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      <MembershipDues>0</MembershipDues>
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      <RelatedOrganizations>0</RelatedOrganizations>
      <GovernmentGrants>56873</GovernmentGrants>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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      <NetGainOrLossInvestments>
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      <CntrbtnsRprtdFundraisingEvents>0</CntrbtnsRprtdFundraisingEvents>
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      <GrantsToDomesticOrgs>
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      <InformationTechnology>
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      <TravelEntrtnmntPublicOfficials>
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      <ConferencesMeetings>
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      <OtherAssets>
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      <OtherAssets>
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      <OtherAssets>
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      <OtherAssets>
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      <OtherAssets>
        <Description>OTHER ASSETS</Description>
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      </OtherAssets>
      <OtherAssets>
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      <OtherLiabilities>
        <Description>MEDICARE/MEDICAID</Description>
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      <OtherLiabilities>
        <Description>OTHER ACCRUED LIABILITIES</Description>
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        </Name>
        <Address>
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        </Name>
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          <State>TN</State>
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        </Name>
        <Address>
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          <City>HENDERSONVILLE</City>
          <State>TN</State>
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        <Other>PHYSICIAN PRACTICE</Other>
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        <BadDebtFootnote>PATIENT ACCOUNTS RECEIVABLE ARE PRESENTED NET OF ALLOWANCE FOR DOUBTFUL ACCOUNTS. SRHS PROVIDES AN ALLOWANCE FOR DOUBTFUL COLLECTIONS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. ALL THIRD PARTY PAYER ACCOUNT BALANCES GREATER THAN 180 DAYS PAST DUE ARE CONSIDERED DELINQUENT AND REFLECTED IN THE BAD DEBT RESERVE ALLOWANCE. INTEREST IS NOT CHARGED ON OUTSTANDING PATIENT ACCOUNTS RECEIVABLE.</BadDebtFootnote>
        <GeneralExplanation>PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, PART III, LINE 3, THE ORGANIZATION CURRENTLY DOES NOT ESTIMATE THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSES ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. ACCORDINGLY NO AMOUNT HAS BEEN REPORTED ON PART III, LINE 3 OF SCHEDULE H.,</GeneralExplanation>
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        <NamePerson>JAMES R MEADOWS</NamePerson>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM T SUGG</NamePerson>
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        <BonusFilingOrg>0</BonusFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>Personal services</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>SRHS PAID ATTORNEY FEES FOR ITS CEO, WILLIAM T. SUGG, INCURRED ADDRESSING MATTERS RELATED TO HIS TERMINATION AGREEMENT.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Severance or change-of-control payment</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4a</ReturnReference>
        <Explanation>SRHS PAID ITS CEO, WILLIAM T. SUGG, SEVERANCE PAYMENTS IN CONNECTION WITH THE TERMS OF HIS TERMINATION AGREEMENT. THIS AGREEMENT REQUIRES THE ORGANIZATION TO PROVIDE WILLIAM T. SUGG WITH TWELVE MONTHLY PAYMENTS OF $139,723 EACH ON THE MONTHLY ANNIVERSARY OF OCTOBER 20, 2009.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental nonqualified retirement plan</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4b</ReturnReference>
        <Explanation>SRHS PAID ITS CEO, WILLIAM T. SUGG $1,141,155 IN DECEMBER 2009 FOR THE ASSETS HELD IN TRUST UNDER SRHS'S SERP.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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          <BusinessNameLine1>HEALTH EDUCATION AND HOUSING FACILITIES BOARD</BusinessNameLine1>
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        <CUSIPNumber>86642PDKO</CUSIPNumber>
        <DateIssued>2007-08-15</DateIssued>
