﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2026-06-15T13:18:16-04:00</ReturnTs>
    <TaxPeriodEndDt>2025-07-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>580914992</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>DRAFFIN &amp; TUCKER LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>PO BOX 71309</AddressLine1Txt>
        <CityNm>ALBANY</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>317081309</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-08-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>581928247</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>PHOEBE PUTNEY MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>PHOE</BusinessNameControlTxt>
      <PhoneNum>2293121000</PhoneNum>
      <USAddress>
        <AddressLine1Txt>PO BOX 3770</AddressLine1Txt>
        <CityNm>ALBANY</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>317063770</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>BRIAN CHURCH</PersonNm>
      <PersonTitleTxt>PPHS CFO/CAO</PersonTitleTxt>
      <PhoneNum>2293121000</PhoneNum>
      <SignatureDt>2026-06-11</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>STEPHEN D HARRELL</PreparerPersonNm>
      <PTIN>P01554887</PTIN>
      <PhoneNum>2298837878</PhoneNum>
      <PreparationDt>2026-06-15</PreparationDt>
      <SelfEmployedInd>X</SelfEmployedInd>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="12">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc10 RetDoc2">
      <PrincipalOfficerNm>SCOTT STEINER</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>PO BOX 3770</AddressLine1Txt>
        <CityNm>ALBANY</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>317063770</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>917227768</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.PHOEBEHEALTH.COM</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1990</FormationYr>
      <LegalDomicileStateCd>GA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>WE EMPOWER EVERY MEMBER OF THE PHOEBE FAMILY TO SAFEGUARD THE HEALTH OF OUR COMMUNITIES - EMBRACING A CULTURE THAT DELIVERS GREAT PATIENT EXPERIENCES, INNOVATIVE TREATMENTS, AND ACCESS TO SUPERIOR CARE.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>12</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>6</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>3561</TotalEmployeeCnt>
      <TotalVolunteersCnt>239</TotalVolunteersCnt>
      <TotalGrossUBIAmt>202917</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>78895218</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>16820423</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>743068735</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>857493194</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>5955903</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>4700745</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>29585599</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>35254428</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>857505455</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>914268790</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>1520143</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>1543607</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>229017926</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>239227776</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>520792387</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>601848590</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>751330456</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>842619973</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>106174999</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>71648817</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>880183003</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>976518342</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>520264064</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>545328826</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>359918939</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>431189516</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>WE EMPOWER EVERY MEMBER OF THE PHOEBE FAMILY TO SAFEGUARD THE HEALTH OF OUR COMMUNITIES - EMBRACING A CULTURE THAT DELIVERS GREAT PATIENT EXPERIENCES, INNOVATIVE TREATMENTS, AND ACCESS TO SUPERIOR CARE.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>679542651</ExpenseAmt>
      <GrantAmt>1543607</GrantAmt>
      <RevenueAmt>885654290</RevenueAmt>
      <Desc>PHOEBE PUTNEY MEMORIAL HOSPITAL IS A NOT-FOR-PROFIT HOSPITAL WITH 691 LICENSED BEDS AND HAD PATIENT DAYS OF 117,135 IN THE CURRENT YEAR. INTENSIVE CARE, NEONATAL INTENSIVE CARE, NURSERY, REHAB, AND PSYCHIATRY SERVICES ARE INCLUDED IN THE SERVICES PROVIDED. THE HOSPITAL ALSO OPERATES A HOME HEALTH AGENCY AND A 18 BED HOSPICE. OTHER: 18,015 INPATIENT ADMISSIONS, 1,902 BIRTHS, 66,561 EMERGENCY VISITS, AND 785,391 CLINIC VISITS. SEE SCHEDULE H, PART VI, ADDITIONAL INFORMATION, WHICH INCLUDES DETAILED DISCUSSIONS ON ALL CHARITABLE AND COMMUNITY ACTIVITIES OF THE HOSPITAL.</Desc>
      <TotalProgramServiceExpensesAmt>679542651</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc13">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc4">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc4">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc4">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc5">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc5">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc5">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc5">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc5">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc5">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc5">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc5">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc5">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc5">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc5">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc5">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc5">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc12">true</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2">true</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc6">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc6">true</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc7">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc8">true</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>false</InvestTaxExemptBondsInd>
      <EscrowAccountInd>false</EscrowAccountInd>
      <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc9">false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc9">false</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc9">false</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc9">false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc9">false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc9">false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd referenceDocumentId="RetDoc9">true</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc11">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc11">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc11">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc11">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>161</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>3561</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>12</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>6</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>true</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>false</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>true</InvestmentInJointVentureInd>
      <WrittenPolicyOrProcedureInd>true</WrittenPolicyOrProcedureInd>
      <StatesWhereCopyOfReturnIsFldCd>GA</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>BRIAN CHURCH PPHS CFOCAO</PersonNm>
        <PhoneNum>2293124068</PhoneNum>
        <USAddress>
          <AddressLine1Txt>PO BOX 3770</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>317063770</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT STEINER</PersonNm>
        <TitleTxt>PPHS CEO/PRE</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>31.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1908308</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>330632</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN CHURCH</PersonNm>
        <TitleTxt>PPHS CFO/CAO</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>31.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1255653</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>217914</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES E BLACK MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1023072</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>64077</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAWN BENSON</PersonNm>
        <TitleTxt>SVP GENERAL</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>28.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>919422</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>85818</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH ANGERAMI</PersonNm>
        <TitleTxt>PPMH CEO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>823265</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>153977</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM M SEWELL III</PersonNm>
        <TitleTxt>MEDICAL DIR-</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>539471</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43931</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANE GRAY</PersonNm>
        <TitleTxt>PPMH COO</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>491579</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>67069</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON SMITH</PersonNm>
        <TitleTxt>PPMH CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>497536</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32827</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS SULLIVAN</PersonNm>
        <TitleTxt>SVP NORTH CA</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>423444</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>105050</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAUREEN JACKSON</PersonNm>
        <TitleTxt>CHIEF NURSIN</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>433073</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14594</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHINYELU OFODILE MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>423472</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7398</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEREK HEARD MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>41.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>377391</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43927</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMILLIA LOWERY</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>353800</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL ELDER</PersonNm>
