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            <CityNm>NORTH LITTLE ROCK</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72118</ZIPCd>
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        <ServicesDesc>Agency Labor Firm</ServicesDesc>
        <CompensationAmt>4775603</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ATRIUM HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>Charlotte</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28232</ZIPCd>
          </USAddress>
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        <ServicesDesc>Management Firm</ServicesDesc>
        <CompensationAmt>4146716</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75397</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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        <CostAccountingSystemInd>X</CostAccountingSystemInd>
      </CostingMethodologyUsedGrp>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
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        </BusinessName>
        <USAddress>
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          <CityNm>Whiteville</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28472</ZIPCd>
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        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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        <HowDataObtainedInd>X</HowDataObtainedInd>
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        <ConsultingProcessInd>X</ConsultingProcessInd>
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        <OwnWebsiteURLTxt>HTTP://WWW.CRHEALTHCARE.ORG/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-AS SESSMENT/</OwnWebsiteURLTxt>
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        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtFreeCarePct>150.0</FPGFamilyIncmLmtFreeCarePct>
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        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - COLUMBUS REGIONAL HEALTHCARE SYSTEM. IN THE SPRING OF 2022, COLUMBUS REGIONAL HEALTHCARE SYSTEM STAFF IN COLLABORATION WITH STAKEHOLDERS IN COLUMBUS COUNTY CONVENED A WELLNESS INITIATIVE TO REVIEW OBSTACLES TO HEALTH AND PHYSICAL NEEDS OF RESIDENTS IN OUR COUNTY. THIS EFFORT FOCUSED ON ASSESSING COMMUNITY HEALTH NEEDS, LOCAL HEALTH RESOURCES, BARRIERS TO CARE, GAPS IN SERVICES, AND TRENDS REGARDING HEALTH AND HEALTHY LIFESTYLES AND TO SEEK FUNDS TO ADDRESS STRATEGIES DEVELOPED DURING THIS PROCESS. THE CHNA WILL BE UTILIZED TO DOCUMENT COMMUNITY NEED AND LINK THOSE NEEDS TO BENEFIT COMMUNITY EFFORTS THROUGH PARTNERSHIPS WITH LOCAL HEALTH RESOURCES. THE NEEDS ASSESSMENT WILL BE UTILIZED TO ASSIST THE HOSPITAL IN PLANNING AND PRIORITIZING ITS COMMUNITY BENEFIT INVESTMENTS. THE ASSEMBLED TASK FORCE MET TO DISCUSS QUESTIONS TO BE INCLUDED ON THE SURVEY AND HOW THE SURVEY SHOULD BE DISSEMINATED ACROSS THE COUNTY. DURING THE FIRST MEETING OF THIS GROUP IT WAS DETERMINED THAT WE NEEDED A THIRD PARTY FACILITATOR TO ENSURE THE PROCESS WAS COMPREHENSIVE AND WAS OPEN TO ALL RESIDENTS. MDC-RURAL FORWARD AGREED TO TAKE ON THIS TASK AND HAS BEEN INVOLVED IN DEVELOPING AGENDAS, MEETING TIMES AND STAKEHOLDERS. OUR COUNTY HAS COMPLETED TWO NEEDS ASSESSMENTS IN THE PAST NINE MONTHS. A STUDY OF THE RECREATION NEEDS OF THE COUNTY WAS COMMISSIONED BY TE COUNTY AND HAS BEEN COMPLETED. THE SECOND NEEDS ASSESSMENT WAS FUNDED THROUGH KATE B. REYNOLD AND ADDRESSES THE SUBSTANCE ABUSE/MISUSE ISSUES IN OUR COUNTY AS IS TARGETING