        <IssuePrice>150000000</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCTION OF FACILITY</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
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          <BusinessNameLine1>HEALTH EDUCATION AND HOUSING FACILITIES BOARD</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521305360</IssuerEIN>
        <CUSIPNumber>000000000</CUSIPNumber>
        <DateIssued>2008-05-28</DateIssued>
        <IssuePrice>12000000</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCTION OF FACILITY</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
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        <AmountInReserveFund>9574850</AmountInReserveFund>
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        <AmountUnspent>0</AmountUnspent>
        <IssuanceCostsFromProceeds>3000000</IssuanceCostsFromProceeds>
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        <CapitalExpenditures>139408879</CapitalExpenditures>
        <CurrentRefunding>false</CurrentRefunding>
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        <FinalAllocationMade>true</FinalAllocationMade>
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        <TotalProceeds>12000000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <AmountDefeased>0</AmountDefeased>
        <AmountUnspent>0</AmountUnspent>
        <IssuanceCostsFromProceeds>240000</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>11760000</CapitalExpenditures>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <PercentageOfPrvtBusinessReUBI>0.000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.000</PrcntgePrvtBusinessUseByOthers>
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        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <TermOfHedge>0.0</TermOfHedge>
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        <TermOfGIC>0.0</TermOfGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <TermOfHedge>0.0</TermOfHedge>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <TermOfGIC>0.0</TermOfGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
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    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="09000329" softwareVersion="v2009.2.0">
      <LoanTable>
        <NamePerson>DAVID MATHEW POPEN STUDENT LOANS</NamePerson>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>52856</OriginalPrincipalAmount>
        <BalanceDue>14771</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
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      <TotalBalanceDue>14771</TotalBalanceDue>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000329" softwareVersion="v2009.2.0">
      <GeneralExplanation>
        <Identifier>Delegation of management duties</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 3</ReturnReference>
        <Explanation>DURING THE FISCAL YEAR ENDED MAY 31, 2010 THE ORGANIZATION ENGAGED NAVIGANT CONSULTING, A MANAGEMENT AND ADVISORY CONSULTING COMPANY, TO PERFORM MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES. THE FOLLOWING INDIVIDUALS PERFORMED SERVICES TO SUMNER REGIONAL HEALTH SYSTEMS, INC. &amp; AFFILIATES THROUGH NAVIGANT CONSULTING: DR. ROGER E. KAISER JR., CEO - PART YEAR WAITE POPEJOY, CHIEF RESTRUCTURING OFFICER ACCORDINGLY, THE INDIVIDUALS LISTED ABOVE HAVE BEEN REPORTED AS OFFICERS IN PART VII, SECTION A OF THE FORM 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of form 990 by governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11A</ReturnReference>
        <Explanation>THE ORGANIZATION'S MANAGEMENT WORKS WITH ITS INDEPENDENT THIRD PARTY TAX PREPARERS TO COMPLETE THE FORM 990. UPON ITS COMPLETION, THE ORGANIZATION'S MANAGEMENT PERFORMS A DETAILED PRELIMINARY REVIEW OF THE PREPARED FORM 990. SUBSEQUENT TO THIS REVIEW THE FULL FORM 990 IS DISTRIBUTED TO THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>ANNUALLY ALL MEMBERS OF THE ORGANIZATION'S GOVERNING BODY, OFFICERS AND KEY EMPLOYEES (INTERESTED PERSONS) ARE REQUIRED TO DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST THAT EXIST WITH THE ORGANIZATION THROUGH A CONFLICT OF INTEREST QUESTIONNAIRE. COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S COMPLIANCE OFFICER FOR REVIEW. IF A POTENTIAL CONFLICT OF INTEREST ARISES WITH AN INTERESTED PERSON, THE ORGANIZATION'S COMPLIANCE OFFICER REQUESTS ADDITIONAL INFORMATION RELATED TO THE NATURE OF THE CONFLICT. IF IT IS DETERMINED AN ACTUAL CONFLICT OF INTEREST EXISTS BETWEEN AN INTERESTED PERSON AND THE ORGANIZATION, ANY PERSON WITH A CONFLICT IS REQUIRED TO ABSTAIN FROM MAKING MOTIONS, PARTICIPATING IN RELEVANT DELIBERATIONS, VOTING, EXECUTING AGREEMENTS, ATTEMPTING TO INFLUENCE OTHERS' VOTES, OR TAKING ANY OTHER SIMILAR DIRECT ACTION ON BEHALF OF THE CORPORATION WHERE THE CONFLICT OR DUALITY ON INTEREST MIGHT PERTAIN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of top management official</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15a</ReturnReference>
