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        <NamePerson>SANDRA M LAWRENCE</NamePerson>
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      <TotalReportableCompFromOrg>3082521</TotalReportableCompFromOrg>
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      <NumberIndividualsGT100K>39</NumberIndividualsGT100K>
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      <TotalCompGT150K>1</TotalCompGT150K>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MIDLANDS EMERGENCY PHYSICIANS PA</BusinessNameLine1>
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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>129 NORTH WASHINGTON ST</AddressLine1>
            <City>SUMTER</City>
            <State>SC</State>
            <ZIPCode>29150</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SERVICES</DescriptionOfServices>
        <Compensation>6397034</Compensation>
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      <ContractorCompensation>
        <NameOfContractor>
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            <BusinessNameLine1>REHABCARE GROUP</BusinessNameLine1>
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          <AddressUS>
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            <City>ST LOUIS</City>
            <State>MO</State>
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          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SERVICES</DescriptionOfServices>
        <Compensation>1858662</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>FTI CONSULTING</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 631916</AddressLine1>
            <City>BALTIMORE</City>
            <State>MD</State>
            <ZIPCode>21263</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSULTING SERVICES</DescriptionOfServices>
        <Compensation>1779089</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>VINTAGE HEALTH RESOURCES INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2032 EXETER RD</AddressLine1>
            <City>GERMANTOWN</City>
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        </AddressOfContractor>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>PRICE WATERHOUSE COOPERS LLP</BusinessNameLine1>
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          <AddressUS>
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        <DescriptionOfServices>CONSULTING SERVICES</DescriptionOfServices>
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      <NumberOfContractorsGT100K>16</NumberOfContractorsGT100K>
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      <TotalContributions>589603</TotalContributions>
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        <Description>NET PROGRAM SERVICE RE</Description>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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        <ExclusionAmount>1965158</ExclusionAmount>
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      <OtherRevenueMisc>
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        <ProgramServices>73407</ProgramServices>
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        <ManagementAndGeneral>4489450</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>89920</ManagementAndGeneral>
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      <FeesForServicesInvstMgmntFees>
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      <Advertising>
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        <ProgramServices>46281968</ProgramServices>
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        <Fundraising>548023</Fundraising>
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      <InformationTechnology>
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        <ManagementAndGeneral>265974</ManagementAndGeneral>
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      <Occupancy>
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        <ProgramServices>2723059</ProgramServices>
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      <Interest>
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        <ProgramServices>4639647</ProgramServices>
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        <ProgramServices>12310986</ProgramServices>
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        <Description>BAD DEBT EXPENSE</Description>
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        <ProgramServices>12517842</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>5549777</ProgramServices>
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        <ManagementAndGeneral>493256</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>MISCELLANEOUS EXPENSES</Description>
