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        <TitleTxt>EVP &amp; COO</TitleTxt>
        <AverageHoursPerWeekRt>19.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>21.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>219956</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>251647</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28801</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICK KAYLOR</PersonNm>
        <TitleTxt>GPS PRESIDENT &amp; SVP SYSTEM DEVELOP.</TitleTxt>
        <AverageHoursPerWeekRt>19.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>21.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>180450</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>206449</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23224</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PHILIP DULBERGER</PersonNm>
        <TitleTxt>SVP &amp; CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>19.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>21.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>272028</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>311223</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40809</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES F HARPER</PersonNm>
        <TitleTxt>SVP &amp; CHIEF HUMAN RESOURCE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>19.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>21.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>141770</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>162196</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30798</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAM MAXWELL</PersonNm>
        <TitleTxt>SVP &amp; CHIEF NURSING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>19.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>21.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>129413</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>148058</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33292</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARY METCALFE</PersonNm>
        <TitleTxt>VP SUPPLY CHAIN &amp; SUPPORT SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>19.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>21.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>113359</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>129692</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18677</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN LAROCHELLE</PersonNm>
        <TitleTxt>VP OF OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>19.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>21.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>100122</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>114548</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39656</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERRY KISER</PersonNm>
        <TitleTxt>FORMER EVP &amp; CFO</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>126128</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>144301</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7146</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD ROWLAND</PersonNm>
        <TitleTxt>FORMER SVP &amp; CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>171552</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>196270</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36619</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIRGINIA HUNT</PersonNm>
        <TitleTxt>FORMER MUSC AFFILIATION EXECUTIVE</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>148525</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>169925</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24026</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2186000</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>2406431</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>339789</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>75</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>1</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROBINS &amp; MORTON</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>400 SHADES CREEK PKWY</AddressLine1Txt>
            <CityNm>BIRMINGHAM</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>35209</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>19879715</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COASTAL STRUCTURES CORPORATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 937</AddressLine1Txt>
            <CityNm>GEORGETOWN</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29442</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>6545648</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SODEXO INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 536922</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30353</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD &amp; HOUSEKEEPING</ServicesDesc>
        <CompensationAmt>3968164</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PALMETTO EMERGENCY PHYSICIANS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>86 SHOREBIRD LOOP</AddressLine1Txt>
            <CityNm>PAWLEYS ISLAND</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29585</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMERGENCY PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>3822403</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NELSON MULLINS RILEY &amp; SCARBOROUGH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 11009</AddressLine1Txt>
            <CityNm>COLUMBIA</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29211</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>1900818</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>65</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>139477</FundraisingAmt>
      <AllOtherContributionsAmt>3292588</AllOtherContributionsAmt>
      <TotalContributionsAmt>3432065</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>153462016</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>153462016</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FITNESS CENTER</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1679529</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1679529</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>1388872</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1388872</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER RELATED SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>386968</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>386968</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEALS</Desc>
        <BusinessCd>722210</BusinessCd>
        <TotalRevenueColumnAmt>358673</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>358673</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>142642</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>142642</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>157418700</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3341253</TotalRevenueColumnAmt>
        <ExclusionAmt>3341253</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>1218617</RealAmt>
