIN MAGNETIC RESONANCE IMAGING (MRI) PROCEDURES. WE WERE ALSO THE FIRST FACILITY IN SOUTHEAST GEORGIA TO OFFER THE ARCTIC FRONT CARDIAC CRYOABLATION CATHETER SYSTEM FOR PAROXYSMAL ATRIAL FIBRILLATION (PAF). THE PROCEDURE SIGNIFICANTLY REDUCES PAF SYMPTOMS, DECREASES THE NEED FOR DRUG THERAPY, AND SUBSTANTIALLY IMPROVES BOTH PHYSICAL AND MENTAL QUALITY-OF-LIFE FACTORS. CHILDREN'S HOSPITAL: THE CHILDREN'S HOSPITAL AT MHUMC IS THE ONLY CHILDREN'S HOSPITAL IN SOUTHEAST GEORGIA AND CARES FOR APPROXIMATELY 25,000 CHILDREN ANNUALLY. THE CHILDREN'S HOSPITAL FEATURES MORE THAN 20 PEDIATRIC SUBSPECIALTIES, INCLUDING PEDIATRIC CRITICAL CARE, SURGICAL CARE, NEUROSURGERY, AND EMERGENCY CARE. THE CHILDREN'S HOSPITAL ALSO HOUSES A LEVEL III NEONATAL INTENSIVE CARE NURSERY THAT IS EQUIPPED TO CARE FOR THE MOST CRITICALLY ILL OR PREMATURE INFANTS. HIGH-RISK OBSTETRICS: THE WOMEN'S SERVICES PROGRAM AT MHUMC PROVIDES THE MOST ADVANCED CARE FOR HIGH-RISK PREGNANCIES AND DELIVERIES. IN 2011, THERE WERE 2,700 BIRTHS AT MHUMC. OUR LEVEL III NEONATAL INTENSIVE CARE NURSERY AND OUR TEAM OF PERINATOLOGISTS CARED FOR MULTIPLES, PREEMIES, BABIES WITH SERIOUS BIRTH DEFECTS, AND BABIES OR MOTHERS WITH SERIOUS MEDICAL CONDITIONS. A MAJOR COMPONENT OF OUR PROGRAM IS STATE-FUNDED PERINATAL OUTREACH. WE PROVIDE EDUCATION AND CONSULTING TO SMALLER HOSPITALS AND BIRTHING CENTERS THROUGHOUT THE REGION. OUTREACH EDUCATORS TEACH OTHER HEALTHCARE PROVIDERS HOW TO CARE FOR AND STABILIZE PREMATURE AND CRITICALLY ILL INFANTS SO THAT THEY CAN BE SAFELY TRANSPORTED TO MHUMC. IN 2011, 315 NEONATES WERE TRANSFERRED TO MHUMC FROM THROUGHOUT THE REGION. JOINT REPLACEMENT SURGERY: MEMORIAL BONE &amp; JOINT IS A CENTER OF EXCELLENCE FOR JOINT REPLACEMENT SURGERY AND THE TREATMENT OF ORTHOPEDIC CONDITIONS. OUR SURGEONS SPECIALIZE IN HIP, KNEE, AND SHOULDER REPLACEMENT AND OFFER BILATERAL HIP AND KNEE OPTIONS AND ANTERIOR APPROACH HIP REPLACEMENT. PHYSICAL REHABILITATION: THE REHABILITATION INSTITUTE AT MHUMC PROVIDES INPATIENT AND OUTPATIENT PHYSICAL REHABILITATION SERVICES FOR CHILDREN AND ADULTS. THE 50-BED FACILITY IS ACCREDITED BY COMMISSION FOR THE ACCREDITATION OF REHABILITATION FACILITIES (CARF) INTERNATIONAL, AN INDEPENDENT NONPROFIT ACCREDITING BODY. ITS CARF-ACCREDITED PROGRAMS INCLUDE INPATIENT REHABILITATION FOR CHILDREN, ADOLESCENTS, AND ADULTS; AN INPATIENT BRAIN INJURY PROGRAM; AND AN INPATIENT STROKE SPECIALTY PROGRAM. WE ALSO RECENTLY ADDED AN AMPUTEE REHABILITATION PROGRAM. SPINE SURGERY: MEMORIAL SPINE IS A CENTER OF EXCELLENCE FOR SPINE SURGERY AND THE TREATMENT OF SPINE CONDITIONS. MHUMC IS ONE OF ONLY FIVE SITES IN THE UNITED STATES SELECTED TO PARTICIPATE IN A PILOT STUDY FOR THE TRIUMPH LUMBAR DISC FOR TREATMENT OF DEGENERATIVE DISC DISEASE - A LEADING CAUSE OF CHRONIC NECK AND BACK PAIN. IN FACT, THE FIRST TRIUMPH DISC IMPLANT IN THE NATION WAS PERFORMED AT MHUMC. MEMORIAL SPINE IS CURRENTLY ENROLLING PATIENTS FOR A CLINICAL STUDY TO TEST THE ACADIA FACET REPLACEMENT SYSTEM FOR LUMBAR SPINAL STENOSIS. MHUMC IS THE ONLY HOSPITAL IN GEORGIA AND ONE OF ONLY 30 IN THE U.S. PARTICIPATING IN THE ACADIA STUDY. STROKE SERVICES: THE COMPREHENSIVE MEMORIAL STROKE PROGRAM EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR STROKE CARE. NEUROLOGISTS, EMERGENCY-TRAINED PHYSICIANS, AND SPECIALLY