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        <ManagementAndGeneral>8612</ManagementAndGeneral>
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        <EOY>105885383</EOY>
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      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>1790000</BOY>
        <EOY>1790000</EOY>
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      <TotalLiabilities>
        <BOY>152172097</BOY>
        <EOY>159480256</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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      <PermanentlyRestrictedNetAssets>
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        <EOY>5041143</EOY>
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      <TotalNetAssetsFundBalances>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>280563026</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
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      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
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        <ContributorNameBusiness>
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        </ContributorNameBusiness>
        <ContributorAddressUS>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
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        <ReturnReference>Explanation of Other Lobbying Activities:</ReturnReference>
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        <Description>OTHER LONG-TERM LIABILITIES</Description>
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      <Form990ScheduleDPartXIV>
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      <Form990ScheduleDPartXIV>
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      <Form990ScheduleDPartXIV>
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      </CharityCareAtCost>
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      </TotalCharityCare>
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      </CommunityHealthServices>
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      </CashAndInKindContributions>
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      </TotalOtherBenefits>
      <TotalCommunityBenefits>
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        <NetCommunityBenefitExpense>19086699</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.10230</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>60000</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>60000</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </EconomicDevelopment>
      <WorkforceDevelopment>
        <PersonsServed>105000</PersonsServed>
        <TotalCommunityBuildingExpense>1089321</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1089321</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00580</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Total>
        <PersonsServed>105000</PersonsServed>
        <TotalCommunityBuildingExpense>1149321</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1149321</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00610</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>12517842</BadDebtExpenseAmount>
      <AmountAttributableTo>6258921</AmountAttributableTo>
      <AmountReimbursedByMedicare>46346741</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>64060093</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-17713352</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>TUOMEY</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>129 NORTH WASHINGTON ST</AddressLine1>
          <City>SUMTER</City>
          <State>SC</State>
          <ZIPCode>29150</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
        <Other>DISPROPORTIONATE SHARE HOSPITAL</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <CostingMethodUsed>Part I, Line 7: THE ORGANIZATION UTILIZED THE IRS WORKSHEETS TO DETERMINE THE COST TO CHARGE RATIO</CostingMethodUsed>
        <BadDebtFootnote>Part III, Line 4: ALTHOUGH NOT DESCRIBED IN THE FOOTNOTES TO THE HOSPITAL'S FINANCIAL STATEMENTS, THE PRACTICE OF THE HOSPITAL IS TO RECORD BAD DEBT EXPENSE AT THE UNPAID BALANCES AFTER CONTRACTUAL DISCOUNTS FOR PATIENTS WITH INSURANCE AND AT THE 70% DISCOUNTED CHARGE LEVEL FOR THOSE WHO DO NOT HAVE INSURANCE. THE HOSPITAL NEGOTIATES WITH PAYERS TO COME UP WITH A FAIR DISCOUNTED RATE TO BE PAID FOR SERVICES RENDERED. THESE DISCOUNTS ARE NOT RECORDED AS BAD DEBT EXPENSES. SIMILARLY FOR PATIENTS WITHOUT ANY INSURANCE, THE HOSPITAL OFFERS SEVERAL DIFFERENT DISCOUNT PROGRAMS, BASED UPON FINANCIAL NEED, TO THESE PATIENTS AND ONCE AGAIN THESE DISCOUNTS ARE NOT RECORDED AS BAD DEBTS. FOR PATIENTS WHO DO NOT MEET OR DO NOT FOLLOW-THROUGH TO DEMONSTRATE FINANCIAL HARDSHIP, THE HOSPITAL DOES EXPECT TO BE