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      <LessRentalExpensesGrp>
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      <RentalIncomeOrLossGrp>
        <RealAmt>1218617</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1218617</TotalRevenueColumnAmt>
        <ExclusionAmt>1218617</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2389225</SecuritiesAmt>
        <OtherAmt>162645</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>2389225</SecuritiesAmt>
        <OtherAmt>162645</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>2551870</TotalRevenueColumnAmt>
        <ExclusionAmt>2551870</ExclusionAmt>
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      <FundraisingDirectExpensesAmt>54473</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-40213</TotalRevenueColumnAmt>
        <ExclusionAmt>-40213</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>41767</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>35298</CostOfGoodsSoldAmt>
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        <TotalRevenueColumnAmt>6469</TotalRevenueColumnAmt>
        <ExclusionAmt>6469</ExclusionAmt>
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        <Desc>PENSION TERMINATION REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>546588</TotalRevenueColumnAmt>
        <ExclusionAmt>546588</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>DISCOUNTS/REBATES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>62389</TotalRevenueColumnAmt>
        <ExclusionAmt>62389</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>EDUCATION INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1350</TotalRevenueColumnAmt>
        <ExclusionAmt>1350</ExclusionAmt>
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      <OtherRevenueTotalAmt>610327</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>168539088</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>157418700</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <ProgramServicesAmt>322693</ProgramServicesAmt>
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        <TotalAmt>983103</TotalAmt>
        <ManagementAndGeneralAmt>983103</ManagementAndGeneralAmt>
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        <TotalAmt>26701</TotalAmt>
        <ManagementAndGeneralAmt>26701</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>41517308</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12935897</ManagementAndGeneralAmt>
        <FundraisingAmt>226025</FundraisingAmt>
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        <ProgramServicesAmt>875173</ProgramServicesAmt>
        <ManagementAndGeneralAmt>291801</ManagementAndGeneralAmt>
        <FundraisingAmt>4765</FundraisingAmt>
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        <ProgramServicesAmt>7552827</ProgramServicesAmt>
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        <FundraisingAmt>41118</FundraisingAmt>
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        <ProgramServicesAmt>2841881</ProgramServicesAmt>
        <ManagementAndGeneralAmt>947543</ManagementAndGeneralAmt>
        <FundraisingAmt>15472</FundraisingAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>1745749</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>66035</ManagementAndGeneralAmt>
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      <FeesForServicesProfFundraising>
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        <FundraisingAmt>62400</FundraisingAmt>
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        <TotalAmt>5916</TotalAmt>
        <FundraisingAmt>5916</FundraisingAmt>
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        <ManagementAndGeneralAmt>298789</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2008278</ProgramServicesAmt>
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        <ProgramServicesAmt>375576</ProgramServicesAmt>
        <ManagementAndGeneralAmt>374629</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1692813</ProgramServicesAmt>
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        <ProgramServicesAmt>13794286</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>680377</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>39357000</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>11789419</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>329910</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>135304</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117729</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>127914442</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22958019</ManagementAndGeneralAmt>
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        <EOYAmt>4190</EOYAmt>
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        <EOYAmt>20025138</EOYAmt>
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        <EOYAmt>5071718</EOYAmt>
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        <EOYAmt>4457001</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>340704606</LandBldgEquipCostOrOtherBssAmt>
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        <EOYAmt>176954768</EOYAmt>
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        <EOYAmt>142301670</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>533838</EOYAmt>
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        <BOYAmt>1571658</BOYAmt>
        <EOYAmt>3636223</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>370972177</BOYAmt>
        <EOYAmt>395921974</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>22038343</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>98768448</EOYAmt>
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        <BOYAmt>47983183</BOYAmt>
        <EOYAmt>56320206</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>150099637</BOYAmt>
        <EOYAmt>177126997</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>218583735</BOYAmt>
        <EOYAmt>216367948</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>2288805</BOYAmt>
        <EOYAmt>2427029</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>220872540</BOYAmt>
        <EOYAmt>218794977</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>370972177</BOYAmt>
        <EOYAmt>395921974</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>17259919</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>2409950</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-21747432</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>1838</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>1838</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS A MEMBER OF BOTH THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE SOUTH CAROLINA HOSPITAL ASSOCIATION (SCHA). THESE ORGANIZATIONS ENGAGE IN LOBBYING FOR THE BENEFIT OF THEIR MEMBERSHIP BODIES, AND A PORTION OF THE MEMBERSHIP DUES PAID TO THE ORGANIZATIONS IS ATTRIBUTABLE TO LOBBYING EXPENDITURES. FOR THE YEAR, THE PORTION OF DUES ATTRIBUTABLE TO LOBBYING EXPENDITURES WAS $1,838 FOR SCHA.</ExplanationTxt>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>22113859</OtherCostOrOtherBasisAmt>