        <TitleTxt>VP, CHIEF IN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>325119</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21954</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIERA BARRON MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>224516</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35734</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA JACKSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM GRIFFIN JR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARVIN LASTER</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN BUCKLEY DAVIS MD</PersonNm>
        <TitleTxt>BRD MBR LEFT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM J MCAFEE MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERETHA PETERS</PersonNm>
        <TitleTxt>BRD MBR LEFT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNY YIN SAVELLE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN THORNTON</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES WEBB</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2148999</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>7870122</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1224902</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>448</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICAL SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 310737</AddressLine1Txt>
            <CityNm>DES MOINES</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>503310737</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SVCS</ServicesDesc>
        <CompensationAmt>24947639</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTH CAROUSEL LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O BOX 714216</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>452714216</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HLTH STAFFING</ServicesDesc>
        <CompensationAmt>11045155</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RADIATION ONCOLOGY ASSOCIATES PC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>425 3RD AVENUE SUITE 50</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>317011955</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SVCS</ServicesDesc>
        <CompensationAmt>2589457</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLIED UNIVERSAL SECURITY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 828854</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>191828854</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY</ServicesDesc>
        <CompensationAmt>2444674</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SELLERS DORSEY &amp; ASSOCIATES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1635 MARKET STREET SUITE 301</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>191032217</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>2250090</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>30</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>6722960</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>9482382</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>615081</AllOtherContributionsAmt>
      <TotalContributionsAmt>16820423</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>857290277</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>857290277</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RETAIL SALES</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>131130</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>131130</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REFERENCE LAB</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>71787</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>71787</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>857493194</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>5752904</TotalRevenueColumnAmt>
        <ExclusionAmt>5752904</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>3778837</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>967720</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>2811117</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>2811117</TotalRevenueColumnAmt>
        <ExclusionAmt>2811117</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>376000</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>1428159</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-1052159</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1052159</TotalRevenueColumnAmt>
        <ExclusionAmt>-1052159</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>632130</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>563099</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>69031</TotalRevenueColumnAmt>
        <ExclusionAmt>69031</ExclusionAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>340B DRUG PROGRAM</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>24908386</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24908386</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA SALES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>2844622</TotalRevenueColumnAmt>
        <ExclusionAmt>2844622</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PURCHASE DISCOUNTS</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>2186635</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2186635</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>2434637</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1268992</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>1165645</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>32374280</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>914268790</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>885654290</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>202917</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>11591160</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1197287</TotalAmt>
        <ProgramServicesAmt>1197287</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>346320</TotalAmt>
        <ProgramServicesAmt>346320</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>192018312</TotalAmt>
        <ProgramServicesAmt>157016130</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35002182</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>558323</TotalAmt>
        <ProgramServicesAmt>456541</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101782</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>32777476</TotalAmt>
        <ProgramServicesAmt>26619125</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6158351</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>13873665</TotalAmt>
        <ProgramServicesAmt>11774197</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2099468</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>4688232</TotalAmt>
        <ProgramServicesAmt>2086443</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2601789</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>17288</TotalAmt>
        <ManagementAndGeneralAmt>17288</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>300000</TotalAmt>
        <ManagementAndGeneralAmt>300000</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>243656822</TotalAmt>
        <ProgramServicesAmt>198261882</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45394940</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>205856</TotalAmt>
        <ProgramServicesAmt>69367</ProgramServicesAmt>
        <ManagementAndGeneralAmt>136489</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>19357597</TotalAmt>
        <ProgramServicesAmt>16574516</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2783081</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>14828269</TotalAmt>
        <ProgramServicesAmt>2144543</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12683726</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>10321755</TotalAmt>
        <ProgramServicesAmt>4928638</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5393117</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>1155186</TotalAmt>
        <ProgramServicesAmt>874494</ProgramServicesAmt>
        <ManagementAndGeneralAmt>280692</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>13647325</TotalAmt>
        <ProgramServicesAmt>6516598</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7130727</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>34323911</TotalAmt>
        <ProgramServicesAmt>16389668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17934243</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>14274543</TotalAmt>
        <ProgramServicesAmt>51789</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14222754</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>175293331</TotalAmt>
        <ProgramServicesAmt>175290799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2532</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CLINIC LOSS (SEE SCH O)</Desc>
        <TotalAmt>46695565</TotalAmt>
        <ProgramServicesAmt>39952725</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6742840</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>12854511</TotalAmt>
        <ProgramServicesAmt>10046064</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2808447</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVIDER TAX</Desc>
        <TotalAmt>8286876</TotalAmt>
        <ProgramServicesAmt>8286876</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1941523</TotalAmt>
        <ProgramServicesAmt>658649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1282874</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>842619973</TotalAmt>
        <ProgramServicesAmt>679542651</ProgramServicesAmt>
        <ManagementAndGeneralAmt>163077322</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>15585</BOYAmt>
        <EOYAmt>15785</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>126045796</BOYAmt>
        <EOYAmt>174471527</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>114230142</BOYAmt>
        <EOYAmt>118627531</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>21274183</BOYAmt>
        <EOYAmt>8618434</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>20112958</BOYAmt>
        <EOYAmt>20745992</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>14887625</BOYAmt>
        <EOYAmt>20708703</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1080191162</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>613186218</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>420696746</BOYAmt>
        <EOYAmt>467004944</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>24845</BOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>124777806</BOYAmt>
        <EOYAmt>124777806</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>38117317</BOYAmt>
        <EOYAmt>41547620</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>880183003</BOYAmt>
        <EOYAmt>976518342</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>66164707</BOYAmt>
        <EOYAmt>62200047</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>8181082</BOYAmt>
        <EOYAmt>12149120</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>333267975</BOYAmt>
        <EOYAmt>325954868</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>7029013</BOYAmt>
        <EOYAmt>5613934</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>105621287</BOYAmt>
        <EOYAmt>139410857</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>520264064</BOYAmt>
