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        <NetCommunityBenefitExpnsAmt>3894258</NetCommunityBenefitExpnsAmt>
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        <TotalCommunityBenefitExpnsAmt>1055596</TotalCommunityBenefitExpnsAmt>
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      <TotalCommunityBenefitsGrp>
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      <ReimbursedByMedicareAmt>10432166</ReimbursedByMedicareAmt>
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      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
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        </BusinessName>
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          <AddressLine1Txt>459 HWY 119 S</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>313293021</ZIPCd>
        </USAddress>
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        <StateLicenseNum>051-236</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>SNF, SWB, RHC</OtherDesc>
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        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
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        <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>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>EFFINGHAMHEALTH.ORG</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTPS://WWW.EFFINGHAMHEALTH.ORG</StrategyWebsiteURLTxt>
        <StrategyAttachedInd referenceDocumentId="RetDoc2">false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>165.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>EFFINGHAMHEALTH.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>EFFINGHAMHEALTH.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>EFFINGHAMHEALTH.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
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        <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>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, EFFINGHAM HOSPITAL, INC. - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 2022 CHNA IDENTIFIED THESE SIGNIFICANT HEALTH NEEDS AS PRIORITIES - 1) MENTAL AND BEHAVIORAL HEALTH, 2) EXPAND ACCESS TO MEDICAL CARE IN THE EFFINGHAM COUNTY COMMUNITY, AND 3) ENHANCE COMMUNITY HEALTH AWARENESS IN THE EFFINGHAM COUNTY COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, EFFINGHAM HOSPITAL, INC. - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INPUT WAS SOLICITED THROUGH FOCUS GROUPS AND A COMMUNITY SURVEY. KEY COMMUNITY STAKEHOLDERS WERE ALSO INVOLVED IN REVIEWING AND INTERPRETING FINDINGS FROM THE CHNA AND DEVELOPING AN IMPLEMENTATION PLAN TO ADDRESS PRIORITIZED COMMUNITY NEEDS. THE COMMUNITY SURVEY AND FOCUS GROUP INTERVIEWS ASSESSED LOCAL HEALTH CARE ACCESS AND NEEDS OF THE EFFINGHAM COUNTY COMMUNITY. THE COMMUNITY SURVEY WAS DISSEMINATED TO RESIDENTS OF THE HOSPITALS PRIMARY SERVICE AREA VIA THE HOSPITALS, WEBSITE, SOCIAL MEDIA WEBPAGES AND EMAIL LISTSERVS, AS WELL AS THOSE OF LOCAL COMMUNITY PARTNERS. FOCUS GROUP PARTICIPANTS WERE ALL KEY COMMUNITY STAKEHOLDERS OF EFFINGHAM COUNTY. THREE VIRTUAL FOCUS GROUPS WERE HELD IN MARCH 2022, WITH AN AVERAGE OF 9 PARTICIPANTS PER FOCUS GROUP. THE HOSPITAL AND THE CHNA STEERING COMMITTEE RECRUITED TWENTY-SEVEN FOCUS GROUP PARTICIPANTS. THEY INCLUDED KEY COMMUNITY STAKEHOLDERS REPRESENTING HEALTH CARE, THE LOCAL PUBLIC HEALTH DEPARTMENT, FAITH-BASED ORGANIZATIONS, THE CHAMBER OF COMMERCE, AND LOCAL BUSINESSES. COLLECTIVELY, PERSPECTIVES OBTAINED FROM THE SURVEYS AND FOCUS GROUPS PROVIDED A HOLISTIC VIEW OF LIFE IN THE COMMUNITY AND THE HEALTH AND HEALTH CARE NEEDS OF THE RESIDENTS. INFORMATION FROM THESE PRIMARY DATA COLLECTION EFFORTS WAS SUPPLEMENTED BY SECONDARY QUANTITATIVE DATA ON THE COMMUNITYS DEMOGRAPHIC AND ECONOMIC PROFILE, HEALTH CARE ACCESS, AND UTILIZATION. THESE DATA WERE