TRAINED NURSES ARE ALWAYS AVAILABLE TO QUICKLY EVALUATE A STROKE PATIENT AND BEGIN TREATMENT. OUR NEUROLOGISTS WERE THE FIRST IN THE STATE TO LAUNCH A TELESTROKE PROGRAM. USING REAL-TIME AUDIO AND VIDEO PLATFORMS, OUR NEUROLOGISTS CAN ASSESS STROKE PATIENTS IN RURAL GEORGIA WHERE STROKE SPECIALISTS ARE NOT READILY AVAILABLE. SURGICAL SERVICES: SURGEONS AT MHUMC PERFORM MORE THAN 20,000 INTRICATE SURGICAL TECHNIQUES EVERY YEAR. WE WERE THE FIRST FACILITY IN THE REGION TO OFFER SINGLE-INCISION LAPAROSCOPIC GALLBLADDER AND SPLEEN REMOVAL, THE FIRST TO OFFER ANTERIOR APPROACH HIP REPLACEMENT SURGERY, AND THE FIRST TO ESTABLISH A GASTRIC BYPASS SURGERY PROGRAM. OTHER FEATURES OF OUR SURGICAL SERVICES INCLUDE MEMORIAL MINIMALLY INVASIVE SURGERY; MEMORIAL ROBOTIC SURGERY, WHICH USES THE DA VINCI SI SURGICAL SYSTEM; AND LEADING-EDGE DIEP FLAP BREAST RECONSTRUCTION USING NEW SPY ELITE IMAGING TECHNOLOGY TO ENSURE ADEQUATE BLOOD FLOW AND REDUCE THE NEED FOR ADDITIONAL SURGERY. TRAUMA SERVICES: AS SOUTHEAST GEORGIA'S ONLY LEVEL 1 TRAUMA CENTER, MHUMC IS EQUIPPED TO PROVIDE THE HIGHEST LEVEL OF EMERGENCY CARE AS ESTABLISHED BY THE AMERICAN COLLEGE OF SURGEONS. WE ARE ONE OF ONLY FOUR LEVEL 1 CENTERS IN THE STATE OF GEORGIA, AND THE ONLY LEVEL 1 CENTER LOCATED BETWEEN CHARLESTON, SOUTH CAROLINA, AND JACKSONVILLE, FLORIDA. TO MAINTAIN OUR LEVEL 1 STATUS, WE HAVE DESIGNATED TRAUMA SURGEONS, A HIGHLY TRAINED TRAUMA TEAM, A TRAUMA OPERATING ROOM, THREE TRAUMA TREATMENT ROOMS, AND INTENSIVE CARE UNITS AVAILABLE AROUND THE CLOCK. MHUMC RECENTLY ESTABLISHED A NEW INSTITUTE FOR INJURY RESEARCH AND PREVENTION THAT WILL SEEK TO PREVENT INJURIES THROUGH EDUCATION, RESEARCH, AND COMMUNITY OUTREACH. A TEAM OF PHYSICIANS, NURSES, RESEARCHERS, AND EDUCATORS WILL WORK TOGETHER TO IDENTIFY THE LEADING CAUSES OF PREVENTABLE INJURIES AND EDUCATE OUR COMMUNITIES ABOUT THEM. THE GOAL IS TO SIGNIFICANTLY DECREASE TRAUMAS AND MAKE OUR REGION SAFER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>CARING FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER PROVIDES A REAL AND ESSENTIAL SAFETY NET, ASSURING THAT THOSE WHO CHOOSE TO COME TO US RECEIVE THE MEDICAL CARE, FINANCIAL HELP, AND PATIENT RESOURCES THEY NEED. IN 2011, WE PROVIDED MORE THAN $30.4 MILLION IN FINANCIAL ASSISTANCE AND CHARITY CARE FOR PEOPLE IN NEED. WE ALSO PROVIDED COMMUNITY BENEFIT SERVICES TO IMPROVE THE OVERALL HEALTH OF THE ENTIRE COMMUNITY. AFTER FINANCIAL ASSISTANCE AND CHARITY CARE, OUR TOP COMMUNITY CONTRIBUTIONS WERE IN THE FOLLOWING CATEGORIES: 1. EDUCATION FOR HEALTH PROFESSIONALS - 8.2 MILLION 2. SUBSIDIZED HEALTH SERVICES - 6.6 MILLION 3. CASH AND IN-KIND CONTRIBUTIONS - 1.2 MILLION 4. COMMUNITY HEALTH IMPROVEMENT - 1.0 MILLION EDUCATION FOR HEALTHCARE PROFESSIONALS ADDITIONAL HEALTHCARE PROFESSIONALS ARE DESPERATELY NEEDED THROUGHOUT SOUTHEAST GEORGIA. TO HELP FILL THAT NEED, MHUMC INVESTS IN QUALITY EDUCATION. WE SERVE AS THE SAVANNAH CAMPUS OF MERCER UNIVERSITY SCHOOL OF MEDICINE, A FOUR-YEAR MEDICAL SCHOOL WHERE FUTURE DOCTORS LEARN THEIR PROFESSION. PHYSICIAN/MEDICAL STUDENTS GRADUATE MEDICAL EDUCATION: THE GRADUATE MEDICAL EDUCATION PROGRAM AT MHUMC HAD ITS BEGINNINGS WELL OVER 50 YEARS AGO WITH THE ESTABLISHMENT OF THE INTERNAL MEDICINE RESIDENCY PROGRAM. TODAY, THERE ARE SIX RESIDENCY