SOME OF THE SAME AREAS WE ARE ADDRESSING IN OUR HEALTH ASSESSMENT. THE NEEDS ASSESSMENT IS WORKING WITH THE HOSPITAL AND LOCAL AGENCIES TO DETERMINE HOW TO BEST ALLOCATE FUNDS FROM THE PHARMA SETTLEMENT WHICH WILL AVERAGE 7 MILLION DOLLARS OVER AND 18 YEAR PERIOD. THERE IS CURRENTLY A COLUMBUS COUNTY OPIOID SUBSTANCE ABUSE/MISUSE COALITION MADE UP OF MEMBERS FROM ACROSS THE COUNTY THAT IS ADDRESSING THESE ISSUES. THE CHNA WAS INCORPORATED INTO A SURVEY MONKEY AND PEN AND PAPER SURVEYS WERE PREPARED N BOTH ENGLISH AND SPANISH. A LISTING OF POSSIBLE AGENCIES THAT SHOULD BE INCLUDED IN THE DISSEMINATION OF SURVEYS WAS DEVELOPED. THESE SITES INCLUDED, BUT WERE NOT LIMITED TO: -COLUMBUS REGIONAL HEALTHCARE STAFF -COLUMBUS COUNTY AND WHITEVILLE CITY SCHOOLS -SOUTHEASTERN COMMUNITY COLLEGE FACULTY, STAFF AND STUDENTS -LOCAL PUBLIC LIBRARIES -PHYSICIAN OFFICES -BEHAVIORAL HEALTH CENTERS -DEPARTMENT OF AGING SITES -CIVIC GROUPS SUCH AS ROTARY AND COLUMBUS CHILDREN, YOUTH AND FAMILIES -HISPANIC OUTREACH PROGRAMS -WACCAMAW SIOUAN DEVELOPMENT OFFICE -ALL LAW ENFORCEMENT AGENCIES COLUMBUS REGIONAL HEALTHCARE SYSTEM 56-0538020 -COLUMBUS COUNTY GOVERNMENT -LOCAL TOWN AND CITY GOVERNMENTS -FAITH BASED ORGANIZATIONS -COLUMBUS COUNTY CHAMBER AND TOURISM -INTERNATIONAL PAPER -COLUMBUS COUNTY JOBS FOUNDATION -PRIVATE MEDICAL PRACTICES AND CLINICS -LOCAL CHAMBERS OF COMMERCE (CHADBOURN, TABOR CITY AND FAIR BLUFF) -MINORITY OWNED BARBER SHOPS AND SALONS OUR INTENT WAS TO DISTRIBUTE SURVEYS THROUGHOUT THE COUNTY AND UTILIZE THOSE LISTED ABOVE TO OBTAIN RESPONSES THAT REFLECT THE ENTIRE COMMUNITY. WHITEVILLE, BEING THE LARGEST TOWNSHIP IN THE COUNTY, WAS EXPECTED TO HAVE THE GREATEST RETURN AND THAT WAS REFLECTED IN RESPONSE RATE. AN EFFORT WAS MADE TO REACH UNDERSERVED AREAS OF THE COUNTY AND MEMBERS OF THE COMMITTEE WERE ASKED TO REACH OUT TO IDENTIFY INDIVIDUALS IN THESE AREAS. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SURVEY DEVELOPED FOR THIS ASSESSMENT CYCLE WAS UTILIZED IN ADDITION TO A SURVEY COMPLETED IN THE SUMMER OF 2022 TO ASSESS OPIOID, SUBSTANCE ABUSE AND MISUSE IN COLUMBUS COUNTY. THE OPIOID/SUBSTANCE ABUSE SURVEY WAS IMPLEMENTED THROUGH A JOINT EFFORT BY THE COLUMBUS COUNTY REGIONAL HOSPITAL AND COLUMBUS COUNTY GOVERNMENT. A TASK FORCE APPOINTED BY ADDICTION CONSULTANT TRAINING, LLC FROM CHAPEL HILL AND APPROVED BY THE COLUMBUS COUNTY BOARD OF COMMISSIONERS WILL OVERSEE THE SETTLEMENT FUNDING DESIGNATED FOR OUR COUNTY THROUGH THE BIG PHARMA SETTLEMENT. THIS SURVEY INCLUDED AS A LINK IN THIS DOCUMENT, AND QUESTIONS/COMMENTS GATHERED DURING THIS PROCESS TEND TO VALIDATE ISSUES IDENTIFIED WITH THE CHNA. ALSO INCLUDED AS A LINK IN COLUMBUS REGIONAL HEALTHCARE SYSTEM 56-0538020 THIS DOCUMENT IS THE COMMUNITY RECREATION NEEDS ASSESSMENT, A STUDY CONDUCTED BY THE COLUMBUS COUNTY PARKS AND RECREATION TO RESEARCH STATUS OF ACCESS TO HEALTH AND RECREATION FACILITIES FOR RESIDENTS IN OUR COUNTY. THESE DOCUMENTS VALIDATE MANY OF THE FINDINGS IDENTIFIED THROUGHOUT OUR SURVEY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - COLUMBUS REGIONAL HEALTHCARE SYSTEM. COLUMBUS REGIONAL, COLUMBUS COUNTY HEALTH DEPARTMENT, COLUMBUS COUNTY PARTNERSHIP FOR CHILDREN, COL CO COOPERATIVE EXTENSION, WACCAMAW-SIOUAN TRIBE, LOWER CAPE FEAR</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - COLUMBUS REGIONAL HEALTHCARE SYSTEM. COLUMBUS REGIONAL HEALTHCARE SYSTEM IS ADDRESSING THE FOLLOWING SIGNIFICANT NEEDS THAT WERE IDENTIFIED IN THE MOST RECENT CHNA: -HEART DISEASE AND STROKE: COMMUNITY