        <EOYAmt>545328826</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>345531403</BOYAmt>
        <EOYAmt>419382624</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>14387536</BOYAmt>
        <EOYAmt>11806892</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>359918939</BOYAmt>
        <EOYAmt>431189516</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>880183003</BOYAmt>
        <EOYAmt>976518342</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>71648817</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-378240</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc13">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc4">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>72030</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>72030</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>PART II-B, LINE 1I THE ORGANIZATION PAYS MEMBERSHIP DUES TO A NATIONAL HEALTHCARE ORGANIZATION. A PORTION OF THOSE DUES IS ALLOCATED TO LOBBYING ACTIVITIES IN WHICH THE NATIONAL HEALTHCARE ORGANIZATION PARTICIPATE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc5">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>14783515</BeginningYearBalanceAmt>
        <ContributionsAmt>4131062</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>8427</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>6711652</OtherExpendituresAmt>
        <EndYearBalanceAmt>12211352</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>12954307</BeginningYearBalanceAmt>
        <ContributionsAmt>2678904</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>748</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>850444</OtherExpendituresAmt>
        <EndYearBalanceAmt>14783515</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>11215592</BeginningYearBalanceAmt>
        <ContributionsAmt>2593637</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2310</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>857231</OtherExpendituresAmt>
        <EndYearBalanceAmt>12954307</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>9948647</BeginningYearBalanceAmt>
        <ContributionsAmt>2708414</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>590</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1442059</OtherExpendituresAmt>
        <EndYearBalanceAmt>11215592</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>13642333</BeginningYearBalanceAmt>
        <ContributionsAmt>2163548</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2051</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>5859285</OtherExpendituresAmt>
        <EndYearBalanceAmt>9948647</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.03310</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.16570</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.80120</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>11790937</OtherCostOrOtherBasisAmt>
        <BookValueAmt>11790937</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>532502550</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>222575601</DepreciationAmt>
        <BookValueAmt>309926949</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>496277139</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>390610617</DepreciationAmt>
        <BookValueAmt>105666522</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>39620536</OtherCostOrOtherBasisAmt>
        <BookValueAmt>39620536</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>467004944</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTY</Desc>
        <Amt>143108275</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTEREST RATE SWAPS</Desc>
        <Amt>-480240</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY SETTLEMENTS</Desc>
        <Amt>-1196965</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>BOND ISSUE COSTS</Desc>
        <Amt>-2020213</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>139410857</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>907811748</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>663567</OtherRevenueAmt>
      <RevenueNotReportedAmt>663567</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>907148181</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>7120609</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>7120609</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>914268790</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>844083856</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>1530819</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>1530819</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>842553037</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>66936</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>66936</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>842619973</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INTENDED USE OF THE FUNDS IS TO FURTHER THE ORGANIZATION'S TAX-EXEMPT PURPOSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CORPORATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE CORPORATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JULY 31, 2025 AND 2024 OR FOR THE YEARS THEN ENDED. THE CORPORATION'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF INTEREST RATE SWAP 663,567</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES -967,720 COST OF GOODS SOLD -563,099 CAPITAL CONTRIBUTIONS 8,651,428</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 967,720 GIFT SHOP COGS 563,099</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>ASSISTANCE TO PHOEBE FOUNDATION 66,936</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc12">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>46387839</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>46387839</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05500</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>81426275</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>69767099</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>11659176</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01380</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>853454</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>510488</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>342966</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00040</TotalExpensePct>
      </UnreimbursedCostsGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>128667568</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>70277587</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>58389981</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06920</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>1906808</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1906808</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00230</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>6370284</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>6370284</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00760</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>63978971</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>39217109</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>24761862</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02940</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>680458</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>680458</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00080</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>72936521</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>39217109</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>33719412</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04010</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>201604089</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>109494696</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>92109393</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10930</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>852766</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>852766</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00100</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>852766</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>852766</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00100</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>12679781</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>288193163</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>347719440</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-59526277</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>PHOEBE PUTNEY MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3770</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>317063770</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.PHOEBEHEALTH.COM</WebsiteAddressTxt>
        <StateLicenseNum>047-682</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>HHA, HOSPICE</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>PHOEBE PUTNEY MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>25</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.PHOEBEHEALTH.COM</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>26</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.PHOEBEHEALTH.COM</StrategyWebsiteURLTxt>
        <StrategyAttachedInd referenceDocumentId="RetDoc2">false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.PHOEBEHEALTH.COM</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.PHOEBEHEALTH.COM</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.PHOEBEHEALTH.COM</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, PHOEBE PUTNEY MEMORIAL HOSPITAL INC - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>PHOEBE PUTNEY MEMORIAL HOSPITAL (PPMH) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COMPLIANCE WITH THE PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA). THAT LAW REQUIRES ALL NON-PROFIT HOSPITALS IN THE UNITED STATES TO CONDUCT A CHNA EVERY THREE YEARS TO IDENTIFY HEALTH PRIORITIES AND ADOPT AN IMPLEMENTATION STRATEGY TO MEET THE IDENTIFIED COMMUNITY HEALTH NEEDS. THE ASSESSMENT PROCESS REQUIRES HOSPITALS TO GATHER AND UTILIZE INPUT FROM INDIVIDUALS WHO REPRESENT A BROAD INTEREST OF THE COMMUNITY SERVED, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH. THIS WORK RESULTED IN IDENTIFYING FOUR PRIORITIES THAT WERE APPROVED BY THE PPMH BOARD OF DIRECTORS FOLLOWING COMPLETION OF THE 2025 CHNA AND ADOPTION OF THE RELATED IMPLEMENTATION STRATEGY. THOSE PRIORITIES ARE: 1. MENTAL HEALTH AND MENTAL HEALTH DISORDERS 2. HEART DISEASE AND STROKE 3. ACCESS TO HEALTHCARE 4. SEXUALLY TRANSMITTED INFECTIONS</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, PHOEBE PUTNEY MEMORIAL HOSPITAL INC - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>TO ENSURE THE PERSPECTIVES OF COMMUNITY MEMBERS WERE CONSIDERED, INPUT WAS COLLECTED FROM ALL SERVICE AREA COUNTIES OF PHOEBE PUTNEY MEMORIAL HOSPITAL, INCLUDING DOUGHERTY, LEE, MITCHELL, TERRELL, AND WORTH COUNTIES. PRIMARY DATA USED IN THIS ASSESSMENT CONSISTED OF AN ONLINE COMMUNITY SURVEY AND COMMUNITY STAKEHOLDER LISTENING SESSIONS. THE FINDINGS FROM THIS DATA EXPANDED UPON INFORMATION GATHERED FROM THE SECONDARY DATA ANALYSIS TO INFORM THIS COMMUNITY HEALTH NEEDS ASSESSMENT. COMMUNITY INPUT WAS COLLECTED VIA AN ONLINE COMMUNITY SURVEY MADE AVAILABLE TO RESIDENTS