REIMBURSED AT 70% OF ITS CHARGES. ALL OF THE REMAINING BALANCES THAT ARE NOT PAID ARE RECORDED AS BAD DEBTS. THE HOSPITAL HAS COSTED THE BAD DEBTS EXPENSE IN LINE 2 OF THIS SECTION AT THE FULL UNPAID CONTRACTED RATE FOR PATIENTS WITH INSURANCE AS THIS REPRESENTS THE "CONTRACTED COST" FOR THE SERVICE AND THUS NOT APPLICABLE TO AN OVERALL COST-TO-CHARGE RATIO. FOR PATIENS WITH NO INSURANCE, THE COST ON LINE 2 REPRESENTS THE 70% OF CHARGE FIGURES MULTIPLIED BY THE OVERALL COST-TO-CHARGE RATIO FROM THE AUDITED FINANCIAL STATEMENTS. THE CRITERIA THE HOSPITAL USES FOR DISTINGUISHING BETWEEN CHARITY CARE AND BAD DEBT IS THAT IN ORDER FOR A PATIENT TO QUALIFY AS CHARITY CARE, THEY MUST SHARE THEIR FINANCIAL INFORMATION AND SHOW THAT THEY FALL WITHIN THE FEDERAL POVERTY GUIDELINES. THUS THE HOSPITAL BELIEVES THAT 50% OF THE FIGURE RECORDED AS BAD DEBT EXPENSE ON LINE 2 WOULD QUALIFY FOR CHARITY CARE IF THE PATIENTS HAD SHARED THEIR FINANCIAL INFORMATION. THIS PERCENTAGE WAS DERRIVED FROM DEMOGRAPHIC STUDIES OF THE COMMUNITY FOR FAMILIES FALLING BELOW THE HOSPITALS CHARITY CARE GUIDELINES, WHICH ARE BASED ON THE FEDERAL POVERTY GUIDELINES, IN THE MARKET AREA.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>Part III, Line 8: THE ORGANIZATION UTILIZED A COST-TO-CHARGE RATIO IN DETERIMINING THE COSTING FOR THIS SECTION.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>Part III, Line 9b: All Self pay patients are informed about our financial assistance program and are given the opportunity to complete the application. Otherwise prior to the procedure an attempt is made to collect a portion of the cost of the procedure based on a good faith estimate. After the procedure the Hospital will send out one statement with the amount owed by the patient. After this, the account is turned over to our in-house collections department. They call the patient to discuss payment terms and our Financial Assistance programs to try and find out if the patient has a 3rd party payer. After 120 days the account is then turned over to our outside 3rd party collector. The collector will call and send statements in an attempt to collect the funds. After 120 days from this placement, if there has been no activity on the account, it is returned to the hospital.</DebtCollectionPolicy>
        <GeneralExplanation>Schedule H Part VI Line 8: Tuomey does not complete its own formal community benefit report thus we do not send any formal report to any State but we do report our raw data to the SC Hospital Association's website which they use to file a formal report with SC as a combined report covering all hospitals in the State</GeneralExplanation>
        <NeedsAssessment>Part VI, Line 2: Tuomey procures an annual assessment in regards to determining the physician needs of the Sumter community. Tuomey strives to make it unnecessary and unreasonable for anyone to go outside of the community to obtain healthcare services that we can provide in a quality, cost effective manner.</NeedsAssessment>
        <PatientEducationAssistance>Part VI, Line 3: Per Tuomey policy, public notice of the availability of assistance is provided through the posting of notices in locations of high volume such as the admitting/registration areas, ER, billing offices, and hospital outpatient service settings. In addition, notice of the availability of assistance and contact information is located on the hospital website. Patient liability statements that are sent to patients also include language indicating the patient may be eligible for assistance if they meet certain income requirements, and patients are asked to call the hospital's patient financial advocates for futher assistance.</PatientEducationAssistance>
        <CommunityInformation>Part VI, Line 4: Sumter County is home to 107,456 residents, with 38% of these residents at or below the poverty level and 50% below the hospital's charity care guidelines. Sumter's racial demographics are comprised of 48.2% White, 46.9% Black, 1.1% Asian, and 3.8% Other. The average income for a Sumter house hold is $37,113. Currently, Sumter's unemployment rate equals 11.8%. Sumter has a military base which houses US Air Force and US Army troops.</CommunityInformation>
        <OtherInformation>Part VI, Line 6: TUOMEY HEALTHCARE SYSTEMS IS A 301 BED ACUTE CARE FACILITY LOCATED IN SUMTER, SOUTH CAROLINA. TUOMEY WAS ESTABLISHED AS A NON-PROFIT ACUTE CARE HOSPITAL TO ADVANCE OR SUPPORT THE PROVISIONS OF HEALTHCARE SERVICES WITHIN THE SUMTER COMMUNITY. TUOMEY'S MAIN OBJECTIVE IS THE PROMOTION OF HEALTH FOR ALL RESIDENTS OF SUMTER AND ITS OUTLYING AREAS. The organization utilizes surplus funds to make it not only unnecessary, but unreasonable for anyone to go elsewhere for healthcare services that we can provide in a high-quality, cost -effective manner.</OtherInformation>