        <BookValueAmt>22113859</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>173489417</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>64621378</DepreciationAmt>
        <BookValueAmt>108868039</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3912573</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2971474</DepreciationAmt>
        <BookValueAmt>941099</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>132124347</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>96156986</DepreciationAmt>
        <BookValueAmt>35967361</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>9064410</OtherCostOrOtherBasisAmt>
        <BookValueAmt>9064410</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>176954768</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS</Desc>
        <Amt>3000000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATE</Desc>
        <Amt>53320206</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>56320206</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>137412187</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>2409950</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>2409950</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>135002237</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>33536851</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>33536851</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>168539088</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>139489750</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>139489750</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>11789419</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>11789419</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>151279169</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GEORGETOWN MEMORIAL HOSPITAL HAS BEEN GRANTED EXEMPTION FROM INCOME TAXES AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. THE HOSPITAL HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT NET WITH REVENUE 11,789,419. EQUITY TRANSFER 21,747,432.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT NET WITH REVENUE 11,789,419.</ExplanationTxt>
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    </IRS990ScheduleD>
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      <MailSolicitationsInd>X</MailSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <AgrmtProfFundraisingActyInd>1</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>PRIDE PHILANTHROPY</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>885 WOODSTOCK RD STE 430</AddressLine1Txt>
          <CityNm>ROSWELL</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>300752374</ZIPCd>
        </USAddress>
        <ActivityTxt>CAPITAL CAMPAIGN</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>2043612</GrossReceiptsAmt>
        <RetainedByContractorAmt>62400</RetainedByContractorAmt>
        <NetToOrganizationAmt>1981212</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>2043612</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>62400</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>1981212</TotalNetToOrganizationAmt>
      <FundraisingEventInformationGrp>
        <Event1Nm>BREAST CANCER AWARENESS WALK &amp; DUCK</Event1Nm>
        <GrossReceiptsEvent1Amt>100287</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>100287</CharitableContriEvent1Amt>
        <NonCashPrizesEvent1Amt>700</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>1778</RentFacilityCostsEvent1Amt>
        <EntertainmentEvent1Amt>1263</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>24219</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GOLF TOURNAMENT</Event2Nm>
        <GrossReceiptsEvent2Amt>53450</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>39190</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>14260</GrossRevenueEvent2Amt>
        <NonCashPrizesEvent2Amt>9844</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>7859</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>1344</FoodAndBeverageEvent2Amt>
        <OtherDirectExpensesEvent2Amt>7466</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>153737</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>139477</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>14260</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>10544</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>9637</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>1344</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>1263</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>31685</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>54473</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-40213</NetIncomeSummaryAmt>
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      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>0</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>5083346</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1027247</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4056099</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02930</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>16155111</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>14828257</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1326854</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00960</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>21238457</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>15855504</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5382953</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03890</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>1888294</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>154810</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1733484</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01250</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>132697</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>132697</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00100</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>410504</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>66528</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>343976</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00250</TotalExpensePct>
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      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>2431495</TotalCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>2210157</NetCommunityBenefitExpnsAmt>
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      <TotalCommunityBenefitsGrp>
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        <DirectOffsettingRevenueAmt>16076842</DirectOffsettingRevenueAmt>
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      <WorkforceDevelopmentGrp>
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        <NetCommunityBenefitExpnsAmt>133150</NetCommunityBenefitExpnsAmt>
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      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>133150</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>133150</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00100</TotalExpensePct>