OBTAINED FROM MULTIPLE PUBLICLY AVAILABLE SOURCES INCLUDING THE US CENSUS BUREAU, UNIVERSITY OF WISCONSINS COUNTY HEALTH RANKINGS, CENTERS FOR DISEASE CONTROL (CDC), THE BUREAU OF LABOR STATISTICS, AND GEORGIA GOVERNORS OFFICE OF PLANNING AND BUDGET POPULATION PROJECTIONS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, EFFINGHAM HOSPITAL, INC. - PART V, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFINGHAM HEALTH SYSTEM PARTNERED WITH THE CENTER FOR PUBLIC HEALTH PRACTICE AND RESEARCH (CPHPR) AT THE JIANN-PING HSU COLLEGE OF PUBLIC HEALTH, GEORGIA SOUTHERN UNIVERSITY TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE HOSPITALS PRIMARY SERVICE AREA OF THE EFFINGHAM COUNTY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, EFFINGHAM HOSPITAL, INC. - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PAGES 70-72 OF THE 2022 CHNA FOR A DISCUSSION ON HOW THE ORGANIZATION IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA. ALL 3 OF THE PRIORITIZED COMMUNITY HEALTH NEEDS ARE ADDRESSED IN THE IMPLEMENATION STRATEGY REPORT (WHICH IS INCLUDED IN THE CHNA).</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>5</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EFFINGHAM EXTENDED CARE FACILITY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>459 HIGHWAY 119 SOUTH</AddressLine1Txt>
            <CityNm>SPRINGFIELD</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>313290386</ZIPCd>
          </USAddress>
          <FacilityTxt>SKILLED NURSING FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EFM AT TWENTY ONE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1451 HIGHWAY 21</AddressLine1Txt>
            <CityNm>SPRINGFIELD</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31329</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EFM AT GOSHEN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 GOSHEN ROAD</AddressLine1Txt>
            <CityNm>RINCON</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31326</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EFM AT GUYTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3 HIDDEN CREEK DRIVE</AddressLine1Txt>
            <CityNm>GUYTON</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31312</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EFFINGHAM HOSPITAL SWING BEDS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>459 HIGHWAY 119 SOUTH</AddressLine1Txt>
            <CityNm>SPRINGFIELD</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>313290386</ZIPCd>
          </USAddress>
          <FacilityTxt>SWING BED SNF</FacilityTxt>
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      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTS FOR PART I, LINE 7A AND 7B WERE CALCULATED USING THE RCC FROM WORKSHEET 2 IN THE IRS INSTRUCTIONS FOR SCHEDULE H. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUTHORITY PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON AN EVALUATION OF THE OVERALL COLLECTABILITY OF THE ACCOUNTS RECEIVABLE. AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE, THE ACCOUNTS ARE CHARGED AGAINST THE ALLOWANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WRITES OFF PATIENT ACCOUNTS RECEIVABLE BALANCES FOR PATIENTS QUALIFYING FOR FINANCIAL AID OR FINANCIAL ASSISTANCE AND DOES NOT MAKE FURTHER COLLECTION EFFORTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFINGHAM HOSPITAL, INC. COMPLETED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN JUNE 2022. BOTH THE 2019 AND 2022 CHNA AND IS REPORTS MAY BE FOUND AT - HTTPS://WWW.EFFINGHAMHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT- IMPLEMENTATION-PLAN/. IN ADDITION TO THE FORMAL CHNA, INPUT IS PERIODICALLY PROVIDED BY MEMBERS OF THE COMMUNITY, THE MEDICAL STAFF AND OTHERS THROUGHOUT THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD HAS CLEARLY WRITTEN INDIGENT AND