PROGRAMS: FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, OBSTETRICS AND GYNECOLOGY, SURGERY, AND DIAGNOSTIC RADIOLOGY. MHUMC AND EACH PROGRAM ARE ACCREDITED UNDER THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). THE PHYSICIAN RESIDENT TRAINING PROGRAM ALIGNS WITH THE EARLY MISSION OF MHUMC TO PROVIDE CARE FOR THOSE IN NEED AS WELL AS TRAIN FUTURE PHYSICIANS FOR THE COMMUNITY AND THE REGION. OF THE 120 RESIDENTS TRAINED IN 2011, MHUMC DID NOT RECEIVE COMPENSATION FOR 22 OF THEM. THIS IS DUE TO CAPS PLACED ON THE ALLOWABLE NUMBER OF PHYSICIANS ENGAGED IN GRADUATE MEDICAL INSTRUCTION IN ALL TEACHING HOSPITALS ACROSS THE UNITED STATES. THEREFORE, 22 RESIDENTS WITH A SALARY, BENEFIT, FOOD, AND HOUSING ALLOWANCE OF $65,000 COST MHUMC $1,862,900. FOURTH-YEAR MEDICAL STUDENTS: IN 2011, MHUMC PROVIDED FREE ROTATIONS FOR 30 MERCER AND 31 VISITING STUDENTS FOR A TOTAL OF 61 FOURTH-YEAR MEDICAL STUDENTS. THE VALUE FOR THIS COMMUNITY BENEFIT WAS $436,590. CONTINUING MEDICAL EDUCATION (CME): THE CONTINUING MEDICAL EDUCATION (CME) DEPARTMENT IS COMMITTED TO DEVELOPING, IMPLEMENTING, AND EVALUATING EDUCATIONAL OPPORTUNITIES AND INITIATIVES TO ASSIST PRACTICING PHYSICIANS, ADVANCED PRACTICE PROVIDERS, AND OTHER HEALTHCARE PROFESSIONALS TO IMPROVE PATIENT SAFETY AND ENHANCE CLINICAL OUTCOMES. THE CME DEPARTMENT HAS BEEN ACCREDITED BY THE MEDICAL ASSOCIATION OF GEORGIA (MAG) UNDER THE ACCREDITATION COUNCIL OF CONTINUING MEDICAL EDUCATION (ACCME) FOR THE PAST 17 YEARS TO PROVIDE AMA PRA CATEGORY 1 CREDIT(S) FOR PHYSICIANS. THE CME DEPARTMENT WAS STARTED TO PROVIDE EDUCATION TO PHYSICIANS AND ALL OTHER ALLIED HEALTH PROFESSIONALS IN AN EFFORT TO MEET THE EDUCATIONAL REQUIREMENTS FOR MAINTENANCE OF LICENSURE AND MAINTENANCE OF CERTIFICATION FOR PHYSICIANS. IN 2011, CME CREDITS WERE GRANTED TO 14,038 PHYSICIANS. TWENTY PERCENT OF THE CREDITS WERE AWARDED TO COMMUNITY PHYSICIANS. THE TOTAL COMMUNITY BENEFIT INCLUDING ADMINISTRATIVE SUPPORT FOR CME ACTIVITIES WAS $284,862. NURSES/NURSING STUDENTS IN 2011, MHUMC PROVIDED INPATIENT AND OUTPATIENT CLINICAL ROTATIONS FOR UNDERGRADUATE NURSING STUDENTS FROM THE FOLLOWING ACCREDITED NURSING SCHOOLS: ARMSTRONG ATLANTIC STATE UNIVERSITY, GEORGIA SOUTHERN UNIVERSITY, COLLEGE OF COASTAL GEORGIA, AND SAVANNAH TECHNICAL COLLEGE. CLINICAL EXPERIENCES WERE PROVIDED FOR 718 NURSING STUDENTS FOR A TOTAL BENEFIT OF $2,321,772. OTHER HEALTH PROFESSIONAL EDUCATION MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER PROVIDED $3,290,526.60 IN CLINICAL SUPERVISION AND TRAINING TO 468 STUDENTS IN THE FOLLOWING SPECIALTIES: CHILD LIFE SPECIALIST, MEDICAL TECHNOLOGIST, PHARMACY, RADIOLOGY, ULTRASOUND, NUCLEAR MEDICINE, RADIATION THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, SURGICAL TECHNOLOGY, REGISTERED DIETARY, RESPIRATORY THERAPY, AND OTHER HEALTH PROFESSIONS. SUBSIDIZED HEALTH SERVICES MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER SUBSIDIZES MANY IMPORTANT HEALTH SERVICES, INCLUDING A LEVEL I TRAUMA CENTER, BEHAVIORAL HEALTH SERVICES, AND PALLIATIVE CARE. IN ADDITION, THE WOMEN'S HEALTH INSTITUTE AT MEMORIAL IS THE ONLY FACILITY IN THE REGION EQUIPPED TO HANDLE HIGH-RISK PREGNANCIES AND DELIVERIES, INCLUDING BIRTHS OF MULTIPLES, PREEMIES, BABIES BORN WITH SERIOUS BIRTH DEFECTS, AND BABIES OR MOTHERS WITH SERIOUS