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      <BadDebtExpenseReportedInd>0</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>5133149</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>2300152</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>62879913</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>67636271</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-4756358</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>GEORGETOWN MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>606 BLACK RIVER ROAD</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29440</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>MEDICARE DISPROPORTIONATE SHARE HOSPITAL</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>GEORGETOWN MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</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>
        <CHNAConductedYr>15</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>15</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GEORGETOWN MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: THROUGH TWO SURVEYS, TIDELANDS SOLICITED THE INPUT OF INDIVIDUALS FALLING INTO FIVE CATEGORIES: 1) PUBLIC HEALTH EXPERTISE, 2) DEPARTMENTS AND AGENCIES, 3) PRIORITY POPULATION LEADERS/REPRESENTATIVES, 4) REPRESENTATIVES OF CHRONIC DISEASE GROUPS, 5) OTHER INDIVIDUALS, VOLUNTEERS, CIVIC LEADERS, OR MEDICAL PERSONNEL THAT REPRESENT THE BROAD INTEREST OF THE COMMUNITY. THIRTY THREE INDIVIDUALS REPRESENTING THESE FIVE AREAS OF EXPERTISE COMPLETED THE SURVEYS. IN ADDITION, A MEETING ON THE TCCN ADVISORY COMMITTEE WAS HELD TO OFFER FEEDBACK ON HEALTH ISSUES AND FACTORS IMPACTING HEALTH TO GAIN THE PERSPECTIVE OF COMMUNITY MEMBERS. MEMBERS OF TIDELANDS HEALTH, THE LOCAL FQHC, THE FREE CLINIC, AND DHEC MET TO DEVELOP THE CHNA IMPLEMENTATION PLAN.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GEORGETOWN MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: WACCAMAW COMMUNITY HOSPITAL</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GEORGETOWN MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: QUORUM HEALTH RESOURCES PROVIDED THE EXPERTISE TO COMPLETE THE CHNA IN PARTNERSHIP WITH TIDELANDS HEALTH REPRESENTATIVES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GEORGETOWN MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: ALL TCCN PARTNERS WERE SENT AN ELECTONIC COPY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GEORGETOWN MEMORIAL HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: TIDELANDS PRESENTED THE CHNA FINDINGS AND IMPLEMENTATION PLAN TO THE TCCN PARTNERS GROUP, WHICH INCLUDES LEADERSHIP FROM MULTIPLE COMMUNITY AND MEDICAL PARTNERS, INCLUDING DHEC. STRATEGIES TO ADDRESS THE TOP FIVE SIGNIFICANT NEEDS WERE DISCUSSED. 1) AFFORDABILITY/ACCESSIBILITY: TIDELANDS COMMUNITY CARE NETWORK (TCCN) CONTINUES TO ENABLE INDIVIDUALS WITH BARRIERS TO ACCESSING CARE AFFORDABLE AND ACCESSIBLE TREATMENT. 2) MENTAL HEALTH/SUBSTANCE ABUSE: PARTNERSHIPS WITH GEORGETOWN COUNTY ALCOHOL AND DRUG AND WACCAMAW MENTAL HEALTH ARE IN PLACE. MENTAL HEALTH SERVICES ARE OFFERED TO QUALIFYING TCCN PARTICIPANTS AT NO CHARGE. TIDELANDS HAS PARTNERED WITH WACCAMAW MENTAL HEALTH TO COST SHARE A BEHAVIORAL HEALTH SPECIALIST TO WORK IN TIDELANDS HEALTH EMERGENCY DEPARTMENTS. 3) OBESITY: TIDELANDS CONTINUES TO SCREEN AND PROVIDE EDUCATION TO INDIVIDUALS AT COMMUNITY EVENTS AND THROUGH EDUCATION TO TCCN PARTICIPANTS AND HOSPITAL PATIENTS. TCCN HAS ALSO PARTNERED WITH LOCAL INDUSTRIES TO PROVIDE CARE PATHWAYS AND EDUCATION REGARDING OBESITY. LACTATION EDUCATION IS ALSO EMPHASIZED AS OBESITY PREVENTION. 4) DIABETES: TIDELANDS CONTINUES TO SCREEN AND PROVIDE EDUCATION TO INDIVIDUALS AT COMMUNITY EVENTS AND THROUGH EDUCATION TO TCCN PARTICIPANTS AND HOSPITAL PATIENTS. TCCN RNS ARE IN THE PROCESS OF BECOMING CERTIFIED DIABETIC EDUCATORS. TCCN HAS ALSO PARTNERED WITH LOCAL INDUSTRIES TO PROVIDE CARE PATHWAYS AND EDUCATION REGARDING DIABETES. TIDELANDS HAS BEGUN DIABETES PREVENTION CLASSES (DPP). 5) PHYSICAL INACTIVITY: TIDELANDS HAS BEGUN PROGRAMS TO PROMOTE PHYSICAL ACTIVITY FOR THOSE WHO HAVE DIFFICULTY EXERCISING DUE TO PHYSICAL CONDITIONS/RECOVERY FROM ILLNESS/SURGERY. TIDELANDS PROVIDES ACCESS TO LOCAL FITNESS CENTERS. THROUGH THE INDUSTRY PARTNERSHIP PROGRAM, TIDELANDS PROVIDES 12 FREE ONE-ON-ONE GYM SESSIONS WITH A PERSONAL TRAINING TO HELP INDIVIDUALS DEVELOP A SUSTAINABLE PRACTICE OF PHYSICAL ACTIVITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 7A, CHNA WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTP://WWW.TIDELANDSHEALTH.ORG/DISCOVER/OUR-COMMUNITY-COMMITMENT/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 10B, IMPLEMENTATION STRATEGY WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTP://WWW.TIDELANDSHEALTH.ORG/DISCOVER/OUR-COMMUNITY-COMMITMENT/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 16B &amp; C, FAP, FAP APPLICATION &amp; PLAIN LANGUAGE SUMMARY WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTP://WWW.TIDELANDSHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>14</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - HEALTHPOINT CENTER FOR HEALTH &amp; FITNESS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12965 OCEAN HIGHWAY</AddressLine1Txt>
            <CityNm>PAWLEYS ISLAND</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29585</ZIPCd>
          </USAddress>
          <FacilityTxt>FITNESS CLUB/ADULT REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - NEXTSTEP REHABILITATION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4040 HWY 17 SUITE 201</AddressLine1Txt>
            <CityNm>MURRELLS INLET</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29576</ZIPCd>
          </USAddress>
          <FacilityTxt>ADULT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - NEXTSTEP REHABILITATION &amp; PAIN MANAGEMEN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>219 CHURCH STREET</AddressLine1Txt>
            <CityNm>GEORGETOWN</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29440</ZIPCd>
          </USAddress>
          <FacilityTxt>ADULT REHAB/PAIN MGMT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - NEXTSTEP REHABILITATION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3650 COALITION DRIVE</AddressLine1Txt>
            <CityNm>MYRTLE BEACH</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29588</ZIPCd>
          </USAddress>
          <FacilityTxt>ADULT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - NEXTSTEP WOUND &amp; INFUSION CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4367 RIVERWOOD DRIVE SUITE 140</AddressLine1Txt>
            <CityNm>MURRELLS INLET</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29576</ZIPCd>
          </USAddress>
          <FacilityTxt>INFUSION SERVICES &amp; WOUND CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - NEXTSTEP REHABILITATION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3515 CADUCEUS DRIVE</AddressLine1Txt>
            <CityNm>MYRTLE BEACH</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29588</ZIPCd>
          </USAddress>