OF THE FIVE-COUNTY SERVICE AREA. THE SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH AND RESPONSES WERE COLLECTED BETWEEN MAY AND JUNE 2025. THE SURVEY INCLUDED 49 QUESTIONS RELATED TO TOP HEALTH NEEDS IN THE COMMUNITY, INDIVIDUALS' PERCEPTION OF THEIR OVERALL HEALTH, ACCESS TO HEALTHCARE SERVICES, AND SOCIAL AND ECONOMIC DRIVERS OF HEALTH. THE SURVEY WAS PROMOTED THROUGH A VARIETY OF OUTREACH EFFORTS INCLUDING COMMUNITY EVENTS, COALITION MEETINGS, EMAIL COMMUNICATIONS, SOCIAL MEDIA, AND OTHER MARKETING CHANNELS THROUGH PHOEBE MEMORIAL AND ITS PARTNER ORGANIZATIONS. A TOTAL OF 308 RESPONSES WERE RECEIVED FROM RESIDENTS ACROSS THE SERVICE AREA. IN ADDITION TO THE SURVEY, LISTENING SESSIONS WERE CONDUCTED TO GATHER INPUT FROM COMMUNITY STAKEHOLDERS AND BETTER UNDERSTAND HEALTH CHALLENGES, BARRIERS TO CARE, AND SOCIAL DRIVERS IMPACTING THE REGION. PARTICIPANTS INCLUDED REPRESENTATIVES FROM LOCAL ORGANIZATIONS AND COMMUNITY PARTNERS WITH KNOWLEDGE OF THE HEALTH NEEDS OF THE POPULATION SERVED. THESE DISCUSSIONS PROVIDED QUALITATIVE INSIGHTS THAT COMPLEMENTED THE SURVEY AND SECONDARY DATA ANALYSIS. SECONDARY DATA ARE HEALTH INDICATOR DATA THAT HAVE BEEN COLLECTED BY OTHER SOURCES, SUCH AS NATIONAL AND STATE-LEVEL GOVERNMENT ENTITIES AND PUBLICLY AVAILABLE DATABASES. THESE DATA WERE ANALYZED ALONGSIDE PRIMARY DATA TO IDENTIFY AND PRIORITIZE SIGNIFICANT COMMUNITY HEALTH NEEDS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, PHOEBE PUTNEY MEMORIAL HOSPITAL INC - PART V, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>PHOEBE MEMORIAL COMMISSIONED CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI) TO SUPPORT REPORT PREPARATION FOR ITS 2025 CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, PHOEBE PUTNEY MEMORIAL HOSPITAL INC - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHNA RESULTED IN THE IDENTIFICATION OF FOUR PRIORITIES THAT WERE APPROVED BY THE PHOEBE PUTNEY MEMORIAL HOSPITAL BOARD OF DIRECTORS FOLLOWING COMPLETION OF THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT. THOSE PRIORITIES ARE: 1.MENTAL HEALTH AND MENTAL HEALTH DISORDERS 2.HEART DISEASE AND STROKE 3.ACCESS TO HEALTHCARE 4.SEXUALLY TRANSMITTED DISEASES A DETAILED DISCUSSION OF EACH SIGNIFICANT HEALTH NEED CAN BE FOUND WITHIN THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING SIGNIFICANT HEALTH NEEDS, PRESENTED IN ALPHABETICAL ORDER, EMERGED FROM A REVIEW OF THE PRIMARY AND SECONDARY DATA. HOWEVER, PHOEBE PUTNEY MEMORIAL HOSPITAL WILL NOT FOCUS DIRECTLY ON THESE TOPICS IN ITS IMPLEMENTATION STRATEGY. THE BOARD DETERMINED TO FOCUS ON THE FOUR PRIORITY AREAS NAMED ABOVE WHERE THE HEALTH SYSTEM CAN HAVE THE GREATEST IMPACT GIVEN AVAILABLE RESOURCES. 1)ALCOHOL AND SUBSTANCE USE 2)CANCER 3)CHILDREN'S HEALTH 4)DIABETES 5)ECONOMY 6)FAMILY PLANNING 7)MATERNAL, FETAL AND INFANT HEALTH 8)ORAL HEALTH 9)PHYSICAL ACTIVITY 10)PREVENTION AND SAFETY 11)RESPIRATORY DISEASES 12)WELLNESS AND QUALITY OF LIFE 13)WOMEN'S HEALTH SEVERAL OF THE NON-PRIORITIZED NEEDS ARE RELATED TO THE PRIMARY PRIORITY AREAS, AND IMPLEMENTATION OF ACTIVITIES UNDER THOSE PRIORITIES WILL HAVE AN INDIRECT IMPACT ON MANY OF THESE NEEDS. KEY THEMES FROM COMMUNITY INPUT ARE INCLUDED WHERE RELEVANT FOR EACH NON-PRIORITIZED HEALTH NEED ALONG WITH SUPPORTING DATA AND INDICATORS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, PHOEBE PUTNEY MEMORIAL HOSPITAL INC - PART V, LINE 20E</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITTEN NOTICE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON HOSPITAL PATIENT STATEMENTS, AND ON WRITTEN COMMUNICATIONS SENT BY CONTRACTED THIRD PARTY COLLECTION AGENCIES. THESE AGENCIES MAY REFER ACCOUNTS FOR REPORTING TO MAJOR CREDIT BUREAUS, AFTER A SERIES OF STATEMENTS AND LETTERS ARE SENT THROUGHOUT MULTIPLE COLLECTION CYCLES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHOEBE HOME CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>417 THIRD AVENUE</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>317011943</ZIPCd>
          </USAddress>
          <FacilityTxt>HOME HEALTH AGENCY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHOEBE HOSPICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>320 FOUNDATION LANE</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>317075862</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN (F), THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25: FORM 990, PART IX, LINE 25 842,344,973 ADD: EXPENSES REPORTED IN PART VIII 1,805,819 DENOMINATOR FOR COLUMN (F) 844,150,792</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST OF MEDICAID AND CHARITY CARE WAS CALCULATED USING THE COST-TO- CHARGE RATIO AS CALCULATED USING WORKSHEET 2 FROM THE IRS FORM 990 INSTRUCTIONS. THE COST OF OTHER BENEFITS WAS THE DIRECT COST OF THE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE (OR PRICE CONCESSION) AMOUNT REPRESENTS THE DIFFERENCE BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION PPMH EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS. CONSISTENT WITH PPMH'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, PPMH HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES.)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FOOTNOTE 2 PAGES 17-23 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS FOR THE DISCUSSION OF IMPLICIT PRICE CONCESSIONS, BAD DEBT EXPENSE, AND UNINSURED PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE SHORTFALL WAS CALCULATED USING THE COST-TO-CHARGE RATIO FROM WORKSHEET 2 OF THE IRS FORM 990 INSTRUCTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ASSESSMENTS HAVE TRADITIONALLY LED TO THE CREATION OF COMMUNITY-BASED DELIVERY SYSTEMS THAT EXPAND ACCESS TO HEALTHCARE, MEET THE NEEDS OF THE POPULATION SERVED, AND BUILD HEALTHIER COMMUNITIES BY ADDRESSING KEY SOCIAL AND ECONOMIC DRIVERS OF HEALTH, INCLUDING INCOME, EDUCATION, HOUSING, AND ACCESS TO CARE. THE ORGANIZATION CONDUCTS REGULAR NEEDS ASSESSMENTS THROUGH FORMAL AND INFORMAL PROCESSES, INCLUDING COLLABORATION WITH PUBLIC HEALTH AGENCIES, COMMUNITY ORGANIZATIONS, AND OTHER STAKEHOLDERS. THROUGH STRATEGIC PLANNING, COMMUNITY ENGAGEMENT, AND DATA ANALYSIS, THE ORGANIZATION DEVELOPS PROGRAMS AND SERVICES THAT CONSIDER THE ECONOMIC CONDITIONS OF THE REGION, ACCESS TO HEALTHCARE SERVICES, AND THE INVOLVEMENT OF COMMUNITY PARTNERS. AS PART OF THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT, PHOEBE PUTNEY MEMORIAL HOSPITAL INCORPORATED BOTH PRIMARY AND SECONDARY DATA SOURCES, INCLUDING COMMUNITY SURVEYS, STAKEHOLDER LISTENING SESSIONS, AND PUBLICLY AVAILABLE HEALTH DATA, TO BETTER UNDERSTAND THE HEALTH CHALLENGES, BARRIERS TO CARE, AND SOCIAL DRIVERS IMPACTING THE COMMUNITY. THE ORGANIZATION CONTINUES TO ENGAGE COMMUNITY MEMBERS AND PARTNERS TO UNDERSTAND ISSUES AFFECTING PATIENTS AND THE BROADER COMMUNITY AND TO DEVELOP PROGRAMS IN RESPONSE TO IDENTIFIED HEALTH DISPARITIES. THESE EFFORTS INCLUDE ONGOING COLLABORATION WITH COMMUNITY ORGANIZATIONS, PUBLIC HEALTH ENTITIES, AND LOCAL STAKEHOLDERS TO IMPROVE ACCESS TO CARE AND HEALTH OUTCOMES. THE ORGANIZATION ALSO GATHERS HEALTH NEEDS INFORMATION THROUGH ITS NETWORK OF CARE PROVIDERS, COMMUNITY PROGRAMS, AND OUTREACH INITIATIVES, WHICH SUPPORT HEALTH EDUCATION, DISEASE PREVENTION, AND IMPROVED ACCESS TO SERVICES ACROSS THE SERVICE AREA. THE ORGANIZATION MEASURES THE SUCCESS OF ITS COMMITMENT BY HOW EFFECTIVELY IT IMPROVES HEALTH OUTCOMES, EXPANDS ACCESS TO CARE, AND ADDRESSES THE SOCIAL AND ECONOMIC FACTORS THAT INFLUENCE THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES. THE ORGANIZATION COMPLETED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY FOR THE 2025-2027 AND 2026-2028 PERIODS, RESPECTIVELY. A COMPLETE COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE ORGANIZATION'S WEBSITE: HTTPS://PHOEBEHEALTH.COM/HEALTH-MATTERS/BUILDING-HEALTHY- COMMUNITIES/</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD HAS CLEARLY WRITTEN FINANCIAL ASSISTANCE POLICY THAT IS AVAILABLE ON THE ORGANIZATION'S WEB SITE AND THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND CHARITY CARE. PATIENT EDUCATION ON THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM IS CONDUCTED DURING PRE-REGISTRATION, THROUGH FLOOR VISITS BY BUSINESS OFFICE REPRESENTATIVES FOR PATIENTS THAT STRESS CONCERN IN MEETING THE FINANCIAL OBLIGATIONS FOR THEIR SERVICES, THROUGH THE CUSTOMER SERVICE DEPARTMENT, AND THE FINANCIAL ASSISTANCE DEPARTMENT. BROCHURES ARE PROMINENTLY DISPLAYED AT EACH REGISTRATION BOOTH. THE BUSINESS OFFICE CONTINUOUSLY PROVIDES UPDATED MATERIAL TO PHYSICIAN OFFICES FOR ISSUANCE TO THEIR PATIENTS THAT HIGHLIGHT THE FINANCIAL ASSISTANCE PROGRAM AND POLICIES. THE PATIENT STATEMENTS HIGHLIGHT THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM AND ENCOURAGE PATIENTS TO CALL FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S PRIMARY SERVICE AREA INCLUDES DOUGHERTY, LEE, MITCHELL, TERRELL, AND WORTH COUNTIES. THE TOTAL POPULATION OF THE PRIMARY SERVICE AREA IS APPROXIMATELY 166,220 RESIDENTS. THE POPULATION WITHIN THE SERVICE AREA IS PREDOMINANTLY BLACK OR AFRICAN AMERICAN, COMPRISING APPROXIMATELY 52.2% OF RESIDENTS, FOLLOWED BY WHITE RESIDENTS AT APPROXIMATELY 40.9%, AND HISPANIC OR LATINO RESIDENTS AT APPROXIMATELY 3.3%, WITH ALL OTHER RACIAL AND ETHNIC GROUPS REPRESENTING A SMALLER PROPORTION OF THE POPULATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION AND ALL ITS VOLUNTEER BOARDS ARE COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS, AS WELL AS PHYSICIAN MEMBERS. IN ALL FACILITIES, EMERGENCY CENTERS ARE OPERATED 24/7 AND OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. THE BOARDS MAINTAIN OPEN MEDICAL STAFF POLICIES WITH PRIVILEGES AVAILABLE TO ALL QUALIFYING PHYSICIANS. THE BOARD HAS CLEARLY WRITTEN INDIGENT AND CHARITY CARE POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION WEB SITE AND THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND CHARITY CARE. THE ORGANIZATION ALSO UTILIZES SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>PHOEBE PUTNEY HEALTH SYSTEM, INC. (PPHS) IS THE NOT-FOR-PROFIT PARENT COMPANY OF PHOEBE PUTNEY MEMORIAL HOSPITAL, INC., A NOT-FOR-PROFIT ENTITY, PHOEBE PUTNEY HEALTH VENTURES, INC., A FOR-PROFIT CORPORATION, PHOEBE PHYSICIAN GROUP, INC., A NOT-FOR-PROFIT CORPORATION, PHOEBE WORTH MEDICAL CENTER, INC., A NOT-FOR-PROFIT ENTITY, PHOEBE SUMTER MEDICAL CENTER, INC., A NOT-FOR-PROFIT ENTITY, PHOEBE PUTNEY INDEMNITY, LTD., A WHOLLY-OWNED SUBSIDIARY, AND PHOEBE FOUNDATION, INC., A NOT-FOR-PROFIT ENTITY. PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. (PPMH), LOCATED IN ALBANY, GEORGIA, IS AN ACUTE CARE HOSPITAL, WHICH OPERATES SATELLITE CLINICS IN THE SURROUNDING COUNTIES. IT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF SOUTHWEST GEORGIA. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. PHOEBE PUTNEY HEALTH VENTURES, INC. ENGAGES IN HEALTHCARE AND RELATED ACTIVITIES IN FURTHERANCE OF THE EXEMPT PURPOSES OF PPHS AND PPMH. PHOEBE WORTH MEDICAL CENTER, INC. (PWMC), LOCATED IN SYLVESTER, GEORGIA, IS A 25 BED RURAL CRITICAL ACCESS HOSPITAL. IT PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF WORTH COUNTY, GEORGIA. PHOEBE SUMTER MEDICAL CENTER, INC. (PSMC), LOCATED IN AMERICUS, GEORGIA, IS A 76 BED ACUTE CARE HOSPITAL. IT PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF SUMTER COUNTY, GEORGIA. PHOEBE PHYSICIAN GROUP, INC. WAS ESTABLISHED TO ORGANIZE AND OPERATE MEDICAL PRACTICES EXCLUSIVELY FOR THE BENEFIT OF PPMH, PWMC, AND PSMC. PHOEBE PUTNEY INDEMNITY, LTD. (PPI) WAS INCORPORATED ON NOVEMBER 14, 2018 AS AN EXEMPTED COMPANY UNDER THE COMPANIES LAW OF THE CAYMAN ISLANDS. PPI IS A WHOLLY-OWNED SUBSIDIARY OF PHOEBE PUTNEY HEALTH SYSTEM, INC. ESTABLISHED TO PROVIDE GENERAL LIABILITY, PROFESSIONAL LIABILITY, PERSONAL INJURY LIABILITY, ADVERTISING INJURY LIABILITY, CONTRACTUAL LIABILITY, AND AUTO PHYSICAL DAMAGE COVERAGE TO PHOEBE PUTNEY HEALTH SYSTEM, INC. PHOEBE FOUNDATION, INC. WAS ESTABLISHED TO RAISE FUNDS OF ANY KIND OR CHARACTER TO BE USED EXCLUSIVELY FOR CHARITABLE, MEDICAL, EDUCATIONAL AND SCIENTIFIC PURPOSES AT OR IN CONNECTION WITH PPMH OR THE HOSPITAL AUTHORITY OF ALBANY-DOUGHERTY COUNTY, GEORGIA. THE FOUNDATION ALSO MAY RAISE FUNDS FOR ANY ORGANIZATION FOR WHICH PPHS IS THE SOLE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>GEORGIA</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>SERVICE TO THE COMMUNITY PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. (CORPORATION) IS A NOT-FOR-PROFIT HEALTH CARE ORGANIZATION THAT EXISTS TO SERVE THE COMMUNITY. THE CORPORATION OPENED IN 1911 TO SERVE THE COMMUNITY BY CARING FOR THE SICK REGARDLESS OF ABILITY TO PAY. AS A TAX-EXEMPT HOSPITAL, THE CORPORATION HAS NO STOCKHOLDERS OR OWNERS. ALL REVENUE AFTER EXPENSES IS REINVESTED IN OUR MISSION TO CARE FOR THE CITIZENS OF OUR COMMUNITY - INTO CLINICAL CARE, HEALTH PROGRAMS, STATE-OF-THE-ART TECHNOLOGY AND FACILITIES, RESEARCH, AND TEACHING AND TRAINING OF MEDICAL PROFESSIONALS NOW AND FOR THE FUTURE. THE CORPORATION OPERATES AS A CHARITABLE ORGANIZATION CONSISTENT WITH THE REQUIREMENTS OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE "COMMUNITY BENEFIT STANDARD" OF IRS REVENUE RULING 69-545. THE CORPORATION TAKES SERIOUSLY ITS RESPONSIBILITY AS THE COMMUNITY'S SAFETY NET HOSPITAL AND HAS A STRONG RECORD OF MEETING AND EXCEEDING THE CHARITABLE CARE AND THE ORGANIZATIONAL AND OPERATIONAL STANDARDS REQUIRED FOR FEDERAL TAX-EXEMPT STATUS. THE CORPORATION DEMONSTRATES A CONTINUED AND EXPANDING COMMITMENT TO MEETING OUR MISSION AND SERVING THE CITIZENS BY PROVIDING COMMUNITY BENEFITS. A COMMUNITY BENEFIT IS A PLANNED, MANAGED, ORGANIZED, AND MEASURED APPROACH TO MEETING IDENTIFIED COMMUNITY HEALTH NEEDS, REQUIRING A PARTNERSHIP BETWEEN THE HEALTHCARE ORGANIZATION AND THE COMMUNITY TO BENEFIT RESIDENTS THROUGH PROGRAMS AND SERVICES THAT IMPROVE HEALTH STATUS AND QUALITY OF LIFE. THE CORPORATION IMPROVES THE HEALTH AND WELL-BEING OF SOUTHWEST GEORGIA THROUGH CLINICAL SERVICES, EDUCATION, RESEARCH AND PARTNERSHIPS THAT BUILD HEALTH CAPACITY IN THE COMMUNITY. THE CORPORATION PROVIDES COMMUNITY BENEFITS FOR EVERY CITIZEN IN ITS SERVICE AREA AS WELL AS FOR THE MEDICALLY UNDERSERVED. THE CORPORATION CONDUCTS COMMUNITY NEEDS ASSESSMENTS AND PAYS CLOSE ATTENTION TO THE NEEDS OF LOW INCOME AND OTHER VULNERABLE PERSONS AND THE COMMUNITY AT LARGE. THE CORPORATION OFTEN WORKS WITH COMMUNITY GROUPS TO IDENTIFY NEEDS, STRENGTHEN EXISTING COMMUNITY PROGRAMS AND PLAN NEWLY NEEDED SERVICES. IT PROVIDES A WIDE-RANGING ARRAY OF COMMUNITY BENEFIT SERVICES DESIGNED TO IMPROVE COMMUNITY HEALTH AND THE HEALTH OF INDIVIDUALS AND TO INCREASE ACCESS TO HEALTH CARE, IN ADDITION TO PROVIDING FREE AND DISCOUNTED SERVICES TO PEOPLE WHO ARE UNINSURED AND UNDERINSURED. THE CORPORATION'S EXCELLENCE IN COMMUNITY BENEFIT PROGRAMS WAS RECOGNIZED BY THE PRESTIGIOUS FOSTER MCGAW PRIZE AWARDED TO THE CORPORATION IN 2003 FOR ITS BROAD-BASED OUTREACH IN BUILDING COLLABORATIVES THAT MAKE MEASURABLE IMPROVEMENTS IN HEALTH STATUS, EXPAND ACCESS TO CARE AND BUILD COMMUNITY CAPACITY, SO THAT PATIENTS RECEIVE CARE CLOSEST TO THEIR OWN NEIGHBORHOODS. DRAWING ON A DYNAMIC AND FLEXIBLE STRUCTURE, THE COMMUNITY BENEFIT PROGRAMS ARE DESIGNED TO RESPOND TO ASSESSED NEEDS AND ARE FOCUSED ON UPSTREAM PREVENTION. AS SOUTHWEST GEORGIA'S LEADING PROVIDER OF COST-EFFECTIVE, PATIENT-CENTERED HEALTH CARE, THE CORPORATION IS ALSO THE REGION'S LARGEST EMPLOYER WITH MORE THAN 3,900 MEMBERS OF THE CORPORATION CARING FOR PATIENTS. THE CORPORATION PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS AND IS ONE OF THE LEADING PROVIDERS OF MEDICAID SERVICES IN GEORGIA. THE FOLLOWING TABLE SUMMARIZES THE AMOUNTS OF CHARGES FOREGONE (I.E., CONTRACTUAL ADJUSTMENTS) AND ESTIMATES THE LOSSES INCURRED BY THE CORPORATION DUE TO INADEQUATE PAYMENTS BY THESE PROGRAMS AND FOR INDIGENT/CHARITY. THIS TABLE DOES NOT INCLUDE DISCOUNTS OFFERED BY THE CORPORATION UNDER MANAGED CARE AND OTHER AGREEMENTS: CHARGES ESTIMATED FOREGONE UNREIMBURSED COST MEDICARE 934,931,000 307,271,000 MEDICAID 215,734,000 70,902,000 INDIGENT/CHARITY 163,172,000 53,627,000 1,313,837,000 431,800,000 INDIGENT/CHARITY CARE BY COUNTY THE CORPORATION PROVIDED CARE TO A TOTAL OF 20,941 INDIGENT/CHARITY PATIENTS DURING 2025. THESE PATIENTS CAME FROM NUMEROUS COUNTIES THROUGHOUT GEORGIA AND SURROUNDING STATES. THE FOLLOWING TABLE SUMMARIZES THE AMOUNTS OF CHARGES FOREGONE AND ESTIMATES THE LOSSES INCURRED BY THE CORPORATION BY COUNTY. CHARGES ESTIMATED FOREGONE UNREIMBURSED COST DOUGHERTY 86,520,000 28,433,000 LEE 18,960,000 6,232,000 WORTH 10,098,000 3,319,000 TERRELL 8,063,000 2,650,000 MITCHELL 5,827,000 1,915,000 SUMTER 4,107,000 1,350,000 CALHOUN 2,835,000 932,000 OUT OF STATE 2,763,000 908,000 TIFT 2,531,000 832,000 EARLY 2,527,000 831,000 RANDOLPH 2,436,000 801,000 OTHER GEORGIA 16,505,000 5,424,000 TOTAL 163,172,000 53,627,000 THE FOLLOWING IS A SUMMARY OF THE COMMUNITY BENEFIT ACTIVITIES AND HEALTH IMPROVEMENT SERVICES OFFERED BY THE CORPORATION AND ILLUSTRATES THE ACTIVITIES AND DONATIONS DURING FISCAL YEAR 2025. I. COMMUNITY HEALTH IMPROVEMENT SERVICES A. COMMUNITY HEALTH EDUCATION THE CORPORATION PROVIDED HEALTH EDUCATION SERVICES THAT REACHED 9,555 INDIVIDUALS IN 2025 AT A COST OF 371,337. THESE SERVICES INCLUDED THE FOLLOWING FREE CLASSES AND SEMINARS: -TEEN PREGNANCY PREVENTION EDUCATION -TEENAGE PARENTING CLASSES (NETWORK OF TRUST) -CPR TRAINING TO TEACHERS -SAFE SITTER CLASSES -ASTHMA &amp; EPI-PEN EDUCATION -HEALTH EDUCATION AT SUMMER CAMPS -BREAST CANCER PREVENTION EDUCATION -SHOP TALK DISCUSSIONS RELATED TO PROSTATE CANCER AND DIABETES -VARIOUS CANCER SPECIFIC SEMINARS AND PRESENTATIONS -MEN'S AND WOMEN'S HEALTH CONFERENCES -THE RIBBON WALK -PROJECT ELEVATION PROSTRATE CANCER SCREENING INITIATIVE MEN AND WOMEN'S HEALTH CONFERENCES THE MEN'S AND WOMEN'S CONFERENCES ATTRACTED A TOTAL OF 647 PARTICIPANTS. IN JUNE, THE MEN'S CONFERENCE ATTRACTED 250 PARTICIPANTS. THE 2025 MEN'S HEALTH FAIR WAS A SCREEN EVENT THAT PROVIDED PROSTATE CANCER SCREENING, BLOOD PRESSURE AND GLUCOSE CHECKS. EDUCATION ON LUNG HEALTH WELLNESS AND PRIMARY CARE WAS ALSO PROVIDED. THE WOMEN'S CONFERENCE WAS HELD IN OCTOBER 2024 AND HAD 397 PARTICIPANTS. THE WOMEN'S CONFERENCE FOCUSED ON BREAST, LUNG, AND COLORECTAL CANCER AND SCREENINGS FOR CHOLESTEROL, GLUCOSE AND BLOOD PRESSURE WERE PROVIDED. THE TOTAL COST TO THE ORGANIZATION FOR THE TWO CONFERENCES AND OTHER COMMUNITY HEALTH EDUCATION EVENTS WAS 100,398. NETWORK OF TRUST THIS IS A NATIONALLY RECOGNIZED PROGRAM AIMED AT TEEN MOTHERS TO PROVIDE PARENTING SKILLS, ATTEMPT TO REDUCE REPEAT PREGNANCIES, AND COMPLETE HIGH SCHOOL. INTERNAL EVALUATIONS SHOW TEENS PARTICIPATING IN THE PROGRAM ARE LESS LIKELY TO REPEAT A PREGNANCY PRIOR TO GRADUATION. NETWORK OF TRUST ENROLLED 3 TEEN PARENTS (WITH ZERO REPEAT PREGNANCIES) DURING THE 2024/2025 SCHOOL YEAR. PROGRAM RESULTS DEMONSTRATE TEENS THAT GRADUATED FROM THE TWO-SEMESTER PROGRAM ARE LESS LIKELY TO HAVE A SECOND PREGNANCY PRIOR TO AGE 21. ADDITIONALLY, NETWORK OF TRUST AND THE SCHOOL NURSE PROGRAM PROVIDED TEEN PREGNANCY PREVENTION PROGRAMMING, CPR TRAINING, HANDWASHING EDUCATION, ASTHMA AND EPI-PEN EDUCATION, STOP THE BLEED TRAINING, AND CONDUCTED HEALTH EDUCATION AT SUMMER CAMPS. HEALTH INFORMATION TABLES WERE ALSO PROVIDED AT LOCAL HEALTH FAIRS. THE TOTAL COST TO THE ORGANIZATION FOR NETWORK OF TRUST COMMUNITY OUTREACH TOTALED 270,939. B. COMMUNITY BASED CLINICAL SERVICES THE CORPORATION PROVIDED COMMUNITY BASED CLINICAL SERVICES THAT REACHED 31,846 INDIVIDUALS IN 2025 AT A COST OF 728,346. THESE SERVICES INCLUDED THE FOLLOWING FREE CLASSES AND SEMINARS: FLU SHOTS THE CORPORATION PROVIDES FREE FLU SHOTS TO VOLUNTEERS, STUDENTS AND HOMELESS SHELTERS. IN 2025, THE CORPORATION ADMINISTERED 39 FLU SHOTS AT AN UNREIMBURSED COST OF 507. MAMMOGRAPHY THE CORPORATION PROVIDED 166 MAMMOGRAMS TO THE UNINSURED THIS YEAR AT A COST OF 13,001. LUNG CANCER SCREENINGS AND PROSTATE SPECIFIC ANTIGEN (PSA) TESTING THE CORPORATION PROVIDED 30 LUNG CANCER SCREENINGS TO THE UNINSURED IN 2025 AT AN ESTIMATED COST OF 2,818 AND 38 PSA'S TO THE UNINSURED IN 2025 AT AN APPROXIMATE COST OF 197. SCHOOL NURSE PROGRAM THE CORPORATION PLACES NURSES IN NINETEEN SCHOOLS IN ITS PRIMARY SERVICE AREA WITH A GOAL OF CREATING ACCESS TO CARE FOR STUDENTS AND STAFF, ASSESSING THE HEALTH CARE STATUS OF EACH POPULATION REPRESENTED, AND EFFECTIVELY ESTABLISHING REFERRALS FOR ALL HEALTH CARE NEEDS. NURSES CONDUCTED CPR TRAINING, SAFE SITTER CLASSES, TEEN PREGNANCY PREVENTION EDUCATION, ASTHMA AND EPI-PEN EDUCATION, STOP THE BLEED TRAINING, AND HEALTH EDUCATION SUMMER CAMPS. DURING THE 2024/2025 SCHOOL YEAR, THE SCHOOL NURSE PROGRAM COVERED APPROXIMATELY 31,473 STUDENT LIVES. THIS PROGRAM OPERATED AT A COST OF 379,536 IN 2025. NURSE FAMILY PARTNERSHIP THE NURSE FAMILY PARTNERSHIP (NFP) IS A HOME VISITATION TRAINING FOR ELIGIBLE FIRST TIME MOMS FROM PREGNANCY UNTIL THE CHILD'S SECOND BIRTHDAY. WITHOUT A VARIANCE FROM THE NATIONAL SERVICE OFFICE (NSO), THE MOM SHOULD ENTER THE PROGRAM NO LATER THAN THE 28TH WEEK OF PREGNANCY. THE BSN- PREPARED NURSE PROVIDES SCHEDULED VISITS THROUGHOUT THE PREGNANCY AND UNTIL THE CHILD TURNS TWO. THE GOAL OF NFP IS TO HAVE HEALTHY MOMS HAVING HEALTHY BABIES. PHOEBE'S NURSE FAMILY PARTNERSHIP PROGRAM HAS PROVEN TO BE EFFECTIVE IN IMPROVING COMPLIANCE WITH PRENATAL, POSTPARTUM AND INFANT/</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc6">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALBANY STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>504 COLLEGE DR</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31705</ZIPCd>
        </USAddress>
        <RecipientEIN>586001995</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>23337</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HORIZONS COMMUNITY SOLUTIONS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>810 13TH AVE SUITE 105</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>317012512</ZIPCd>
        </USAddress>
        <RecipientEIN>820567901</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>156214</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOSPITAL AUTHORITY OF ALBANY</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>DOUGHERTY COUNTY</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3770</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>317033770</ZIPCd>
        </USAddress>
        <RecipientEIN>586001516</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PHOEBE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3770</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>317063770</ZIPCd>
        </USAddress>