MEDICAL CONDITIONS. OUR OFFICE OF SPONSORED PROGRAMS WORKS DILIGENTLY TO OFFSET THE COST OF SUBSIDIZED CARE FOR PEOPLE IN OUR REGION BY AGGRESSIVELY PURSUING FEDERAL, STATE, AND FOUNDATION GRANTS. EVEN WITH GRANT FUNDING, MHUMC PROVIDED MORE THAN $6.6 MILLION OF SUPPORT FOR UNDERFUNDED CLINICAL PROGRAMS. EMERGENCY AND TRAUMA SERVICES LEVEL I TRAUMA CENTER: AS SOUTHEAST GEORGIA'S ONLY LEVEL 1 TRAUMA CENTER, MHUMC IS EQUIPPED TO PROVIDE THE HIGHEST LEVEL OF EMERGENCY CARE AS ESTABLISHED BY THE AMERICAN COLLEGE OF SURGEONS. WE ARE ONE OF ONLY FOUR LEVEL 1 CENTERS IN THE STATE OF GEORGIA, AND THE ONLY LEVEL 1 CENTER LOCATED BETWEEN CHARLESTON, SOUTH CAROLINA, AND JACKSONVILLE, FLORIDA. TO MAINTAIN OUR LEVEL 1 STATUS, WE HAVE DESIGNATED TRAUMA SURGEONS, A HIGHLY TRAINED TRAUMA TEAM, A TRAUMA OPERATING ROOM, THREE TRAUMA TREATMENT ROOMS, AND INTENSIVE CARE UNITS AVAILABLE AROUND THE CLOCK. MHUMC RECENTLY ESTABLISHED A NEW INSTITUTE FOR INJURY RESEARCH AND PREVENTION THAT WILL SEEK TO PREVENT INJURIES THROUGH EDUCATION, RESEARCH, AND COMMUNITY OUTREACH. THE LOSSES INCURRED BY PROVIDING THIS SERVICE TO THE COMMUNITY WERE $4,794,187. BEHAVIORAL HEALTH SERVICES THE CENTER FOR BEHAVIORAL MEDICINE: THE CENTER FOR BEHAVIORAL MEDICINE AT MHUMC INCLUDES A 26-BED ADULT INPATIENT UNIT AND A 10-BED SENIORCARE PROGRAM. OUR BEHAVIORAL MEDICINE PROGRAMS OFFER COMPASSIONATE CARE THAT ADDRESS THE PHYSICAL, PSYCHOLOGICAL, EMOTIONAL, SOCIAL, AND SPIRITUAL NEEDS OF PEOPLE WITH MENTAL HEALTH DISORDERS. OUR GOAL IS TO HELP PATIENTS DEAL WITH THEIR ILLNESS AND RETURN TO A BETTER LIFE. THE MENTAL HEALTH TEAM IS LED BY THE PATIENT'S ATTENDING PSYCHIATRIST AND INCLUDES NURSES, SOCIAL WORKERS, CASE MANAGERS, RECREATION THERAPISTS, MENTAL HEALTH TECHNICIANS, AND OTHER SPECIALISTS WHO ARE CONSULTED AS NEEDED. IN 2011, THE LOSSES INCURRED BY PROVIDING THIS SERVICE TO THE COMMUNITY WERE $1,807,481.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>CASH AND IN-KIND CONTRIBUTIONS CASH DONATIONS J.C. LEWIS PRIMARY HEALTH CARE CENTER IS A FEDERALLY QUALIFIED COMMUNITY HEALTHCARE CENTER. THE LEWIS CENTER PROVIDES HEALTHCARE FOR SAVANNAH'S HOMELESS AND NEAR HOMELESS POPULATION. IN ADDITION, THE LEWIS CENTER OFFERS MEDICATION ASSISTANCE, MEDICAL CASE MANAGEMENT, HEALTH PROMOTION AND DISEASE PREVENTION, DENTAL CARE, SHELTER AND HOUSING REFERRALS, ECONOMIC EDUCATION REFERRALS, NUTRITIONAL EDUCATION, DIETARY SUPPLEMENTATION, A PRISONER RE-ENTRY PROGRAM, 24-HOUR RESPITE CARE, AND BEHAVIORAL HEALTH COUNSELING. IN 2011, MHUMC PROVIDED $300,000 TO THE LEWIS CENTER IN SUPPORT OF ITS RESPITE CARE PROGRAM. COMMUNITY HEALTH MISSION (CHM) WAS CREATED THROUGH THE 2006 MERGER OF TWO FREE CLINICS: COMMUNITY HEALTHCARE CENTER (ESTABLISHED IN 2001) AND SAVANNAH HEALTH MISSION (FOUNDED IN 1996). CHM IS A VOLUNTEER-BASED, NONPROFIT PRIMARY CARE FACILITY SERVING UNINSURED ADULTS WHO WORK OR LIVE IN CHATHAM COUNTY, WHO ARE NOT ENROLLED IN MEDICAID OR MEDICARE, AND WHOSE INCOME IS AT OR BELOW 200 PERCENT OF FEDERAL POVERTY GUIDELINES. MEDICAL CARE AT CHM IS FREE FOR THOSE WHO QUALIFY. IN 2011, MHUMC PROVIDED A CASH DONATION TO SUPPORT OPERATIONS OF THE CLINIC FOR A TOTAL COMMUNITY BENEFIT OF $125,000. MEDBANK FOUNDATION INC., IS A PRIVATE, NONPROFIT ORGANIZATION OFFERING PRESCRIPTION ASSISTANCE TO LOW-INCOME PATIENTS