          <FacilityTxt>ADULT &amp; PEDIATRIC REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - INFUSION SERVICES MURRELLS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4181 HIGHWAY 17 BYPASS</AddressLine1Txt>
            <CityNm>MURRELLS INLET</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29576</ZIPCd>
          </USAddress>
          <FacilityTxt>INFUSION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - NEXTSTEP REHABILITATION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4033 HWY 17 SUITE 102</AddressLine1Txt>
            <CityNm>MURRELLS INLET</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29576</ZIPCd>
          </USAddress>
          <FacilityTxt>NEUROLOGICAL REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - GEORGETOWN ENDOSCOPY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2361 NORTH FRASER ST</AddressLine1Txt>
            <CityNm>GEORGETOWN</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29440</ZIPCd>
          </USAddress>
          <FacilityTxt>ENDOSCOPY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - NEXTSTEP REHABILITATION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>407 CHURCH ST SUITE E</AddressLine1Txt>
            <CityNm>GEORGETOWN</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29440</ZIPCd>
          </USAddress>
          <FacilityTxt>PEDIATRIC REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - NEXTSTEP REHABILITATION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>106 WACCAMAW MEDICAL PARK COURT</AddressLine1Txt>
            <CityNm>CONWAY</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29526</ZIPCd>
          </USAddress>
          <FacilityTxt>ADULT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - INFUSION SERVICES GEORGETOWN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2405 NORTH FRASER ST</AddressLine1Txt>
            <CityNm>GEORGETOWN</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29440</ZIPCd>
          </USAddress>
          <FacilityTxt>INFUSION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - INFUSION SERVICES MYRTLE BEACH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1220 21ST AVENUE NORTH</AddressLine1Txt>
            <CityNm>MYRTLE BEACH</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29577</ZIPCd>
          </USAddress>
          <FacilityTxt>INFUSION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - NEXTSTEP REHABILITATION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>701 S MORGAN AVE</AddressLine1Txt>
            <CityNm>ANDREWS</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29510</ZIPCd>
          </USAddress>
          <FacilityTxt>ADULT REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>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>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $11,789,419 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION, $133,150 WAS SPENT TO RECRUIT PHYSICIANS WITH THE SKILLS AND TRAINING NECESSARY TO BEST SERVE THE NEEDS OF THE COMMUNITY IN AREAS SUCH AS PRIMARY CARE, OBSTETRICS, AND PULMONOLOGY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR AUDITED FINANCIAL STATEMENT PURPOSES, IN 2018, THE ORGANIZATION ASSESSED THE POPULATION OF PATIENTS UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE RESPONSIBLE IN CONJUNCTION WITH STATISTICS OF THE LOCAL POPULATION FALLING BELOW FEDERAL POVERTY LIMITS. THE ORGANIZATION BELIEVES A SIGNIFICANT PORTION OF THE UNPAID PATIENT SERVICES WOULD QUALIFY FOR CHARITY CARE IF THE PATIENT WERE TO APPLY IN ACCORDANCE WITH THE CURRENT POLICY. AS A RESULT, CHARITY CARE, AT CHARGES RECLASSIFIED FROM BAD DEBT TOTALED $9,572,000. THE IMPACT OF THIS RECLASSIFICATION HAS BEEN REMOVED FOR SCHEDULE H PRESENTATION PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT EXPENSE.WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE BAD DEBT EXPENSE AT COST FOR PURPOSES OF PART III, LINES 2 AND 3.THE PERCENTAGE OF FAMILIES BELOW THE POVERTY LEVEL IN THE AREA SERVED IS USED TO ESTIMATE THE PERCENTAGE OF NET REVENUE EXPECTED TO BE AWARDED CHARITY CARE. THE VARIANCE WITH ACTUAL CHARITY CARE ADJUSTMENTS IS THE AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. APPROXIMATELY 60% OF THE ORGANIZATION'S PAYER MIX IS DEVOTED TO MEDICARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>GEORGETOWN HOSPITAL SYSTEM HAS A PROCESS IN PLACE TO ASSIST PATIENTS IN UNDERSTANDING THEIR FINANCIAL RESPONSIBILITY, BEGINNING WITH SCHEDULING AND REGISTRATION. SIGNAGE AND FINANCIAL RESPONSIBILITY BROCHURES ARE CLEARLY DISPLAYED THROUGHOUT THE REGISTRATION AREAS OF THE SYSTEM. THIS INFORMATION DETAILS THE POTENTIAL PATIENT RESPONSIBILITY AND ALSO PROVIDES INFORMATION ON THE AVAILABLE PROGRAMS IN THE EVENT THE PATIENT CAN NOT PAY THE BILL. IF THE PATIENT COMMUNICATES THEIR INABILITY TO PAY, THE FINANCIAL ASSISTANCE PROGRAM IS REVIEWED AND THE PATIENT IS DIRECTED TO THE FINANCIAL ASSISTANCE DEPARTMENT. UPON APPLICATION FOR FINANCIAL ASSISTANCE, COLLECTION PRACTICES ARE HALTED UNTIL THE APPLICATION HAS BEEN REVIEWED AND PROCESSED. IF FINANCIAL ASSISTANCE IS APPROVED, COLLECTION PRACTICES WILL CEASE. IF FINANCIAL ASSISTANCE IS DENIED, COLLECTION PRACTICES WILL CONTINUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY WITH THE ASSISTANCE OF STATE AND INTERNAL REPORTING INFORMATION. THE INFORMATION IS INTERPRETED, REVIEWED AND ANALYZED. IF A NEED IS PRESENT, A STRATEGIC PLAN IS DEVELOPED, WITH THE GOAL OF PROVIDING AS MANY LOCAL SERVICES AS POSSIBLE. THE PLAN IS THEN PRESENTED TO THE BOARD FOR APPROVAL. ONCE BOARD APPROVAL IS RECEIVED, THE IMPLEMENTATION PROCESS BEGINS. THE ORGANIZATION'S COMMUNITY HEALTH PROGRAM'S OBJECTIVE IS TO ENHANCE THE HEALTH CARE STATUS OF THE COMMUNITY, PROVIDING EDUCATION, SCREENINGS, AND REGULAR FOLLOW UP TO ENSURE READY ACCESS TO QUALITY HEALTHCARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REGULARLY ADVERTISES THE AVAILABLE STATE, FEDERAL, AND LOCAL FINANCIAL ASSISTANCE PROGRAMS. ALL PATIENTS WITHOUT INSURANCE ARE SCREENED FOR AVAILABLE STATE AND FEDERAL PROGRAMS. PATIENTS NOT MEETING STATE AND FEDERAL PROGRAM GUIDELINES ARE PROVIDED A ONE-ON-ONE CONSULTATION FOR LOCAL FINANCIAL ASSISTANCE, IF DESIRED. THE HOSPITAL FEATURES SIGNAGE AND BROCHURES THROUGHOUT THE REGISTRATION AREAS THAT OUTLINE RESPONSIBILITIES AND OPTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SERVES THE SOUTH CAROLINA COUNTIES OF HORRY AND GEORGETOWN, AS WELL AS OUTLYING AREAS. HORRY COUNTY (1,100 SQ. MILES) HAS AN ESTIMATED 2018 POPULATION OF 344,000. 23% OF THE POPULATION IS OVER THE AGE OF 65 AND THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $46,000. IN ADDITION, AN ESTIMATED 16% OF THE POPULATION IS BELOW THE POVERTY LEVEL. FINALLY, 17% OF THE POPULATION UNDER THE AGE OF 65 IS ESTIMATED TO BE WITHOUT HEALTH INSURANCE. GEORGETOWN COUNTY (815 SQ. MILES) HAS A POPULATION OF APPROXIMATELY 62,000 PEOPLE AND AN ESTIMATED 27% OF THE POPULATION IS OVER THE AGE OF 65. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $47,000 AND AN ESTIMATED 17% OF THE POPULATION IS BELOW THE POVERTY LEVEL. FINALLY, 13% OF THE POPULATION UNDER THE AGE OF 65 IS ESTIMATED TO BE WITHOUT HEALTH INSURANCE. COMPETING HOSPITALS ARE LOCATED APPROXIMATELY 40-45 MILES NORTH AND NORTHWEST AND 60 MILES SOUTH. MAJOR SURROUNDING CITIES INCLUDE: CHARLESTON, SC (60 MILES), COLUMBIA, SC (150 MILES) AND CHARLOTTE, NC (215 MILES).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR MANY OF ITS DEPARTMENTS.USAGE OF THE ORGANIZATION'S SURPLUS OF FUNDS IS DESCRIBED ON FORM 990, PART III; HOWEVER IN GENERAL, A SURPLUS OF FUNDS IS USED TO REINVEST IN PROPERTY AND EQUIPMENT IN ORDER TO CONTINUE PROVIDING TO THE PUBLIC THE BEST IN PATIENT CARE AND TECHNOLOGY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>GEORGETOWN MEMORIAL HOSPITAL IS PART OF GEORGETOWN HOSPITAL SYSTEM. GEORGETOWN HOSPITAL SYSTEM IS A RELATED 501(C)(3) HEALTHCARE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>SC</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COASTAL CAROLINA UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 261954</AddressLine1Txt>