FINANCIAL AID POLICIES THAT ARE AVAILABLE ON THE ORGANIZATION WEB SITE AND THROUGH THE BUSINESS OFFICE. SIGNS ARE PROMINENTLY POSTED ON THE AVAILABILITY OF FREE AND FINANCIAL AID. PATIENT EDUCATION ON THE ORGANIZATION'S INDIGENT AND FINANCIAL AID PROGRAMS ARE 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 OUR CUSTOMER SERVICE 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 OUR FINANCIAL ASSISTANCE PROGRAM AND POLICIES. PATIENT STATEMENTS HIGHLIGHT THE ORGANIZATION'S CHARITY PROGRAM AND ENCOURAGE PATIENTS TO CALL FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFINGHAM COUNTY IS NESTLED BETWEEN THE OGEECHEE AND SAVANNAH RIVERS JUST NORTH OF GEORGIA'S FIRST CITY, SAVANNAH. EFFINGHAM IS STEEPED IN TRADITION AND HERITAGE AS ONE OF GEORGIA'S ORIGINAL COUNTIES, YET WE ARE KEEPING PACE WITH THE MOST MODERN AMENITIES, SOLID PLANNING AND AN EYE ON OUR BRIGHT FUTURE. EFFINGHAM COUNTY BOASTS ONE OF THE FASTEST GROWTH RATES IN THE STATE OF GEORGIA. WITH THE INFLUX OF NEW RESIDENTS WE MAINTAIN OUR HOME TOWN ATMOSPHERE WITH ALL THE CONVENIENCES OF A RURAL SUBURB. AS OF 2021, THE POPULATION WAS 66,741. THE COUNTY SEAT IS SPRINGFIELD. EFFINGHAM COUNTY IS INCLUDED IN THE SAVANNAH METROPOLITAN AREA. OTHER FACTS FROM THE CHNA - MEDIAN HOUSEHOLD INCOME IS 67,050; 8% OF THE COUNTY POPULATION IS LIVING IN POVERTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION AND ALL ITS VOLUNTEER BOARD ARE COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS. OUR EMERGENCY DEPARTMENT HAS 24/7 PHYSICIAN COVERAGE AND IS OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS IN THE REGION. ANY SURPLUS OF FUNDS IS REINVESTED INTO THE OPERATIONS AND CAPITAL BUDGET OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>GEORGIA</ExplanationTxt>
      </SupplementalInformationDetail>
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        <TitleTxt>EXEC DIR AMBULATORY</TitleTxt>
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        <BonusFilingOrganizationAmount>3076</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>8307</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>191721</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN SALINAS</PersonNm>
        <TitleTxt>INTERIM CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>181678</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>2900</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>184578</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAMONA LANCASTER- EPPS</PersonNm>
        <TitleTxt>DON OF CARE CTR</TitleTxt>
        <BaseCompensationFilingOrgAmt>150235</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3371</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>24091</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>177697</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICK GARLAND</PersonNm>
        <TitleTxt>PHYSICIANS ASSISTANT</TitleTxt>
        <BaseCompensationFilingOrgAmt>165759</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8307</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>174066</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER MATTHEWS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>166875</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>171875</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS/INCENTIVES: BONUS COMPENSATION IS AWARDED BASED ON REACHING MULTIPLE ORGANIZAIONAL AND INDIVIDUAL GOALS, ALL OF WHICH ARE EXPRESSLY CONTINGENT UPON ACHIEVING A TARGETED OPERATING BUDGET.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc8">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>EFFINGHAM COUNTY HOSPITAL AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>581036643</BondIssuerEIN>
        <CUSIPNum>NONENONEN</CUSIPNum>
        <BondIssuedDt>2022-07-20</BondIssuedDt>
        <IssuePriceAmt>29785000</IssuePriceAmt>