OF AREA HEALTH PROVIDERS. MEDBANK EXCELS IN OBTAINING MEDICATIONS AT NO COST TO PATIENTS THROUGH PROGRAMS PRESENTED BY PARTICIPATING PHARMACEUTICAL MANUFACTURERS. IN 2011, MEDBANK PROVIDED MORE THAN $6.9 MILLION IN FREE MEDICATIONS TO THE COMMUNITY BY WORKING WITH COMMUNITY CLINICS. IN ADDITION, MEDBANK PROVIDES SERVICES FOR PRIVATE PHYSICIANS' OFFICES AND NUMEROUS SOCIAL SERVICE AGENCIES. IN 2011, MHUMC PROVIDED MEDBANK $70,000 FOR GENERAL OPERATIONS AND SUPPORT FOR PRESCRIPTION ASSISTANCE SERVICES AT CURTIS V. COOPER PRIMARY HEALTH CARE, A FEDERALLY QUALIFIED HEALTH CENTER. THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL SERVES AS A COUNTYWIDE PLANNING GROUP FOR HEALTHCARE FOR THE UNINSURED AND UNDERINSURED CITIZENS OF CHATHAM COUNTY. CREATED IN 2004 TO IMPROVE THE EFFICIENCY AND EFFECTIVENESS OF THE LOCAL HEALTHCARE DELIVERY SYSTEM, THE COUNCIL'S GOALS ARE TO STRENGTHEN THE HEALTHCARE INFRASTRUCTURE, BUILD CAPACITY WITHIN THE COMMUNITY, IMPROVE ACCESS TO HEALTHCARE FOR THE UNINSURED AND UNDERINSURED, AND IMPROVE HEALTH OUTCOMES. AS A FOUNDING MEMBER, MHUMC HAS BEEN ACTIVELY INVOLVED IN THIS PROGRAM SINCE ITS INCEPTION. IN 2011, MHUMC PROVIDED $5,000 TO SUPPORT THE OPERATIONAL NEEDS OF THE COUNCIL. SAFE KIDS SAVANNAH IS ONE OF MORE THAN 400 GRASSROOTS COALITIONS IN ALL 50 STATES, THE DISTRICT OF COLUMBIA AND PUERTO RICO THAT BRING TOGETHER HEALTH AND SAFETY EXPERTS, EDUCATORS, CORPORATIONS, FOUNDATIONS, GOVERNMENTS, AND VOLUNTEERS TO EDUCATE AND PROTECT FAMILIES. ACCIDENTAL INJURY IS THE NUMBER ONE CAUSE OF DEATH AMONG CHILDREN AGES 14 AND UNDER AND EACH YEAR ONE OUT OF EVERY FOUR CHILDREN NEEDS MEDICAL ATTENTION FOR AN ACCIDENTAL INJURY. IN 2011, MHUMC PROVIDED $2,000 TO SUPPORT THE SAFE KIDS SAVANNAH SAFETY EVENT. GOVERNOR'S EMERGENCY RELIEF FUND WAS ESTABLISHED TO HELP ALABAMIANS WITH UNMET RECOVERY NEEDS IN THE WAKE OF THE RECENT DEADLY TORNADO OUTBREAK ACROSS THE STATE. MHUMC CONTRIBUTED $500 TO HELP WITH THE RECOVERY EFFORTS. GRANTS IN 2011, MHUMC MADE CONTRIBUTIONS TOTALING $50,000 FOR SPONSORSHIP OF COMMUNITY AND OTHER NONPROFIT ENTITIES, PROJECTS, AND INITIATIVES. THESE COMMUNITY GROUPS AND ORGANIZATIONS INCLUDE: GEORGIA HISTORICAL SOCIETY, 100 BLACK MEN OF SAVANNAH, HISTORIC SAVANNAH FOUNDATION, JUNIOR ACHIEVEMENT, MARTIN LUTHER KING OBSERVANCE DAY ASSOCIATION, KING-TISDELL COTTAGE FOUNDATION, CROHN'S &amp; COLITIS FOUNDATION, NAACP FREEDOM FUND AWARDS, SAVANNAH-CHATHAM COUNTY CASA, SOUTHSIDE FIRE DEPARTMENT, SUSAN G. KOMEN, RONALD MCDONALD HOUSE, SAVANNAH TECHNICAL COLLEGE, AND THE GEORGIA MEDICAL SOCIETY. IN-KIND DONATIONS IN 2011, MHUMC PROVIDED IN-KIND DONATIONS OF SPACE, TIME, AND OTHER RESOURCES TO COMMUNITY ORGANIZATIONS VALUED AT $660,981. IN-KIND SPACE AND PERSONNEL: MHUMC PROVIDED SPACE FOR COMMUNITY HEALTH MISSION TO OPERATE A FREE, VOLUNTEER-BASED CLINIC FOR UNINSURED CHATHAM COUNTY ADULTS. WE ALSO HOUSED THE VIOLENCE INTERVENTION PROGRAM, A COMMUNITY FOCUSED, HOSPITAL-BASED PROGRAM DESIGNED TO REDUCE RECIDIVISM OF VIOLENT CRIMES AMONG YOUNG PEOPLE AGES 12-25. WE ALSO PROVIDED SPACE FOR THE SAVANNAH COMMUNITY BLOOD BANK MEETINGS AND A FULL-TIME POSITION TO PROMOTE BLOOD DONATIONS THROUGHOUT THE COMMUNITY. CONFERENCE ROOM SERVICES: IN 2011, OUR CONFERENCE ROOM SERVICES PROVIDED A TOTAL OF 1,899 HOURS OF FREE CONFERENCE