          <CityNm>CONWAY</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29528</ZIPCd>
        </USAddress>
        <RecipientEIN>570977955</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FRANCES P BUNNELLE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1965</AddressLine1Txt>
          <CityNm>PAWLEYS ISLAND</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29585</ZIPCd>
        </USAddress>
        <RecipientEIN>571095197</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SMITH MEDICAL CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1740</AddressLine1Txt>
          <CityNm>PAWLEYS ISLAND</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29585</ZIPCd>
        </USAddress>
        <RecipientEIN>570786699</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN CANCER SOCIETY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5900 CORE ROAD SUITE 504</AddressLine1Txt>
          <CityNm>NORTH CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29406</ZIPCd>
        </USAddress>
        <RecipientEIN>131788491</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>24000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BLACK RIVER UNITED WAY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>515 FRONT STREET</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29440</ZIPCd>
        </USAddress>
        <RecipientEIN>570526145</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTHY LEARNERS PROG</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2749 LAUREL STREET</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29204</ZIPCd>
        </USAddress>
        <RecipientEIN>571127197</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HELPING HANDS OF GTWN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1813 HIGHMARKET STREET</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29440</ZIPCd>
        </USAddress>
        <RecipientEIN>570883461</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARCH OF DIMES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 673667</AddressLine1Txt>
          <CityNm>MARIETTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30006</ZIPCd>
        </USAddress>
        <RecipientEIN>131846366</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>12000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEORGETOWN CTY CHAMBER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>531 FRONT STREET</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29440</ZIPCd>
        </USAddress>
        <RecipientEIN>570639395</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>11700</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BROOKGREN GARDENS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3368</AddressLine1Txt>
          <CityNm>PAWLEYS ISLAND</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29585</ZIPCd>
        </USAddress>
        <RecipientEIN>570380356</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MYRTLE BEACH REGIONAL EDC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 261966</AddressLine1Txt>
          <CityNm>CONWAY</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29528</ZIPCd>
        </USAddress>
        <RecipientEIN>570998125</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BRIDGE 2 BRIDGE RUN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 282</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29442</ZIPCd>
        </USAddress>
        <CashGrantAmt>6000</CashGrantAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN HEART ASSOC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 50045</AddressLine1Txt>
          <CityNm>PRESCOTT</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>86304</ZIPCd>
        </USAddress>
        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GROUND ZERO MINISTRIES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 8279</AddressLine1Txt>
          <CityNm>MYRTLE BEACH</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29578</ZIPCd>
        </USAddress>
        <RecipientEIN>621751085</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LONG BAY SYMPHONY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1107 48TH AVENUE NORTH</AddressLine1Txt>
          <CityNm>MYRTLE BEACH</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29577</ZIPCd>
        </USAddress>
        <RecipientEIN>131846366</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TIDELANDS RESPITE CARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>33 PINE GROVE LANE</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29440</ZIPCd>
        </USAddress>
        <RecipientEIN>815306883</RecipientEIN>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL ASSISTANCE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>12</Total501c3OrgCnt>
      <TotalOtherOrgCnt>4</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SELECTS GRANT RECIPIENTS BASED ON COMMUNITY NEEDS AND INDIVIDUAL PROJECT MERIT. FOLLOW-UP ON GRANTS AND ASSISTANCE VARIES DEPENDING ON THE TYPE OF ASSISTANCE AND TYPE OF PROJECT. MANY SMALLER GRANTS ARE PROVIDED FOR LOCAL SCHOOLS AND PUBLIC CHARITIES BASED ON A DEMONSTRATED NEED FOR OPERATIONAL FUNDS AND REQUIRE NO MONITORING. LARGER GRANTS REQUIRE PRE-ESTABLISHED PROJECT MILESTONES TO BE REACHED BEFORE EACH DISBURSEMENT OF THE GRANT IS PAID OUT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>1</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>1</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>1</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>1</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRUCE BAILEY</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>216784</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>248019</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>62560</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>71573</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>26922</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>30801</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2052</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2348</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15041</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17208</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>323359</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>369949</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH WARD</PersonNm>