EDUCATION, CODE STROKE INITIATIVE, EXPANDED RELATIONSHIP WITH CAPE FEAR HEART ASSOCIATES, CARE TRANSITIONS PROGRAM, AND PARTNERSHIP WITH THE COLUMBUS COUNTY FARMERS MARKET -CANCER: INCREASING EDUCATION TO THE COMMUNITY AND IMPLEMENTING CANCER SCREENING PROGRAMS INTO CURRENT COMMUNITY BENEFIT RELATED ACTIVITIES THROUGH THE DONAYRE CARE CENTER AND PARTNERSHIP WITH LEVINE CANCER INSTITUTE -DIABETES: INCREASING EDUCATION AND PARTICIPATING IN AND OFFERING COMMUNITY EVENTS TO PROVIDE FREE SCREENINGS FOR PATIENTS AT RISK FOR THIS CHRONIC DISEASE WHILE OFFERING RESOURCES FOR MANAGEMENT AND TREATMENT OPTIONS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>12</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>advanced primary care - whiteville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>619 JEFFERSON STREET</AddressLine1Txt>
            <CityNm>WHITEVILLE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28472</ZIPCd>
          </USAddress>
          <FacilityTxt>OTHER OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1Txt>advanced imaging - whiteville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>619 JEFFERSON STREET</AddressLine1Txt>
            <CityNm>whitEVILLE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28472</ZIPCd>
          </USAddress>
          <FacilityTxt>DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BALDWIN WOODS DIAGNOSTICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>619 JEFFERSON STREET</AddressLine1Txt>
            <CityNm>WHITEVILLE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28472</ZIPCd>
          </USAddress>
          <FacilityTxt>DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>advanced urology - whiteville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>320 JEFFERSON STREET</AddressLine1Txt>
            <CityNm>WHITEVILLE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28472</ZIPCd>
          </USAddress>
          <FacilityTxt>OTHER OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>advanced ORTHOPEDICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>701 JEFFERSON STREET</AddressLine1Txt>
            <CityNm>WHITEVILLE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28472</ZIPCd>
          </USAddress>
          <FacilityTxt>OTHER OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>advanced pediatrics</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>36 mcneill plaza</AddressLine1Txt>
            <CityNm>whiteVILLE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28472</ZIPCd>
          </USAddress>
          <FacilityTxt>OTHER OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>advanced urology - leland</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>144 poole rd suite 102</AddressLine1Txt>
            <CityNm>leland</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28451</ZIPCd>
          </USAddress>
          <FacilityTxt>OTHER OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>advanced primary care - leland</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>509 olde waterford way suite 305</AddressLine1Txt>
            <CityNm>leland</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28451</ZIPCd>
          </USAddress>
          <FacilityTxt>OTHER OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>advanced ortHOPEDICS - leland</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>509 olde waterford way suite 305</AddressLine1Txt>
            <CityNm>leland</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28451</ZIPCd>