ROOM AND EDUCATION SPACE, AUDIOVISUAL EQUIPMENT, AND TECHNOLOGY ASSISTANCE TO 31 NONPROFIT ORGANIZATIONS AND COMMUNITY GROUPS. TECHNICAL GRANT WRITING ASSISTANCE: THE COMMUNITY RESOURCE MANAGER IN MHUMC'S OFFICE OF SPONSORED PROGRAMS PROVIDED A TOTAL OF 584 HOURS OF GRANT WRITING ASSISTANCE TO THE FOLLOWING COMMUNITY ORGANIZATIONS: CHATHAM COUNTY SAFETY NET PLANNING COUNCIL, UNITED WAY/DRUG FREE COALITION, YOUTH FUTURES AUTHORITY/PROMISE NEIGHBORHOOD GRANT, UNITED WAY/STATE BID FOR UNDERAGE DRINKING, HOSPICE, AND ROCK GROUP/GOVERNOR'S OFFICE OF CHILDREN AND FAMILIES GRANT. MEALS FOR FAMILIES: PARTNERING WITH LOCAL CHURCHES AND OTHER NON-PROFIT ORGANIZATIONS, MEMBERS OF MHUMC'S KEY 100 HOSTED GROUP HOSTED 187 LUNCHEONS IN 2011 WITH AN AVERAGE ATTENDANCE OF 25 FAMILY MEMBERS FOR A TOTAL OF 4,525 LUNCHES PROVIDED. FUNDRAISING FOR COMMUNITY ORGANIZATIONS: TEAM MEMBERS HELP COORDINATOR THE FOLLOWING FUNDRAISERS FOR NONPROFIT ORGANIZATIONS: MARCH FOR BABIES, BRAIN INJURY WALK, SUSAN G. KOMEN RACE FOR THE CURE, AND AMERICAN CANCER SOCIETY: RELAY FOR LIFE. BOARD SERVICE FOR COMMUNITY ORGANIZATIONS: SENIOR EXECUTIVES, TEAM LEADERS, AND SOME TEAM MEMBERS AT MHUMC ARE INVOLVED AT EVERY LEVEL OF THE COMMUNITY THROUGH THEIR SERVICE TO MANY NONPROFIT ORGANIZATIONS, LOCAL COMMUNITY AGENCIES, AND EDUCATIONAL INSTITUTIONS. TEAM LEADERS AND TEAM MEMBERS INVESTED 1,718 HOURS OF SERVICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>COMMUNITY HEALTH IMPROVEMENT SERVICES COMMUNITY HEALTH IMPROVEMENT SERVICES PROVIDED BY MHUMC INCLUDE PROGRAMS THAT FOCUS ON PATIENT SUPPORT SERVICES, HEALTH SCREENINGS, EDUCATION, AND DISEASE PREVENTION. IN 2011, THE TOTAL COMMUNITY BENEFIT VALUE OF THESE SERVICES WAS $1,031,667. EDUCATION, SCREENINGS, AND SUPPORT GROUPS ANDERSON CANCER INSTITUTE (ACI) BREAST CANCER AWARENESS BREAST HEALTH LECTURE BREAST HEALTH PROGRAM FOR SAVANNAH STATE UNIVERSITY CANCER AWARENESS FOR EASTSIDE CONCERNED CITIZENS CANCER &amp; GENETICS LECTURE CERVICAL CANCER LECTURE COMMUNITY PROSTATE CANCER AWARENESS GNA NURSE PRACTITIONER CONFERENCE HARVEST OF HOPE RETREAT OVARIAN CANCER AWARENESS PROSTATE CANCER EDUCATION AT ST. PAUL'S CHURCH REHABILITATION INSTITUTE COASTAL MASTER GARDENERS PROGRAM EDUCATION FOR ISLE OF HOPE UNITED METHODIST CHURCH EDUCATION FOR ST. PAUL'S LUTHERAN CHURCH I HAVE MARKS TO MAKE SPINAL CORD INJURY CONFERENCE THE CHILDREN'S HOSPITAL AT MHUMC BACK TO SCHOOL WITH CHICK-FIL-A PROGRAM COPES PRESENTATION TO PRE-K - EDUCATION THROUGH MEDICAL PLAY DIABETES EDUCATION AND AWARENESS FOR ST. JAMES CATHOLIC SCHOOL FIRST TEE OF SAVANNAH FUN IN THE SUN PROGRAM GARDEN CITY ROADSIDE CAR SEAT CHECKPOINT GEORGIA WALK TO SCHOOL DAY GIVE KIDS A BOOST HOME DEPOT FIRE SAFETY KIDS DAY IMA BACK TO SCHOOL EVENT KEEPING KIDS SAFE CLASS KIDS LUV YOUR HEART WALK NEXT GENERATION BBQ, CHILD PASSENGER SAFETY PROGRAM SAFEKIDS CAR SEAT CLASS SAFETY PALOOZA 2011 THE CHILDREN'S HOSPITAL CAR SEAT CHECK TRAUMA SERVICES FAMILY FISHING AND WATER SAFETY DAY GUN AND MOTOR VEHICLE SAFETY MAKE A SPLASH, WATER SAFETY AT SAVANNAH CHATHAM COUNTY AQUATIC CENTER RURAL TRAUMA TEAM DEVELOPMENT COURSE TEEN MAZE THE CENTER FOR BEHAVIORAL MEDICINE BILL BORCHETT COMMUNITY EVENT COFFEE WITH COLLEAGUES IN BLUFFTON COFFEE WITH COLLEAGUES IN SAVANNAH SAVANNAH MENTAL HEALTH PROFESSIONAL LUNCHEON