        <TitleTxt>EVP &amp; CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>123250</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>141008</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>34980</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>40020</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>15247</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>17444</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1540</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1762</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7831</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8959</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>182848</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>209193</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GAYLE RESETAR</PersonNm>
        <TitleTxt>EVP &amp; COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>156011</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>178489</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>45988</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>52614</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>17957</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>20544</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3036</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3473</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10397</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>11895</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>233389</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>267015</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICK KAYLOR</PersonNm>
        <TitleTxt>GPS PRESIDENT &amp; SVP SYSTEM DEVELOP.</TitleTxt>
        <BaseCompensationFilingOrgAmt>131229</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>150136</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35636</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>40771</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>13585</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>15542</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4032</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4612</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6800</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7780</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>191282</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>218841</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PHILIP DULBERGER</PersonNm>
        <TitleTxt>SVP &amp; CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>208913</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>239014</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>51386</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>58790</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>11729</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>13419</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4407</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5043</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14626</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>16733</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>291061</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>332999</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES F HARPER</PersonNm>
        <TitleTxt>SVP &amp; CHIEF HUMAN RESOURCE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>96038</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>109875</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20627</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>23599</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>25105</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>28722</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3660</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4188</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10704</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>12246</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>156134</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>178630</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAM MAXWELL</PersonNm>
        <TitleTxt>SVP &amp; CHIEF NURSING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>89161</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>102007</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>19293</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>22072</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>20959</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>23979</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4407</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5043</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11120</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>12722</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>144940</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>165823</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY METCALFE</PersonNm>
        <TitleTxt>VP SUPPLY CHAIN &amp; SUPPORT SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>75213</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>86049</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>12424</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>14215</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>25722</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>29428</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3146</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3599</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5565</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6367</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>122070</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>139658</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN LAROCHELLE</PersonNm>
        <TitleTxt>VP OF OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>73536</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>84132</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>11310</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>12939</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>15276</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>17477</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3597</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4115</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14899</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17045</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>118618</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>135708</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERRY KISER</PersonNm>