          </USAddress>
          <FacilityTxt>OTHER OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>baldwin woods OBGYN advanced women's ca</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>221 jefferson street</AddressLine1Txt>
            <CityNm>whiTEVILLE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28472</ZIPCd>
          </USAddress>
          <FacilityTxt>OTHER OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
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          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14508 james b white hwy s</AddressLine1Txt>
            <CityNm>tabor city</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28463</ZIPCd>
          </USAddress>
          <FacilityTxt>OTHER OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>advanced imaging - leland</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>509 olde waterford way suite 305</AddressLine1Txt>
            <CityNm>leland</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28451</ZIPCd>
          </USAddress>
          <FacilityTxt>OTHER OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>18915048</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MULTIPLIED BAD DEBT EXPENSE BY THE COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE FOOTNOTE ON BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Columbus Regional Healthcare System: Line 16a URL: HTTP://WWW.CRHEALTHCARE.ORG/PATIENTS-VISITORS/CRHS-FINANCIAL-ASSISTANCE/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Columbus Regional Healthcare System: Line 16b URL: HTTP://WWW.CRHEALTHCARE.ORG/PATIENTS-VISITORS/CRHS-FINANCIAL-ASSISTANCE/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Columbus Regional Healthcare System: Line 16c URL: HTTP://WWW.CRHEALTHCARE.ORG/PATIENTS-VISITORS/CRHS-FINANCIAL-ASSISTANCE/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>CRHS COMPLETES A NEEDS ASSESSMENT EVERY THREE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>A PATIENT PRESENTED AS SELF PAY IS ASKED TO SPEAK WITH A FINANCIAL COUNSELOR OR THE CONTRACTED MEDICAID ELIGIBILITY SPECIALIST WHO WILL EVALUATE FOR MEDICAID ELIGIBILITY. IF NOT ELIGIBLE FOR MEDICAID, CHARITY CARE GUIDELINES ARE REVIEWED WITH PATIENT AND PROCESSED AS NEEDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PERIODIC COMMUNITY NEEDS ASSESSMENT PERFORMED TAKES INTO ACCOUNT GEOGRAPHIC AND DEMOGRAPHIC DATA FOCUSED ON CONSTITUENCY IN COLUMBUS COUNTY AND THE SURROUNDING APPLLICABLE COUNTIES IN THE REGION. DATA PARTS INCLUDE AGE, GENDER, MIGRATION TRENDS, THE ECONOMIC ENVIRONMENT, ETC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY BY EXTENDING MEDICAL STAFF PRIVILEDGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR MOST OF ITS DEPARTMENTS. THE SURPLUS OF FUNDS, IF ANY, ARE USED TO PURCHSE MEDICAL EQUIPMENT AND IMPROVING PATIENT CARE. THE ORGANIZATION'S BOARD IS COMPRISED OF MOSTLY UNREALTED, LOCAL RESIDENTS TO ENSURE THAT THE VOICE OF COMMUNITY IS HEARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>NC</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>W Jason Beck</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rachel Dunbar</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeffrey Savage</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
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        <PersonNm>Robin Hodge</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>Gloria Miller</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Heather Hinson</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Dicks</PersonNm>