        <AffiliatedHealthCareSystem>Part VI, Line 7: Tuomey is the anchor of the Tuomey Healthcare System. Tuomey serves as the medical facility of the System that consists of 301 beds providing a wide range of Inpatient/Outpatient services, Surgical services, Emergency, Day Surgery, Intensive Care and Women's and Infants care services to the Sumter and surrounding communities.</AffiliatedHealthCareSystem>
        <ReportsFiledWithStates>SC</ReportsFiledWithStates>
      </Form990ScheduleHPartVI>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SUMTER SMARTER GROWTH INITIATIVE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>32 EAST CALHOUN</AddressLine1>
          <City>SUMTER</City>
          <State>SC</State>
          <ZIPCode>29150</ZIPCode>
        </AddressUS>
        <EINOfRecipient>264385624</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>60000</AmountOfCashGrant>
        <PurposeOfGrant>TO BRING JOBS AND CAPITAL INVESTMENT TO SUMTER CO.</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</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: GRANTS AND ASSISTANCE PROVIDED BY THE ORGNAIZATION ARE APPROVED BY THE BOARD OF DIRECTORS AND BASED ON INITIATIVE SET FORTH BY THE GOVERNING BODY TO FURTHER THE ORGANIZATION'S PURPOSE OF COMMUNITY BENEFIT.</Explanation>
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      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
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      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
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          <BusinessNameLine1>DR HENRY MOSES</BusinessNameLine1>
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          <BusinessNameLine1>R JAY COX</BusinessNameLine1>
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          <BusinessNameLine1>PAMELA THOMPSON-KNIGHT</BusinessNameLine1>
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          <BusinessNameLine1>SHIRLEY J HOUSER-STEHR</BusinessNameLine1>
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          <BusinessNameLine1>SANDRA M LAWRENCE</BusinessNameLine1>
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        <ReturnReference>Part I, Line 4b:</ReturnReference>
        <Explanation>THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN (457(f)) AND/OR DEFINED BENEFIT PLAN FOR 2009, AS FOLLOWS. THE AMOUNTS ARE REPRESENTED IN PART II, COLUMN (C): R. JAY COX $ 159,574 J. GREGG MARTIN 107,576 W. PAUL JOHNSON 92,208 TERESA CARLTON 39,927 DR. GENE DICKERSON 104,722 WILLIAM RENWICK 58,325</Explanation>
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        <IssuerEIN>570960018</IssuerEIN>
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        <AmountDefeased>1164871</AmountDefeased>
        <IssuanceCostsFromProceeds>2068065</IssuanceCostsFromProceeds>
        <CapitalExpenditures>28590360</CapitalExpenditures>
        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>16470799</TotalProceeds>
        <IssuanceCostsFromProceeds>270799</IssuanceCostsFromProceeds>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>0</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>0</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>1</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>1</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>CHERYL MARTIN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY RELATIONSHIP WITH OFFICER J. GREGG MARTIN</Relationship>
        <AmountOfTransaction>127716</AmountOfTransaction>
        <DescriptionOfTransaction>COMPENSATION AS EMPLOYEE</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SHANNON BOYKIN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY RELATIONSHIP WITH BOARD MEMBER ROBERT BOYKIN</Relationship>
        <AmountOfTransaction>71793</AmountOfTransaction>
        <DescriptionOfTransaction>COMPENSATION AS EMPLOYEE</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JOSEPH DURANT</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY RELATIONSHIP WITH BOARD MEMBER KAY RAFFIELD</Relationship>
        <AmountOfTransaction>50789</AmountOfTransaction>
        <DescriptionOfTransaction>COMPENSATION AS EMPLOYEE</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MACAULAY SMITH</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY RELATIONSHIP WITH BOARD MEMBER CHARLES WHITE</Relationship>
        <AmountOfTransaction>67448</AmountOfTransaction>
        <DescriptionOfTransaction>COMPENSATION AS EMPLOYEE</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MARY DEAKIN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY RELATIONSHIP WITH BOARD MEMBER HENRY MOSES</Relationship>
        <AmountOfTransaction>46109</AmountOfTransaction>