        <RecipientEIN>581847104</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>697736</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MOREHOUSE SCHOOL OF MEDICINE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>720 WESTVIEW DR SW</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30310</ZIPCd>
        </USAddress>
        <RecipientEIN>581438873</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>250000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MOUNT UNION COMMUNITY REINVESTMENT</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>CORPORATION</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 71586</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31707</ZIPCd>
        </USAddress>
        <RecipientEIN>582570480</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>6</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>EDUCATIONAL ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>82</RecipientCnt>
        <CashGrantAmt>346320</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 4, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>TEST CONTRIBUTIONS ARE MADE ONLY TO TAX EXEMPT ENTITIES. BOARD APPROVAL IS REQUIRED FOR MAJOR CONTRIBUTIONS AND A FOLLOW-UP WITH THE TAX EXEMPT ENTITY IS REQUIRED FOR MONITORING USE OF THE FUNDS.TUITION POLICY: EMPLOYEE MUST BE EMPLOYED AS A REGULAR FULL TIME EMPLOYEE (64+ HOURS PER PAY PERIOD) FOR AT LEAST ONE YEAR, 12 MONTHS. THEY MUST SCORE A "MEETS EXPECTATIONS- OR GREATER ON THEIR LAST EVALUATION. THE EMPLOYEE MUST MAINTAIN A SEMESTER OR QUARTER GPA OF 2.5 FOR UNDERGRADUATE STUDIES AND 3.0 FOR GRADUATE STUDIES TO RECEIVE TUITION ASSISTANCE. EMPLOYEE MUST SUBMIT A COPY OF GRADE TO THE BENEFITS DEPARTMENT AND MANAGER AFTER THE COMPLETION OF EACH COURSE. AN EMPLOYEE RECEIVING TUITION ASSISTANCE IS REQUIRED TO WORK FOR PHOEBE ONE YEAR, FULL-TIME UPON DEGREE COMPLETION OR CESSATION FROM THE DEGREE PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc7">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT STEINER</PersonNm>
        <TitleTxt>PPHS CEO/PRES</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>1071448</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>583788</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>253072</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>287949</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>42683</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>2238940</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>228125</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN CHURCH</PersonNm>
        <TitleTxt>PPHS CFO/CAO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>771492</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>464121</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>20040</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>171673</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>46241</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1473567</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>131572</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES E BLACK MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>996882</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>1085</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>25105</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>30500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>33577</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1087149</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAWN BENSON</PersonNm>
        <TitleTxt>SVP GENERAL COUNSEL</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>481742</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>199523</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>238157</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>85818</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1005240</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>66712</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBORAH ANGERAMI</PersonNm>
        <TitleTxt>PPMH CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>602075</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>196948</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>24242</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>136567</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>17410</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>977242</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>25846</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM M SEWELL III</PersonNm>
        <TitleTxt>MEDICAL DIR-W&amp;C SVCS</TitleTxt>
        <BaseCompensationFilingOrgAmt>401170</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>135414</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2887</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10099</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33832</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>583402</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANE GRAY</PersonNm>
        <TitleTxt>PPMH COO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>328584</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>138537</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>24458</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>49782</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>17287</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>558648</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>43842</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASON SMITH</PersonNm>
        <TitleTxt>PPMH CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>401367</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>95513</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>656</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>32827</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>530363</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS SULLIVAN</PersonNm>
        <TitleTxt>SVP NORTH CAMPUS</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>306355</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>114928</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>2161</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>58086</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>46964</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>528494</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>48405</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAUREEN JACKSON</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICR</TitleTxt>
        <BaseCompensationFilingOrgAmt>323911</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>98355</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>10807</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14594</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>447667</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHINYELU OFODILE MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>384921</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>38280</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>271</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>7398</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>430870</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEREK HEARD MD</PersonNm>
        <TitleTxt>BOARD MEMBER/PHYS.</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>356268</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>21123</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>5648</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>38279</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>421318</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAMILLIA LOWERY</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>316066</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>37635</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>99</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>353800</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL ELDER</PersonNm>
        <TitleTxt>VP, CHIEF INFO. OFCR</TitleTxt>
        <BaseCompensationFilingOrgAmt>234601</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>66318</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>24200</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21954</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>347073</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIERA BARRON MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>223162</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>1175</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>179</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>4615</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>31119</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>260250</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SCOTT STEINER 0 277,599 0 BRIAN CHURCH 0 161,323 0 DAWN BENSON 0 75,711 0 DEBORAH ANGERAMI 0 126,217 0 JANE GRAY 0 49,782 0 THOMAS SULLIVAN 0 46,020 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE J, PART I, LINE 4 - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS: DEFERRED COMPENSATION PLAN 457(B): THE DEFERRED COMPENSATION PLAN IS AN ADDITIONAL RETIREMENT PLAN OFFERED THROUGH PHOEBE PUTNEY. THE 457(B) PLAN IS AN ELIGIBLE DEFERRED COMPENSATION PLAN THAT ALLOWS ONE TO DEFER ADDITIONAL DOLLARS TOWARDS RETIREMENT. HIGHLIGHTS INCLUDE: O NOT LIMITED BY THE AMOUNTS DEFERRED INTO THE PHOEBE 403(B) O PLAN IS SUBJECT TO ANNUAL DEFERRAL LIMITS SET BY THE IRS O PER IRS REGULATIONS, EACH PARTICIPANT IS A GENERAL UNSECURED CREDITOR OF THE PLAN SPONSOR. AN ELIGIBLE EMPLOYEE IS ONE WHO IS DETERMINED BY THE EMPLOYER TO BE A MEMBER OF A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES WITHIN THE MEANING OF SECTIONS 201(2), 301(A)(3), AND 401(A)(1) OF ERISA. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) 457(F): PPHS RELIES ON AN INDEPENDENT COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, SURVEYS, WELL DOCUMENTED METHODS AND BOARD APPROVAL TO ESTABLISH TOTAL COMPENSATION OF THE CEO AND EXECUTIVE OFFICERS. CERTAIN BOARD APPROVED EMPLOYEES ARE ELIGIBLE TO PARTICIPATE IN A SERP THAT PROVIDES CERTAIN DEFINED ANNUAL PAY CREDITS THAT ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THE PURPOSE OF THE SERP IS TO PROVIDE A LONG-TERM INCENTIVE AND RETIREMENT BENEFIT FOR AFFECTED EXECUTIVES CONSISTENT WITH THE BENEFIT AVAILABLE TO EMPLOYEES NOT IMPACTED BY IRS COMPENSATION LIMITS ON DEFINED BENEFIT PLANS. THE AMOUNTS REPORTED AS SUPPLEMENTAL EXECUTIVE RETIREMENT COMPENSATION FOR ELIGIBLE EMPLOYEES IN SCHEDULE J REPRESENT CREDITED, BUT NOT VESTED, BENEFITS, AND THE AMOUNTS ARE AVAILABLE IN FUTURE PERIODS TO THE EMPLOYEE SUBJECT TO CONTINUING EMPLOYMENT. PPHS MAINTAINS OWNERSHIP OF THE FUNDS ALLOCATED TO EACH PARTICIPANT UNTIL VESTING AND PAYMENT. FOR A PARTICIPANT IN THE SERP PRIOR TO 1/1/2017 (A "GRANDFATHERED PARTICIPANT"), WITH PAY CREDITS FOR PLAN YEARS BEGINNING PRIOR TO 1/1/2020, THE INITIAL VESTING DATE WILL OCCUR ON THE DATE THE PARTICIPANT ATTAINS FIVE YEARS OF PARTICIPATION UNDER THE PLAN. AFTER THE INITIAL VESTING DATE, A GRANDFATHERED PARTICIPANT SHALL HAVE A NEW VESTING DATE ONCE EVERY 5 YEARS. THESE ADDITIONAL VESTING DATES WILL OCCUR ON THE 5TH ANNIVERSARY OF EACH VESTING DATE AFTER THE INITIAL VESTING DATE. ON EACH VESTING DATE, A GRANDFATHERED PARTICIPANT WILL BECOME 100% VESTED IN AN AMOUNT EQUAL TO THE PARTICIPANT'S ACCOUNT BALANCE REDUCED BY ANY PAY CREDITS CREDITED TO THE ACCOUNT FOR THE 2 MOST RECENT PLAN YEARS. GRANDFATHERED PARTICIPANTS WITH PAY CREDITS FOR PLAN YEARS BEGINNING ON OR AFTER 1/1/2020, EACH YEAR'S ANNUAL PAY CREDIT PLUS SUBSEQUENT EARNINGS AND/OR LOSSES WILL VEST AFTER 5 YEARS OF CONTINUOUS EMPLOYMENT. EACH CONTRIBUTION IS SUBJECT TO A SEPARATE AND INDEPENDENT 5 YEAR CONTINUOUS EMPLOYMENT REQUIREMENT. FOR PARTICIPANTS INITIALLY PARTICIPATING IN THE SERP AFTER 12/31/2016 (A "CONTEMPORARY PARTICIPANT"), EACH YEAR'S ANNUAL PAY CREDIT PLUS SUBSEQUENT EARNINGS AND/OR LOSSES WILL 100% VEST ON THAT PAY CREDITS' 5TH ANNIVERSARY, PROVIDED THAT THE PARTICIPANT REMAINS IN THE CONTINUOUS EMPLOYMENT THROUGHOUT THE 5-YEAR PERIOD FOR EACH ANNUAL PAY CREDIT. IF ANY ELIGIBLE PARTICIPANT ATTAINS NORMAL RETIREMENT AGE PRIOR TO SEPARATION FROM SERVICE, THEY SHALL VEST IN 100% OF THE ACCOUNT BALANCE. ONCE VESTED, EACH PARTICIPANT SHALL RECEIVE A DISTRIBUTION OF THEIR ENTIRE VESTED AMOUNT WITHIN A REASONABLE PERIOD NOT TO EXCEED 2.5 MONTHS. THIS DISTRIBUTION IS TREATED AS REPORTABLE COMPENSATION TO THE PARTICIPANT AND IS INCLUDED IN PART II, COLUMN B(III). THEREFORE, PART II, COLUMN B(III) INCLUDES PRIOR YEAR SERP DEFERRALS PREVIOUSLY REPORTED IN PART II, COLUMN C. ANY DISTRIBUTION AMOUNT INCLUDED IN PART II, COLUMN B(III) THAT WAS PREVIOUSLY REPORTED IN PRIOR PERIODS AS DEFERRED COMPENSATION IN PART II, COLUMN C IS DISCLOSED IN PART II, COLUMN F. THE FOLLOWING PARTICIPANTS VESTED AMOUNTS (OVER MULTIPLE YEARS) AND RECEIVED PAYMENT OF SERP BENEFITS IN THE 2024 CALENDAR YEAR: SCOTT STEINER 227,750 DAWN BENSON 208,500 SCHEDULE J, PART II, COLUMN B(II) CERTAIN EXECUTIVE OFFICERS AND PHYSICIANS ARE ELIGIBLE FOR BONUS/INCENTIVE PAYMENTS. THESE BONUSES ARE DETERMINED BASED ON THE ACHIEVEMENT OF VARIOUS ORGANIZATIONAL AND PERSONAL PERFORMANCE GOALS ESTABLISHED BY A FORMAL PROCESS IN KEEPING WITH THE ORGANIZATION'S TAX-EXEMPT STATUS. COMPENSATION PROCESS FOR TOP OFFICIAL AS DETERMINED BY PPHS THE ORGANIZATION'S FORMAL PROCESS FOR DETERMINING TOTAL COMPENSATION FOR THE CEO IS INTENDED TO PROVIDE REASONABLE COMPENSATION FOR ACCOMPLISHING THE ORGANIZATION'S MISSION, ACHIEVE ITS STRATEGIC GOALS, TO RECOGNIZE PERFORMANCE, AND TO OPERATE IN KEEPING WITH THE ORGANIZATION'S OBLIGATIONS AS A TAX-EXEMPT CHARITABLE ORGANIZATION. THE EXECUTIVE COMPENSATION COMMITTEE OF THE PPHS'S BOARD OF DIRECTORS CONDUCTS AN ANNUAL REVIEW OF THE COMPENSATION OF THE CEO. THE COMMITTEE RETAINS A QUALIFIED INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE MARKET RANGES OF BASE, INCENTIVE AND TOTAL CASH COMPENSATION. THE INFORMATION THE COMMITTEE MAY CONSIDER CAN INCLUDE BUT IS NOT LIMITED TO THE PERFORMANCE OF AN INDIVIDUAL, THE PERFORMANCE OF THE ORGANIZATION, AN INDIVIDUAL'S LENGTH OF SERVICE, CREDENTIALS AND EXPERIENCE, THE ELEMENTS OF TOTAL COMPENSATION AND SALARY HISTORY, THE ORGANIZATION'S COMPENSATION TARGETS, AND COMPARABILITY DATA, INCLUDING THE DATA PREPARED BY THE INDEPENDENT CONSULTANT AND REVIEWED WITH THE COMMITTEE. THE COMMITTEE INCORPORATES A FORMAL PERFORMANCE APPRAISAL PROCESS IN THE CEO COMPENSATION REVIEW. IT UTILIZES A MULTI-PERSPECTIVE APPROACH AND PERFORMANCE MEASURES WHICH ARE LINKED TO THE ORGANIZATION'S LONG-TERM STRATEGIC PLAN AND ACHIEVEMENT OF ANNUAL SYSTEM OBJECTIVES. THE CEO IS NOT PRESENT WHEN THE COMMITTEE DISCUSSES AND ESTABLISHES HIS COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc8">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HOSP AUTH OF ALBANY-DO CO GA 2012</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>450825965</BondIssuerEIN>
        <CUSIPNum>012170EC6</CUSIPNum>
        <BondIssuedDt>2012-12-13</BondIssuedDt>
        <IssuePriceAmt>114306593</IssuePriceAmt>
        <PurposeDesc>ACQUIRE, CONSTRUCT, AND INSTALL PROJECTS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HOSP AUTH OF ALBANY-DO CO GA 2022A</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>450825965</BondIssuerEIN>
        <CUSIPNum>012170FD3</CUSIPNum>
        <BondIssuedDt>2022-12-01</BondIssuedDt>
        <IssuePriceAmt>151765000</IssuePriceAmt>
        <PurposeDesc>REISSUANCE OF PRIOR BONDS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HOSP AUTH OF ALBANY-DO CO GA 2022B</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>450825965</BondIssuerEIN>
        <CUSIPNum>NONENONEN</CUSIPNum>
        <BondIssuedDt>2022-12-22</BondIssuedDt>
        <IssuePriceAmt>97805000</IssuePriceAmt>
        <PurposeDesc>ACQUIRE, CONSTRUCT, AND INSTALL PROJECTS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>23975000</RetiredAmt>
        <TotalProceedsAmt>114306593</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>906593</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>113400000</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2012</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>11110000</RetiredAmt>
        <TotalProceedsAmt>152191899</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>426899</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>151765000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2012</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceedsAmt>97805000</TotalProceedsAmt>
        <CapitalizedInterestAmt>7362908</CapitalizedInterestAmt>
        <IssuanceCostsFromProceedsAmt>442092</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>90000000</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2024</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00060</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.00060</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00160</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.00160</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSP AUTH OF ALBANY-DO CO, GA 2012 ACQUIRE, CONSTRUCT, AND INSTALL PROJECTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSP AUTH OF ALBANY-DO CO, GA 2022A REISSUANCE OF PRIOR BONDS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSP AUTH OF ALBANY-DO CO, GA 2022B ACQUIRE, CONSTRUCT, AND INSTALL PROJECTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSP AUTH OF ALBANY-DO CO, GA 2012 06/13/13</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSP AUTH OF ALBANY-DO CO, GA 2022A 08/02/15</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSP AUTH OF ALBANY-DO CO, GA 2012 REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE COMPUTATIONS ARE NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSP AUTH OF ALBANY-DO CO, GA 2022A REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE COMPUTATIONS ARE NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSP AUTH OF ALBANY-DO CO, GA 2022B THE ORGANIZATION QUALIFIES FOR THE ARBITRAGE REBATE EXCEPTION UNDER THE 3- YEAR SPEND-DOWN RULE. ALL BOND PROCEEDS WERE SPENT BY MAY 2024 ON CAPITAL EXPENDITURES RELATED TO HOSPITAL FACILITY IMPROVEMENTS AND EQUIPMENT PURCHASES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc9">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>RADIATION ONCOLOGY ASSOCIATES PC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CONTROL ENTITY</RelationshipDescriptionTxt>
        <TransactionAmt>2589457</TransactionAmt>
        <TransactionDesc>MEDICAL SVCS</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>WILLAM JOEL MCAFEE, M.D., A BOARD MEMBER, OWNS 50% OF RADIATION ONCOLOGY ASSOCIATES, PC. THE FILING CORPORATION CONTRACTS WITH RADIATION ONCOLOGY ASSOCIATES, PC FOR THE PROVISION OF PROFESSIONAL RADIATION ONCOLOGY SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc10">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART IX, LINE 24B SUBSIDY TO PHYSICIAN CLINICS FOR LOSSES ASSOCIATED WITH LOW-INCOME PATIENTS. SERVING THE COMMUNITY, CONTINUED V. COMMUNITY BUILDING ACTIVITIES A. ECONOMIC DEVELOPMENT THE CORPORATION SUPPORTS THE ECONOMIC DEVELOPMENT COMMISSION OF DOUGHERTY COUNTY WITH FUNDING TO SUPPORT IMPROVED EMPLOYMENT AND HEALTH COVERAGE AS A WAY TO IMPROVE THE OVERALL HEALTH OF THE RESIDENTS OF THE REGION. TO ADDRESS LONG-STANDING NURSING AND MEDICAL OCCUPATIONAL SHORTAGES, THE CORPORATION SPENT 852,766 IN DEVELOPING AND EXPANDING ENROLLMENT IN NURSING AND OTHER MEDICAL OCCUPATIONAL PROGRAMS IN 2025. THIS FUNDING WAS PROVIDED TO MOREHOUSE SCHOOL OF MEDICINE, ALBANY STATE UNIVERSITY, ALBANY TECHNICAL COLLEGE, AND 4C ACADEMY. SIMULATION LAB OTHER EDUCATIONAL OPPORTUNITIES THE CORPORATIONS 5.3 MILLION DOLLAR SIMULATION PLAN BECAME OPERATIONAL IN 2021. IT WAS BUILT TO TRAIN WORKERS IN A VARIETY OF HEALTHCARE ROLES AND DUPLICATES HOSPITAL ENVIRONMENTS EXACTLY, INCLUDING PATIENT AND OPERATING ROOMS, INTENSIVE CARE UNITS, AND THE EMERGENCY CENTER. THE FOLLOWING ARE SOME TRAINING HIGHLIGHTS FOR 2025: A. WORKFORCE DEVELOPMENT: THROUGH VARIOUS INVESTMENTS WITH OUR ACADEMIC PARTNERS, THE CORPORATION HAS ENABLED THE NURSING PROGRAMS TO INCREASE STUDENT ENROLLMENT BY PROVIDING FUNDING FOR FULL AND/OR PART-TIME FACULTY FOR EACH OF THE NURSING PROGRAMS, AS WELL AS FOR THREE FULL TIME CLINICAL FACULTY WHO ARE LOCATED IN THE SIMULATION &amp; INNOVATION CENTER. B. ALBANY STATE UNIVERSITY (ASU) SUMMER HEALTH AND STEM CAMP: THIS CAMP PROVIDED EXPERIENTIAL LEARNING OPPORTUNITIES TO HIGH SCHOOL STUDENTS IN THE AREAS OF BIOLOGY, CHEMISTRY/PHYSICS AND BIOMEDICAL/HEALTHCARE FIELDS. STUDENTS ENGAGED IN SCIENTIFIC EXPERIMENTATION AND DEMONSTRATIONS WITH ASU FACULTY IN THE AFOREMENTIONED AREAS. ADDITIONALLY, STUDENTS MEET WITH KEYNOTE MOTIVATIONAL SPEAKERS AND PERSONNEL AT PPMH FOR A TOUR OF MEDICAL FACILITIES. HELD IN THE SUMMER OF 2025, THERE WERE APPROXIMATELY 41 STUDENT PARTICIPANTS. C. PHOEBE ACADEMY FOR TEENS IN HEALTHCARE (PATH): THE PHOEBE ACADEMY FOR TEENS IN HEALTHCARE (PATH) IS A HANDS-ON LEARNING EXPERIENCE DESIGNED TO INTRODUCE HIGH SCHOOL STUDENTS TO CAREERS IN HEALTHCARE. THROUGH INTERACTIVE SIMULATIONS, PROFESSIONAL MENTORSHIP, AND EXPOSURE TO A VARIETY OF MEDICAL SPECIALTIES, STUDENTS GAIN REAL-WORLD INSIGHT INTO HEALTHCARE PROFESSIONS WHILE BUILDING LEADERSHIP SKILLS AND PROFESSIONAL CONNECTIONS. PATH IS IDEAL FOR STUDENTS WHO HAVE A STRONG INTEREST IN HEALTHCARE AND ARE EAGER TO EXPLORE FUTURE CAREER OPPORTUNITIES IN A MEANINGFUL AND ENGAGING WAY. LAUNCHED IN THE SUMMER OF 2025, THERE WERE 14 STUDENTS THAT PARTICIPATED. D. CLINICAL INSTRUCTOR TRAINING: STUDENT SERVICES, IN COLLABORATION WITH THE EDUCATION DEPARTMENT HOSTS CLINICAL INSTRUCTOR TRAINING FOR ACADEMIC PARTNERS WHO BRING STUDENTS INTO THE FACILITY FOR CLINICAL ROTATIONS. MEMBERS OF THE PPMH SIMULATION AND INNOVATION TEAM PROVIDE DEMONSTRATION AND HANDS ON TRAINING TO INSTRUCTORS. STUDENT SERVICES DELIVERS INFORMATION AND GUIDELINES TO INSTRUCTORS ON STUDENT EXPECTATIONS, POLICIES AND PROCEDURES, AND HIGH RELIABILITY PROTOCOLS. IN JULY OF 2025, 43 CLINICAL INSTRUCTORS ATTENDED THE SESSION. E. PHOEBE WORK BASED LEARNING INTERNSHIP PROGRAM: PHOEBES HIGH SCHOOL SENIOR INTERNSHIP PROGRAM OFFERS STUDENTS WHO HAVE COMPLETED HEALTHCARE PATHWAY COURSEWORK THE OPPORTUNITY TO APPLY THEIR CLASSROOM LEARNING IN REAL-WORLD CLINICAL ENVIRONMENTS. THROUGH STRUCTURED ROTATIONS IN VARIOUS HOSPITAL DEPARTMENTS, STUDENTS GAIN EXPOSURE TO DIVERSE HEALTHCARE ROLES, HELPING THEM CLARIFY OR CONFIRM THEIR CAREER INTERESTS. THIS INITIATIVE NOT ONLY DEEPENS STUDENTS UNDERSTANDING OF HEALTHCARE PROFESSIONS