STATESBORO MENTAL HEALTH PROFESSIONAL LUNCHEON THIRD ANNUAL BEHAVIORAL HEALTH SYMPOSIUM STROKE SERVICES, SPINE SURGERY, &amp; JOINT REPLACEMENT EDUCATION FOR EMS APPRECIATION WEEK EDUCATION FOR SOUTHCOAST MEDICAL GROUP SAVANNAH AND POOLER MID MORNING LIVE STROKE EDUCATION MID MORNING LIVE SURGERY EDUCATION STROKE EDUCATION (F.A.S.T.) PROGRAM FOR GEORGETOWN ELEMENTARY SCHOOL HISPANIC LATINO OUTREACH BREAST CANCER AMONG LATINAS CULTURE AND HEALTH COMMUNICATION EARLY CANCER DETECTION FOR LATINA SURVIVORS FIESTA LATINA HISPANIC HERITAGE MONTH EDUCATION IMPORTANCE OF GOOD COMMUNICATION IN HEALTH CARE AND THE SPANISH CULTURE THE ROLE OF THE HEALTH CARE INTERPRETER &amp; IMPORTANCE OF GOOD COMMUNICATION OTHER COMMUNITY EDUCATION CHATHAM COUNTY YOUTH COMMISSION HOSPITAL ACADEMY DAY CORPORATE ETHICS AND COMPLIANCE INFECTION CONTROL AND PREVENTION FOR CALVARY DAY SCHOOL KIWANIS OF SAVANNAH MOMMY TO BE EXPO NUTRITION EDUCATION FOR SCHOOLS AND AFTER SCHOOL PROGRAMS OVERCOMING BY FAITH CHURCH SAVANNAH HEALTH SUMMIT SUN CITY GENERAL HEALTH EDUCATION THE LANDINGS COMPANY HEALTH FAIRS 2011 COMMUNITY HEALTH FAIRS ARMSTRONG ATLANTIC STATE UNIVERSITY HEALTH &amp; WELLNESS FAIR CITY OF RICHMOND HILL HEALTH FAIR COCA COLA WELLNESS FAIR CONGRESSMAN BARROW'S HEALTH/DENTAL FAIR DARIEN COMMUNITY APPRECIATION EVENT EMD CHEMICAL'S FAMILY DAY EOA HEADSTART FAIRLAWN BAPTIST CHURCH HEALTH FAIR GEORGIA POWER HEALTH FAIR OAKRIDGE FITNESS HEALTH FAIR SKIDAWAY INSTITUTE OF OCEANOGRAPHY SUN CITY HEALTH FAIR TATTNALL COUNTY HEALTH FAIR UPS HEALTH FAIR</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>COMMUNITY SUPPORT GROUPS CANCER SUPPORT GROUPS: IN 2011, 650 INDIVIDUALS, FAMILY MEMBERS, AND CAREGIVERS WERE SERVED BY CANCER SUPPORT SERVICES. THESE SUPPORT GROUPS ARE OPEN TO THE COMMUNITY. CAREGIVER COFFEE HOUR - EVERY MONTH WE PROVIDE RESOURCES AND SUPPORT INFORMATION FOR CAREGIVERS IN A GROUP SETTING. THIS IS A PARTNERSHIP WITH STEWARD CENTER FOR PALLIATIVE CARE AND HOSPICE SAVANNAH. COOKING CLASSES - THIS COMMUNITY EDUCATION EVENT IS FOR FAMILIES GOING THROUGH CANCER TREATMENT AND RECOVERY AND PROVIDES HEALTHY COOKING TIPS. THE CLASS IS TAUGHT BY THE EXECUTIVE CHEF AT THE HOSPITAL. GYNECOLOGIC CANCER SUPPORT GROUP - THIS GROUP MEETS QUARTERLY TO PROVIDE RESOURCES AND SUPPORT TO WOMEN COPING WITH GYNECOLOGIC CANCERS. HEAD AND NECK CANCER SUPPORT GROUP - THIS GROUP MEETS QUARTERLY TO PROVIDE RESOURCES AND INFORMATION FOR PEOPLE WITH CANCER IN THE HEAD AND NECK AREAS. HEALING THROUGH ART - THE HEALING THROUGH ART PROGRAM IS A PARTNERSHIP WITH THE SAVANNAH COLLEGE OF ART AND DESIGN AND MEMORIAL. THE STUDENTS FROM THE COLLEGE VOLUNTEER THEIR TIME TO PROVIDE 25 ART THERAPY SESSIONS TO INDIVIDUALS HOSPITALIZED IN THE MEMORIAL INPATIENT ONCOLOGY UNIT. ALL OF THE ART SUPPLIES ARE DONATED BY ACI. LEUKEMIA, LYMPHOMA, AND MYELOMA SUPPORT GROUP - THIS GROUP IS FOR INDIVIDUALS WHO HAVE LEUKEMIA, LYMPHOMA, OR MULTIPLE MYELOMA AND THEIR LOVED ONES. THE GROUP MEETS MONTHLY AT THE SUMMIT CANCER CARE OFFICE IN THE ACI. PANCREATIC CANCER SUPPORT GROUP - THIS PROGRAM IS FOR PEOPLE WHO HAVE PANCREATIC CANCER AND THEIR LOVED ONES. THE GROUP MEETS ONCE A MONTH TO DISCUSS CONCERNS SPECIFIC TO PANCREATIC CANCER. THIS IS A PARTNERSHIP WITH THE PANCREATIC CANCER ACTION NETWORK. MAN TO MAN PROSTATE CANCER SUPPORT