        <Explanation>THE ORGANIZATION'S INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS UTILIZES COMPARABILITY DATA FROM A COMPENSATION SURVEY TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, OTHER OFFICERS, AND KEY EMPLOYEES. THE FINAL COMPENSATION PACKAGES ARE SUBJECT TO THE FULL BOARD REVIEW AND APPROVAL AND ARE DOCUMENTED IN A WRITTEN EMPLOYMENT CONTRACT. DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION PACKAGES ARE DOCUMENTED IN THE MINUTES OF THE MEETING. EFFECTIVE SEPTEMBER 10 2009, THE EMPLOYMENT AGREEMENT FOR THE ORGANIZATION'S CEO, WILLIAM T. SUGG, WAS TERMINATED. IN CONNECTION WITH THE TERMINATION AGREEMENT, SUMNER REGIONAL HEALTH SYSTEM, INC. WAS REQUIRED TO PROVIDE CERTAIN BENEFITS AND COMPENSATION. THE TAXABLE BENEFITS HAVE BEEN INCLUDED IN WILLIAM T. SUGG'S COMPENSATION AND ARE REPORTED IN SCHEDULE J OF THE FORM 990 ACCORDINGLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process used to establish compensation of other officers/key employees</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15b</ReturnReference>
        <Explanation>SEE NARRATIVE FOR PART VI, LINE 15A.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Public Disclosure</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION OF OFFICERS, DIRECTORS, EMPLOYEES, ETC.</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A, LINE 1(A), COLUMN (B)</ReturnReference>
        <Explanation>WILLIAM T. SUGG, CEO (JUNE 2009 THROUGH SEPTEMBER 2009), DEVOTED APPROXIMATELY 5 HOURS A WEEK TO TROUSEDALE MEDICAL CENTER, INC., 5 HOURS A WEEK TO FRANK T. RUTHERFORD MEMORIAL HOSPITAL, INC., AND 5 HOURS A WEEK TO SUMNER REGIONAL HEALTH SYSTEMS FOUNDATION, INC., ALL OF WHICH ARE RELATED TAX-EXEMPT ORGANIZATIONS. ROGER KAISER, JR., CEO (JUNE 2009 THROUGH MAY 2010), DEVOTED APPROXIMATELY 5 HOURS A WEEK TO TROUSEDALE MEDICAL CENTER, INC. AND 5 HOURS A WEEK TO FRANK T. RUTHERFORD MEMORIAL HOSPITAL, INC., BOTH OF WHICH ARE RELATED TAX-EXEMPT ORGANIZATIONS. WAITE POPEJOY, CHIEF RESTRUCTURING OFFICER (JUNE 2009 THROUGH MAY 2010), DEVOTED APPROXIMATELY 5 HOURS A WEEK TO TROUSEDALE MEDICAL CENTER, INC. AND 5 HOURS A WEEK TO FRANK T. RUTHERFORD MEMORIAL HOSPITAL, INC., BOTH OF WHICH ARE RELATED TAX-EXEMPT ORGANIZATIONS. DAVE WILHOITE, CFO (JUNE 2009 THROUGH MAY 2010), DEVOTED APPROXIMATELY 5 HOURS A WEEK TO TROUSEDALE MEDICAL CENTER, INC., 5 HOURS A WEEK TO FRANK T. RUTHERFORD MEMORIAL HOSPITAL, INC., AND 5 HOURS A WEEK TO SUMNER REGIONAL HEALTH SYSTEMS FOUNDATION, INC., ALL OF WHICH ARE RELATED TAX-EXEMPT ORGANIZATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SUPPLEMENTAL INFORMATION ON TAX-EXEMPT BONDS</Identifier>
        <ReturnReference>SCHEDULE K, PARTS I-IV</ReturnReference>
        <Explanation>THE TAX-EXEMPT BOND ISSUES LISTED IN PART I OF SCHEDULE K WERE ISSUED TO SUMNER REGIONAL HEALTH SYSTEMS, INC. A PORTION OF THE PROCEEDS FOR BOTH THE 2008 AND 2007 SERIES BONDS WERE ALLOCATED TO TWO SUBSIDIARIES OF SUMNER REGIONAL HEALTH SYSTEMS, INC.: TROUSDALE MEDICAL CENTER, INC. AND FRANK T. RUTHERFORD MEMORIAL HOSPITAL, INC. THE ENTIRE ISSUANCE AND RELATED INFORMATION FOR THE 2008 AND 2007 SERIES BONDS ARE REPORTED ON SCHEDULE K OF THE SUMNER REGIONAL HEALTH SYSTEMS, INC. 2009 FORM 990.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUMNER REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>555 HARTSVILLE PIKE</AddressLine1>
          <City>GALLATIN</City>
          <State>TN</State>
          <ZIPCode>37066</ZIPCode>
        </AddressUS>
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          <BusinessNameLine1>SRHS HOLDINGS LLC DBA RRMCN</BusinessNameLine1>
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          <AddressLine1>158 HOSPITAL DRIVE</AddressLine1>
          <City>CARTHAGE</City>
          <State>TN</State>
          <ZIPCode>37030</ZIPCode>
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        <EIN>204212680</EIN>
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          <BusinessNameLine1>FAMILY WELLNESS GROUP OF MIDDLE TN LLC</BusinessNameLine1>
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          <AddressLine1>107 GLEN OAK BLVD STE 201</AddressLine1>
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          <State>TN</State>
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      <ExchangeOfAssets>false</ExchangeOfAssets>
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