BUT ALSO EMPHASIZES PROFESSIONAL DEVELOPMENT AND THE CULTIVATION OF ESSENTIAL EMPLOYABILITY SKILLS SUCH AS COMMUNICATION, TEAMWORK, AND ADAPTABILITY. BY BRIDGING ACADEMIC PREPARATION WITH HANDS-ON EXPERIENCE, THE PROGRAM SUPPORTS CAREER READINESS AND STRENGTHENS THE FUTURE HEALTHCARE WORKFORCE. STUDENT SERVICES HAD 15 HIGH SCHOOL SENIORS TOTAL FROM LEE COUNTY AND DOUGHERTY COUNTY THAT PARTICIPATED IN 2025. F. 4C ACADEMY PHOEBE HEALTH SCIENCE PATHWAY INTERNSHIP PROGRAM: THE PHOEBE HIGH SCHOOL HEALTHCARE INTERNSHIP PROGRAM PROVIDES GRADUATING HIGH SCHOOL SENIORS WHO HAVE PREVIOUSLY PARTICIPATED IN HEALTHCARE PATHWAY PROGRAMS WITH A STRUCTURED OPPORTUNITY TO GAIN HANDS-ON EXPERIENCE IN CLINICAL SETTINGS. THROUGH THIS INITIATIVE, STUDENTS CHOOSE BETWEEN TWO FOCUSED TRACKS: A CERTIFIED NURSING ASSISTANT (CNA) INTERNSHIP OR A MEDICAL ASSISTANT (MA) CLINIC INTERNSHIP. THIS EXPERIENTIAL LEARNING MODEL ALLOWS STUDENTS TO APPLY FOUNDATIONAL KNOWLEDGE, DEVELOP ESSENTIAL CLINICAL SKILLS, AND GAIN EXPOSURE TO REAL-WORLD HEALTHCARE ENVIRONMENTS. THE PROGRAM IS DESIGNED NOT ONLY TO SUPPORT CAREER READINESS BUT ALSO TO SERVE AS A PIPELINE FOR FUTURE EMPLOYMENT AT PHOEBE PUTNEY MEMORIAL HOSPITAL. UPON SUCCESSFUL COMPLETION AND GRADUATION, STUDENTS ARE CONSIDERED FOR ENTRY-LEVEL CNA AND MA ROLES, WITH ACCESS TO EDUCATIONAL ASSISTANCE AS THEY PURSUE POST-SECONDARY DEGREES IN HEALTHCARE. THIS INITIATIVE STRENGTHENS THE LOCAL HEALTHCARE WORKFORCE, PROMOTES CAREER ADVANCEMENT, AND SUPPORTS THE LONG-TERM PROFESSIONAL DEVELOPMENT OF YOUTH IN THE COMMUNITY. THERE WERE 16 STUDENTS FROM 4C THAT PARTICIPATED IN 2025. G. SOWEGA-AHEC PATHWAY TO MEDICINE: SOWEGA-AHEC, IN COLLABORATION WITH AAPHC AND THE PPMH FAMILY MEDICINE RESIDENCY PROGRAM, CREATED THE PATHWAY TO MED SCHOOL PROGRAM TO ADDRESS THE CRITICAL NEED FOR PRIMARY CARE PHYSICIANS IN SOUTHWEST GEORGIA. KNOWING THAT STUDENTS FROM RURAL COMMUNITIES ARE MORE LIKELY TO RETURN TO A RURAL AREA TO PRACTICE AND UNDERSTANDING THE NEED TO INCREASE THE PIPELINE OF RURAL STUDENTS ENROLLED IN GEORGIA MEDICAL SCHOOLS, IT WAS DETERMINED THAT STUDENTS FROM THE 38- COUNTY REGION NEEDED TO BECOME MORE COMPETITIVE IN THE APPLICATION PROCESS. THIS YEAR, PPMH HOSTED ELEVEN PATHWAYS TO MEDICINE STUDENTS. TO DETERMINE HOW TO MAKE THE STUDENTS MORE COMPETITIVE, AHEC POLLED THE ADMISSIONS COMMITTEES FROM EACH OF THE MEDICAL SCHOOLS IN GEORGIA TO DETERMINE WHAT, BEYOND MCAT SCORES AND GPA WOULD INCREASE THEIR CHANCES OF BEING ACCEPTED. THE OVERWHELMING CONSENSUS WAS A MUCH NEEDED AND SIGNIFICANT STRUCTURED CLINICAL SHADOWING AND MEDICAL RESEARCH EXPERIENCE. THE ALBANY BASED PATHWAY TO MEDICAL SCHOOL PROGRAM WAS STRUCTURED ACCORDINGLY AS A 4-WEEK RESIDENTIAL EXPERIENCE TO INCLUDE 50 HOURS OF CLINICAL SHADOWING IN A PRIMARY CARE SETTING AND 75 HOURS OF COMMUNITY- BASED RESEARCH TO INCLUDE DATA COLLECTION, INTERPRETATION, AND PRESENTATION.SOUTHWEST GEORGIA IS A MEDICALLY UNDERSERVED AREA (MUA) AND BY SUPPORTING THE EFFORTS OF LOCAL ASPIRING MEDICAL STUDENTS AT THE PRE-MED ACADEMIC LEVEL, WE CAN IMPROVE ACCESS TO HEALTHCARE IN OUR COMMUNITIES. H. COLONY BANK LEADERSHIP ACADEMY: THE COLONY BANK LEADERSHIP ACADEMY AIMS TO ENCOURAGE HIGH SCHOOL JUNIORS TO RECOGNIZE THEIR OWN POTENTIAL AND DEVELOP THEIR LEADERSHIP SKILLS. AS PART OF THE CURRICULA, 43 STUDENTS ATTENDED A DAY IN THE SIMULATION CENTER TO PARTICIPATE IN HANDS ON SKILLS (SUCH AS LISTENING TO HEART TONES AND RESPIRATIONS) TO EDUCATE THEM ON MEDICAL SKILLS AND CAREERS IN HOPES OF ENCOURAGING THEM TO SEEK A CAREER IN HEALTHCARE.I. JUNIOR LEADERSHIP LEE:JUNIOR LEADERSHIP LEE COUNTY DRAWS TOGETHER RISING HIGH SCHOOL SOPHOMORES, JUNIORS, AND SENIORS WHO ARE DEEPLY COMMITTED TO OUR FUTURE AND EMPOWERS THEM WITH THE ESSENTIAL KNOWLEDGE ABOUT EVERY ELEMENT OF OUR COMMUNITY FROM GOVERNMENT, HEALTHCARE, AND EDUCATION TO NEWS, HISTORY, AND CHARITY. AS PART OF THE CURRICULA, 24 STUDENTS ATTENDED A DAY IN THE SIMULATION CENTER TO PARTICIPATE IN HANDS ON SKILLS (SUCH AS LISTENING TO HEART TONES AND RESPIRATIONS) TO EDUCATE THEM ON MEDICAL SKILLS AND CAREERS IN HOPES OF ENCOURAGING THEM TO SEEK A CAREER IN HEALTHCARE. DR. TRACY SUBER FACILITATED THEIR SESSION REGARDING COMMUNICATION. I. VARIOUS COMMUNITY LEADERS AND ORGANIZATIONS 1.DURING 2025, PPMH BEGAN HOSTING HANDS ON TRAINING AND DEMONSTRATIONS FOR NON-MEDICAL COMMUNITY MEMBERS TO STEP INTO THE LIFE OF A HEALTH CARE PROFESSIONAL. FIVE OF THESE EVENTS WERE HOSTED THIS YEAR AT THE PPMH SIMULATION AND INNOVATION CENTER. 2. PPMH HOSTED MULTIPLE OTHER COMMUNITY ORGANIZATIONS IN THEIR SIMULATION CENTER AND PROVIDED HANDS ON OPPORTUNITIES TO EXPERIENCE MEDICAL SKILLS TRAINING. OVER 400 INDIVIDUALS FROM AROUND THE COMMUNITY AND STATE ATTENDED SUCH EVENTS, MORE THAN 10 OF SUCH EVENTS WERE HELD. 3. PPMH HOSTED 9 HIGH SCHOOL AND ONE MIDDLE SCHOOL EVENT COVERING HANDS- ON TRAINING AND DEMONSTRATIONS THAT ALLOW THE NON-MEDICAL COMMUNITY MEMBER TO STEP INTO THE LIFE AND TRAINING REQUIRED OF OUR STAFF. ACTIVITIES INCLUDE: IV SKILLS, TOURNIQUET PLACEMENT, HEART, LUNG, LISTENING TO BOWEL SOUNDS, PULSE POINT CHECKS AND VIRTUAL REALITY HEALTH CARE SIMULATION. C. COALITION BUILDING IN 2025, PHOEBE MADE THE DECISION TO PAY FOR EACH EMPLOYEE TO VOLUNTEER IN THE COMMUNITY FOR A MAXIMUM OF FOUR HOURS ANNUALLY. THIS IS A VOLUNTARY OP</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF PHOEBE PUTNEY MEMORIAL HOSPITAL, INC. SHALL BE PHOEBE PUTNEY HEALTH SYSTEM, INC. (PPHS).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS OF PPHS HAS THE RIGHT TO APPOINT DIRECTORS OF THE FILING ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER SHALL HAVE THE FOLLOWING RESPONSIBILITIES: - THE MEMBER SHALL APPOINT OR REMOVE THE ORGANIZATION'S DIRECTORS. - THE MEMBER SHALL SELECT OR REMOVE THE ORGANIZATION'S OFFICERS. - THE MEMBER SHALL APPROVE ALL AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE. - THE MEMBER SHALL APPROVE ANY ANNUAL OPERATING OR CAPITAL BUDGETS. - THE MEMBER SHALL APPOINT OR REMOVE THE INDEPENDENT AUDITORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INDEPENDENT ACCOUNTING FIRM THAT PREPARES THE FORM 990 (BASED UPON INFORMATION PROVIDED BY THE ORGANIZATION) PROVIDES A COMPLETE COPY OF THE RETURN WITH APPLICABLE SCHEDULES TO BE REVIEWED BY MANAGEMENT. MANAGEMENT PERFORMS A DETAILED REVIEW WHICH CONSISTS OF REVIEWING THE FINANCIAL DATA, THE NARRATIVES DISCLOSED, AND OTHER FACTS PRESENTED ON THE RETURN. UPON REVIEW, THE FORM 990 IS THEN FORWARDED TO THE FINANCE COMMITTEE FOR THEIR REVIEW, TO GAIN THEIR COMMENTS AND APPROVAL. UPON APPROVAL FROM THE FINANCE COMMITTEE, THE FORM 990 AND RELATED SCHEDULES ARE PROVIDED TO ALL BOARD MEMBERS FOR REVIEW AND FEEDBACK. ONCE THE FORM 990 IS REVIEWED BY ALL APPLICABLE PARTIES, A COPY OF THE FINAL VERSION IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AN ANNUAL BASIS, PHOEBE PUTNEY MEMORIAL HOSPITAL (PPMH) BOARD MEMBERS AS WELL AS ALL OFFICERS COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. THIS QUESTIONNAIRE IS ADMINISTERED BY THE PHOEBE PUTNEY HEALTH SYSTEM (PPHS) COMPLIANCE DEPARTMENT AND THE DOCUMENT ASKS EACH INDIVIDUAL TO DISCLOSE ANY PERSONAL, BUSINESS, OR OTHER AFFILIATIONS AND MONETARY AMOUNT IF APPLICABLE THAT THEY OR THEIR IMMEDIATE FAMILY MEMBERS HAVE HAD WITHIN THE PAST 12 MONTHS WITH PPMH OR ANY RELATED ENTITIES. ALL RESPONSES ARE THEN EVALUATED BY THE PPHS COMPLIANCE DEPARTMENT. IN THE CASE OF AN EXISTING CONFLICT, THE INDIVIDUAL WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL SO SUCH TRANSACTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES AVAILABLE TO THE PUBLIC ITS CONFLICT OF INTEREST AND AUDITED FINANCIAL STATEMENTS ON THE ORGANIZATION'S WEBSITE, BY PROVIDING COPIES UPON REQUEST, AND BY INSPECTION AT THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT STAFFING FEES 6,532,849 5,468,873 0 INTERCOMPANY ALLOCATED COST 119,110,817 29,568,598 0 OTHER PATIENT RELATED SERV 10,132,598 1,642,385 0 CONTRACT SERVICE FEES 61,834,130 2,672,738 0 CONSULTANT FEES 244,098 3,907,563 0 PROFESSIONAL FEES 407,390 0 0 COLLECTION FEES 0 2,134,783 0 TOTAL 198,261,882 45,394,940 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>AMORTIZATION OF NET LOSS - PENSION 958,746 CHANGE IN VALUE OF INTEREST RATE SWAP 663,567 NET ACTUARIAL LOSS - PENSION -622,264 CHANGE IN INTEREST IN NET ASSETS OF PHOEBE FND -1,378,289 TOTAL -378,240</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc11">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PHOEBE PUTNEY HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3770</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>317063770</ZIPCd>
        </USAddress>
        <EIN>582001014</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12C</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PHOEBE FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3770</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>317063770</ZIPCd>
        </USAddress>
        <EIN>581847104</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PPHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PHOEBE PHYSICIAN GROUP INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3770</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>317063770</ZIPCd>
        </USAddress>
        <EIN>263792403</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PPHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PHOEBE WORTH MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 545</AddressLine1Txt>
          <CityNm>SYLVESTER</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>317910545</ZIPCd>
        </USAddress>
        <EIN>383647394</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PPHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PHOEBE SUMTER MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>126 HIGHWAY 280 WEST</AddressLine1Txt>
          <CityNm>AMERICUS</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>317198645</ZIPCd>
        </USAddress>
        <EIN>263975185</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PPHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PHOEBE DORMINY MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3770</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>317063770</ZIPCd>
        </USAddress>
        <EIN>452041878</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PPHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PHOEBE PUTNEY HEALTH VENTURES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3770</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>317063770</ZIPCd>
        </USAddress>
        <EIN>581963401</EIN>
        <PrimaryActivitiesTxt>RE LEASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PHOEBE PUTNEY INDEMNITY LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>113 S CHURCH ST 5TH FL QUEENSGATE</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-1102</ForeignPostalCd>
        </ForeignAddress>
        <EIN>981492026</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PHOEBE FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>6667523</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GENERAL LEDGER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PHOEBE FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>422736</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GENERAL LEDGER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>