GROUP - THIS GROUP MEETS EVERY OTHER MONTH AT ACI AND IS FOR MEN GOING THROUGH PROSTATE CANCER TREATMENT AND RECOVERY AND FOR THEIR LOVED ONES. THIS IS A PARTNERSHIP WITH THE AMERICAN CANCER SOCIETY. SISTERS NETWORK BREAST CANCER SUPPORT GROUP - THIS GROUP MEETS MONTHLY TO DISCUSS THE UNIQUE CONCERNS OF AFRICAN AMERICAN WOMEN GOING THROUGH BREAST CANCER. THE GROUP MEETS AT ACI. YOUNG SURVIVAL COALITION BREAST CANCER SUPPORT GROUP - THIS GROUP MEETS EVERY OTHER MONTH AND PROVIDES SERVICES TO WOMEN FACING BREAST CANCER. OTHER SUPPORT GROUPS SICKLE CELL SUPPORT - THIS QUARTERLY SUPPORT GROUP IS FOR ADOLESCENTS WITH SICKLE CELL DISEASE AND THEIR PARENTS. THE GROUP STRIVES TO HELP TEENAGERS LEARN TO SUCCESSFULLY MANAGE THEIR DISEASE. PARENTS LEARN HOW TO SUPPORT THEIR SON OR DAUGHTER AS THE TEEN GROWS INTO AN ADULT. DR. JOHN WHITTLE PROVIDES OVERSIGHT FOR THIS GROUP. BRAIN AND SPINAL CORD INJURY SUPPORT GROUP - THIS GROUP WAS FORMED TO PROVIDE PEER SUPPORT FOR SURVIVORS OF BRAIN AND SPINAL CORD INJURIES. SERVICES ARE PROVIDED BY TEAM MEMBERS FROM THE REHABILITATION INSTITUTE AT MHUMC. THE GROUP WAS FORMED IN PARTNERSHIP WITH ACCORD SERVICES AND GOODWILL SECOND CHANCE PROGRAM. STROKE SUPPORT GROUP AND PEER VISITOR PROGRAM - MHUMC COLLABORATES WITH ST. JOSEPH'S/CANDLER TO HOST QUARTERLY STROKE SUPPORT GROUP MEETINGS. THE LOCATION OF THE MEETING IS ROTATED AMONG THE THREE HOSPITAL CAMPUSES. SPEAKERS ARE PROVIDED FOR THE MEETINGS WHEN REQUESTED AND MEMBERS PARTICIPATE IN A PEER VISITOR PROGRAM. HEALTHCARE SUPPORT SERVICES IN 2011, MHUMC INVESTED $967,121 IN THE FOLLOWING PATIENT ASSISTANCE PROGRAMS AND SERVICES. MMC PAYER - THIS PROGRAM PROVIDES ASSISTANCE FOR PATIENTS WITHOUT HEALTH INSURANCE OR LONG-TERM CARE BENEFITS AND ASSISTS WITH HOSPITAL DISCHARGE-RELATED EXPENSES SUCH AS PRESCRIPTIONS, MEDICAL EQUIPMENT, I.V. INFUSION THERAPY, I.V. ANTIBIOTICS, AND NURSING HOME PLACEMENT. FINANCIAL ASSISTANCE PROGRAM - ASSISTS ELIGIBLE PATIENTS WITH THE NECESSARY PROGRAM APPLICATIONS TO EXPEDITE THE APPROVAL PROCESS FOR VARIOUS STATE, FEDERAL, LOCAL, AND CHARITY PROGRAMS. EMERGENCY DEPARTMENT COMMUNITY RESOURCE SPECIALIST - A FULL-TIME COMMUNITY RESOURCE SPECIALIST (CRS) WORKS IN THE EMERGENCY DEPARTMENT TO PROVIDE PATIENT EDUCATION AND HEALTHCARE NAVIGATION. INSURANCE ASSISTANCE - AN ONCOLOGY SOCIAL WORKER HELPS UNINSURED OR UNDERINSURED PATIENTS APPLY FOR ASSISTANCE WITH CANCER-RELATED MEDICAL AND PHARMACEUTICAL EXPENSES. REHABILITATION INSTITUTE VAN SERVICES - THE REHABILITATION INSTITUTE PROVIDES FREE PATIENT TRANSPORT SERVICES FOR PATIENT APPOINTMENTS. INTEGRATIVE MEDICINE SERVICES - THE ANDERSON CANCER INSTITUTE AT MHUMC PROVIDES FREE INTEGRATIVE THERAPIES SUCH AS MASSAGE, MUSIC, AND ART THERAPY FOR INDIVIDUALS BEING TREATED FOR CANCER.</Explanation>
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      </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>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL PROFESSIONAL ASSURANCE COMPANY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>6417983</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL PROFESSIONAL ASSURANCE COMPANY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>6200000</AmountInvolved>
        <MethodOfAmtDetermination>DIVIDEND</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>