        <DescriptionOfTransaction>COMPENSATION AS EMPLOYEE</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS REVIEWD BY MANAGEMENT AND DISCUSSED WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS OF THE ORGANIZATION BY THE CFO AND TAX PREPARER BEFORE FILING WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>EACH YEAR THE CORPORATE COMPLIANCE OFFICER DISTRIBUTES A CONFLICT OF INTEREST POLICY QUESTIONNAIRE REQUIRING ALL PERSONS MANAGER AND ABOVE TO DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST. OFFICERS, KEY EMPLOYEES, AND TRUSTEES OF THE BOARD COMPLETE THIS QUESTIONNAIRE. BEFORE MAJOR VOTES AND DECISIONS, THE POLICY IS CONSIDERED AND ANY MEMBER WITH A CONFLICT IS EXCUSED FROM THE DISCUSSION OR VOTE. DOCUMENTATION OF THE CONSIDERATION IS KEPT IN THE MINUTES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>THE ORGANIZATION ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO DETERMINE THE FAIR MARKET VALUE OF TOP EXECUTIVES. FINDINGS OF THE STUDY ARE REVEIWED BY THE BOARD OF TRUSTEES AND USED IN THE SELECTION AND APPROVAL OF COMPENSATION PACKAGES FOR THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES, INCLUDING THE COO, CFO, CNO, CHIEF MEDICAL OFFICER, AND VICE PRESIDENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 18</Identifier>
        <Explanation>PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILING OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VII, LINE 1:</Identifier>
        <Explanation>THE FOLLOWING BOARD MEMBERS ARE COMPENSATED BY THE ORGANIZATION FOR MEDICAL SERVICES PERFORMED. THEY ARE NOT COMPENSATED FOR THEIR ROLES AS MEMBERS OF THE GOVERNING BODY. HENRY MOSES SAM RIDDLE CHARLES WHITE ANDY MCFADDIN</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE TUOMEY FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>115 N SUMTER ST SUITE 120</AddressLine1>
          <City>SUMTER</City>
          <State>SC</State>
          <ZIPCode>29150</ZIPCode>
        </AddressUS>
        <EIN>571041691</EIN>
        <PrimaryActivities>SUPPORT AND FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>SC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TUOMEY MEDICAL PROFESSIONALS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>129 NORTH WASHINGTON ST</AddressLine1>
          <City>SUMTER</City>
          <State>SC</State>
          <ZIPCode>29150</ZIPCode>
        </AddressUS>
        <EIN>571012488</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>SC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TIMOTHY J TUOMEY TRUST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>129 NORTH WASHINGTON ST</AddressLine1>
          <City>SUMTER</City>
          <State>SC</State>
          <ZIPCode>29150</ZIPCode>
        </AddressUS>
        <EIN>237127466</EIN>
        <PrimaryActivities>SUPPORT AND FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>SC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CORE POSSIBILITIES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>129 NORTH WASHINGTON ST</AddressLine1>
          <City>SUMTER</City>
          <State>SC</State>
          <ZIPCode>29150</ZIPCode>
        </AddressUS>
        <EIN>208372814</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>SC</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TUOMEY PROFESSIONAL SERVICES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>129 NORTH WASHINGTON ST</AddressLine1>
          <City>SUMTER</City>
          <State>SC</State>
          <ZIPCode>29150</ZIPCode>
        </AddressUS>
        <EIN>201691464</EIN>
        <PrimaryActivity>HEALTH CARE SERVICES</PrimaryActivity>
        <LegalDomicileState>SC</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>1</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>1</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TUOMEY PROFESSIONAL SERVICES LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>313951</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>THE TUOMEY FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>310178</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TUOMEY MEDICAL PROFESSIONALS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>319336</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TUOMEY MEDICAL PROFESSIONALS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>162000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TUOMEY MEDICAL PROFESSIONALS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>78552</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TUOMEY MEDICAL PROFESSIONALS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>2156349</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TUOMEY PROFESSIONAL SERVICES LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>2636722</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>