        <TitleTxt>RN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>227341</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Travel for companions</FormAndLineReferenceDesc>
        <ExplanationTxt>TRAVEL EXPENSES RELATED TO ANNUAL BOARD RETREAT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BONUS IS BASED ON PERFORMANCE IN QUALITY, PATIENT SERVICE, TEAMMATE ENGAGEMENT, AND STRATEGIC GROWTH INITIATIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>Bonuses are discretionary and based on key performance indicators and quality measures.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <IssuerName>
          <BusinessNameLine1Txt>North Carolina Medical Care Commission</BusinessNameLine1Txt>
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        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
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        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
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        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
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        <Form8038TFiledInd>true</Form8038TFiledInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
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        <FormAndLineReferenceDesc>Schedule K, Part I, Column (f)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSE OF THE SERIES 2013A BONDS ARE TO: 1. PAY OR REIMBURSE THE SYSTEM FOR PAYING, A PORTION OF THE COST OF THE PROJECT, 2. REFINANCE CERTAIN INDEBTEDNESS INCURRED ON BEHALF OF THE SYSTEM, 3. FUND A DEBT SERVICE RESERVE FUND, AND 4. PAY CERTAIN EXPENSES OF ISSUING THE 2013A BONDS.</ExplanationTxt>
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    </IRS990ScheduleK>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE CEO AND CFO ARE DETERMINED BY atrium health BY EXTERNAL INFORMATION EACH YEAR. THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE COMPENSATION. THE BOARD OF TRUSTEES CONSIDERS RECOMMENDATIONS BASED ON AVAILABLE MARKET DATA AS THEY REVIEW AND APPROVE COMPENSATION FOR OTHER MEMBERS OF CRHS EXECUTIVE STAFF ON AN ANNUAL BASIS. ALL DECISIONS REGARDING COMPENSATION ARE DOCUMENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS UTILIZING PART VII AND SCHEDULE J OF THE FORM 990 TO REPORT THE COMPENSATION PAID TO THE CEO AND CFO BY THE MANAGEMENT COMPANY FOR SERVICES PROVIDED TO THE FILING ORGANIZATION. THE COMPENSATION HAS BEEN REPORTED IN THE FILING ORGANIZATION'S COMPENSATION COLUMNS. A RENEWAL TO THE MSA WAS APPROVED BY THE SYSTEM IN FISCAL YEAR 2021 FOR A PERIOD OF FIVE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 3 Delegation of management duties</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECTIVE NOVEMBER 26, 2007, CRHS ENTERED INTO A NINE-YEAR MANAGEMENT SERVICES AGREEMENT WITH THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY WHICH DOES BUSINESS AS ATRIUM HEALTH TO MANAGE THE SYSTEM ON A DAY-TO-DAY BASIS. A RENEWAL TO THE MSA WAS APPROVED BY THE SYSTEM IN FISCAL YEAR 2021 FOR A PERIOD OF FIVE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION'S AFFAIRS SHALL BE MANAGED BY A BOARD OF DIRECTORS ("BOARD") COMPOSED OF NOT LESS THAN THREE (3) DIRECTORS. THE BOARD SHALL HAVE, AND MAY EXERCISE, ANY AND ALL POWERS PROVIDED BY LAW AND IN THE ARTICLES OF INCORPORATION THAT ARE NECESSARY OR CONVENIENT TO CARRY OUT THE PURPOSES OF THE CORPORATION, AND WHICH SUPPORT AND FURTHER THE PURPOSES OF THE CORPORATION AS ESTABLISHED IN