        <PurposeDesc>REFUNDING AND NEW CONSTRUCTION</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>2664000</RetiredAmt>
        <TotalProceedsAmt>29785000</TotalProceedsAmt>
        <RefundingEscrowAmt>24170046</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>331060</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>4744932</OtherSpentProceedsAmt>
        <UnspentAmt>538962</UnspentAmt>
        <SubstantialCompletionYr>2010</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</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>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFINGHAM COUNTY HOSPITAL AUTHORITY REFUNDING AND NEW CONSTRUCTION</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>ON NOVEMBER 1, 2016, PURSUANT TO A LEASE AND TRANSFER AGREEMENT, THE AUTHORITY IMPLEMENTED A REORGANIZATION PLAN TO LEASE ITS FACILITIES AND TRANSFER ITS OPERATING ASSETS, AS DEFINED IN THE AGREEMENT, TO EFFINGHAM HOSPITAL, INC., A 501(C)(3)NONPROFIT CORPORATION. EFFINGHAM HOSPITAL, INC. SHARES THE SAME BOARD OF DIRECTORS AS THE AUTHORITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE BOARD OF DIRECTORS OF THE HOSPITAL SHALL AT ALL TIMES BE THE MEMBERS OF THE HOSPITAL AUTHORITY OF EFFINGHAM COUNTY (AUTHORITY) BOARD AND TERMS OF THE OFFICE OF THE MEMBERS OF THE BOARD OF DIRECTORS SHALL BE COTERMINOUS WITH THE TERMS OF OFFICE OF THE AUTHORITY BOARD MEMBERS. AUTHORITY BOARD OF DIRECTORS ARE APPOINTED/NOMINATED BY THE BOARD OF COMMISSIONERS OF EFFINGHAM COUNTY, GEORGIA (COUNTY).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD IS APPOINTED/NOMINATED BY THE BOARD OF COUNTY COMMISSIONERS OF EFFINGHAM COUNTY, GEORGIA. DEBT THAT WILL BE GUARANTEED BY THE COUNTY CANNOT BE ISSUED WITHOUT THE COUNTY'S APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CEO, AND CFO REVIEW THE FORM 990 FOR FINANCIAL AND DISCLOSURE ACCURACY. PRIOR TO ITS FILING, A COPY OF THE ORGANIZATION'S 990 RETURN IS DISTRIBUTED TO CURRENT VOTING BOARD MEMBERS FOR FURTHER REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION EXPECTS AND DEMANDS ETHICAL CONDUCT AND COMPLIANCE WITH ALL LAWS BY ITS EMPLOYEES, OFFICERS, DIRECTORS, AND OTHER AGENTS. EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD- DELEGATED POWERS SHALL ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE TO THE BOARD OR COMMITTEE DESIGNATED BY THE BOARD THE EXISTENCE OF HIS OR HER POTENTIAL CONFLICT. THE INTERESTED PERSON MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OR COMMITTEE WITH BOARD DELEGATED POWERS CONSIDERING OR INVOLVED WITH THE CURRENT OR PROPOSED TRANSACTION, BUSINESS RELATIONSHIP, OR ARRANGEMENT. WHETHER A CONFLICT EXISTS OR DOES NOT EXIST SHALL BE DETERMINED BY A MAJORITY OF THE BOARD'S OR COMMITTEE'S DISINTERESTED MEMBERS. IF THE BOARD OR COMMITTEE DECIDES THAT A CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT CAUSED THE CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO COMPENSATION WAS DETERMINED VIA A THIRD PARTY REVIEW INITIATED BY THE BOARD OF DIRECTORS AND LEGAL COUNSEL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC WHEN THE REQUEST IS MADE AT THE ADMINISTRATIVE OFFICE OF THE FILING CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT LABOR 89,528 0 0 PROFESSIONAL FEES 2,892,574 0 0 PURCHASED SERVICES 11,231,307 1,992,741 0 CONSULTING SERVICES 420,387 0 0 TOTAL 14,633,796 1,992,741 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc10">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EFFINGHAM COUNTY HOSPITAL AUTHORITY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>459 HIGHWAY 119 SOUTH</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31329</ZIPCd>
        </USAddress>
        <EIN>581036643</EIN>
        <PrimaryActivitiesTxt>AUTHORITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>6</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>