THESE BYLAWS. EXCEPT FOR RESIGNATIONS, REMOVALS, OR DEATH, EACH DIRECTOR DULY NOMINATED AND ELECTED SHALL HOLD OFFICE UNTIL HIS SUCCESSOR IS NOMINATED, ELECTED, AND QUALIFIED BY ATTENDING A MEETING AND BEING DULY RECOGNIZED AND PLACED ON THE OFFICIAL RECORDS OF THE CORPORATION BY THE SECRETARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTORS SHALL BE ELECTED BY THE AFFIRMATIVE VOTE OF THE BOARD OF DIRECTORS OF COLUMBUS REGIONAL HEALTHCARE SYSTEM. THE DIRECTORS OF THE CORPORATION EACH SHALL SERVE A THREE (3) YEAR TERM OF OFFICE FROM THE TIME OF ELECTION, WHICH TERM SHALL COMMENCE ON THE DAY OF THEIR ELECTION. DIRECTORS OF THE BOARD SHALL BE ELIGIBLE TO SERVE FOUR (4) SUCCESSIVE TERMS OF THREE (3) YEARS EACH, SUBJECT TO THE PROVISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN POWERS SHALL BE RESERVED EXCLUSIVELY UNTO THE SOLE MEMBER OF THE CORPORATION, COLUMBUS REGIONAL HEALTHCARE SYSTEM, WHICH SHALL EXERCISE SUCH POWERS IN ACCORDANCE WITH LAW AND THE AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS OF ITS BOARD OF DIRECTORS, AS THEN CONSTITUTED; SUCH POWERS TO BE: (1) TO MERGE OR CONSOLIDATE THE CORPORATION WITH ANY OTHER NONPROFIT CORPORATION; (2) TO ACQUIRE OR CREATE ANOTHER CORPORATION; (3) TO MAKE A CAPITAL EXPENDITURE OVER A SPECIFIED DOLLAR LIMIT TO BE ESTABLISHED FROM TIME TO TIME BY THE SOLE MEMBER; (4) TO SELL CAPITAL ASSETS VALUED OVER A SPECIFIED DOLLAR LIMIT TO BE ESTABLISHED FROM TIME TO TIME BY THE SOLE MEMBER; (5) TO APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS; (6) PERMISSION TO DISSOLVE THE CORPORATION; AND (7) TO APPOINT THE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS AS PROVIDED IN ARTICLE III, SECTION 2 AND 4 HEREOF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S 990 WAS REVIEWED BY MANAGEMENT AND PROVIDED TO THE MEMBERS OF THE BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES COMPLETES A CONFLICT OF INTEREST FORM ANNUALLY. ALL EMPLOYEES AT ORIENTATION AND ANNUALLY, DURING HEALTH AND SAFETY EDUCATION ARE SURVEYED REGARDING ANY SITUATIONS THAT MAY CONSTITUTE AS A CONFLICT OF INTEREST. ANY EMPLOYEE FORMS WITH AN AFFIRMATIVE RESPONSE ARE FORWARDED TO THE COMPLIANCE OFFICER FOR REVIEW. THE BOARD OF TRUSTEES FORMS ARE SUBMITTED TO THE COMPLIANCE OFFICER FOR REVIEW AS WELL. ANY QUESTIONS OR CONCERNS ARE DISCUSSED WITH CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>CRHS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE CONFLICT OF INTEREST STATEMENT IS AVAILABILE IN PATIENT LITERATURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Purchased Services - Total Expense: 19755968, Program Service Expense: 16608737, Management and General Expenses: 3147231, Fundraising Expenses: ; Contract Labor - Total Expense: 9608282, Program Service Expense: 8708698, Management and General Expenses: 899584, Fundraising Expenses: ; Consulting Fees - Total Expense: 1182239, Program Service Expense: 393695, Management and General Expenses: 788544, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets - -167108;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>COLUMBUS REGIONAL SAME DAY SURGERY CENTER LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>500 JEFFERSON STREET</AddressLine1Txt>
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          <StateAbbreviationCd>NC</StateAbbreviationCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>COLUMBUS REGIONAL DIAGNOSTICS</BusinessNameLine1Txt>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
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