        <TitleTxt>FORMER EVP &amp; CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>5051</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>5779</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>45278</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>51802</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>75799</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>86720</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1548</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1771</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1785</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2042</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>129461</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>148114</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TODD ROWLAND</PersonNm>
        <TitleTxt>FORMER SVP &amp; CHIEF INFORMATION OFFIC</TitleTxt>
        <BaseCompensationFilingOrgAmt>46741</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>53476</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>22057</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>25235</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>102754</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>117559</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2374</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2716</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14705</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>16824</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>188631</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>215810</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VIRGINIA HUNT</PersonNm>
        <TitleTxt>FORMER MUSC AFFILIATION EXECUTIVE</TitleTxt>
        <BaseCompensationFilingOrgAmt>87868</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>100528</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>19275</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>22053</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>41382</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>47344</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3325</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3804</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7881</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>9016</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>159731</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>182745</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>TERRY KISER MADE CONTRIBUTIONS TO A NON-QUALIFIED 409A PLAN UNTIL HIS RETIREMENT IN MARCH 2017. TODD ROWLAND RECEIVED $177,390 IN SEVERANCE PAY, $82,735 IS ATTRIBUTED TO THIS FILING ORGANIZATION. VIRGINIA HUNT RECEIVED $57,048 IN SEVERANCE, $26,607 IS ATTRIBUTED TO THIS FILING ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY INCENTIVE COMPENSATION PAID TO THE OFFICERS AND OTHER ADMINISTRATORS OF THE ORGANIZATION IS CONTINGENT UPON QUALITY INDICATORS, NET REVENUES, AND THE OVERALL PROFITABILITY OF THE ORGANIZATION. IF PREDETERMINED GOALS ARE MET, INCENTIVE COMPENSATION IS PAID TO THE OFFICER OR ADMINISTRATOR IN ACCORDANCE WITH AN INCENTIVE COMPENSATION PROGRAM. SEE PART II, COLUMN (B)(II).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE THE RESPONSE TO LINE 5A AND 5B.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RELIES ON THE BOARD OF ITS SOLE MEMBER ORGANIZATION TO NEGOTIATE AND ESTABLISH THE COMPENSATION AGREEMENTS FOR ITS CEO AND OTHER OFFICERS. THE BOARD OF GEORGETOWN HOSPITAL SYSTEM USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANTS - COMPENSATION STUDY/SURVEY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE BOARD OF GEORGETOWN HOSPITAL SYSTEM IS A MAJORITY INDEPENDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FROM UNRELATED ORGANIZATION: COMPENSATION PAID TO TERRY KISER WAS PAID THROUGH QUORUM HEALTH RESOURCES (QHR), AN UNRELATED MANAGEMENT COMPANY. ALL AMOUNTS LISTED ON SCHEDULE J, PART II, LINE (I) FOR HIM ARE FROM QHR. IN ADDITION, BRUCE BAILEY, ELIZABETH WARD, GAYLE RESETAR, RICK KAYLOR, PHILIP DULBERGER, JAMES HARPER, TODD ROWLAND, VIRGINIA HUNT, JOHN LAROCHELLE, GARY METCALFE AND PAM MAXWELL ARE COMPENSATED BY A COMMON PAYING AGENT FOR SERVICES PERFORMED FOR BOTH GEORGETOWN MEMORIAL HOSPITAL AND A RELATED ORGANIZATION. COMPENSATION FOR THESE INDIVIDUALS IS PRESENTED TO REFLECT AN ALLOCATION OF SERVICES PERFORMED FOR THESE ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>570960018</BondIssuerEIN>
        <CUSIPNum>NONEAVAIL</CUSIPNum>
        <BondIssuedDt>2011-09-22</BondIssuedDt>
        <IssuePriceAmt>25565000</IssuePriceAmt>
        <PurposeDesc>CURRENT REFUNDING</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>570960018</BondIssuerEIN>
        <CUSIPNum>NONEAVAIL</CUSIPNum>
        <BondIssuedDt>2011-12-22</BondIssuedDt>
        <IssuePriceAmt>12165620</IssuePriceAmt>
        <PurposeDesc>CURRENT REFUNDING</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>570960018</BondIssuerEIN>
        <CUSIPNum>NONEAVAIL</CUSIPNum>
        <BondIssuedDt>2016-09-09</BondIssuedDt>
        <IssuePriceAmt>87890000</IssuePriceAmt>
        <PurposeDesc>REFUND PRIOR ISSUE AND CONSTRUCT</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>570960018</BondIssuerEIN>
        <CUSIPNum>NONEAVAIL</CUSIPNum>
        <BondIssuedDt>2016-11-03</BondIssuedDt>
        <IssuePriceAmt>35050000</IssuePriceAmt>
        <PurposeDesc>CURRENT REFUNDING</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>7207948</RetiredAmt>
        <TotalProceedsAmt>9350748</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>94698</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>9256050</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2001</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>12190000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>123522</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>12066478</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>1999</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>862470</RetiredAmt>
        <TotalProceedsAmt>70964870</TotalProceedsAmt>
        <CapitalExpendituresAmt>62500000</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>8464870</OtherSpentProceedsAmt>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>0</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>38046</RetiredAmt>
        <TotalProceedsAmt>14816476</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>71332</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>14745144</OtherSpentProceedsAmt>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCH K, PART II, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNTS ON THIS LINE WERE USED TO REFUND PRIOR ISSUE BONDS. THE AMOUNTS IN COLUMN A WERE USED TO REFUND BONDS THAT WERE ISSUED ON 8/15/1999 AND 8/1/2001. THE AMOUNTS IN COLUMN B WERE USED TO REFUND BONDS THAT WERE ISSUED ON 3/15/1998 AND 8/15/1999. THE AMOUNTS IN COLUMN C WERE USED TO REFUND BONDS THAT WERE ISSUED ON 12/22/2010. THE AMOUNTS IN COLUMN D WERE USED TO REFUND BONDS THAT WERE ISSUED ON 5/30/2012.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>BECCA KAYLOR</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF OFFICER RICK KAYLOR</RelationshipDescriptionTxt>
        <TransactionAmt>26701</TransactionAmt>
        <TransactionDesc>COMPENSATION AS EMPLOYEE OF ORGANIZATION. AMOUNT SHOWN ON SCHEDULE L REPRESENTS GMH'S ALLOCATED PORTION OF TOTAL SALARY PAID FROM A RELATED ORGANIZATION. THE INDIVIDUAL RECEIVED $57,249 IN TOTAL FOR SERVICES RENDERED TO ALL RELATED ORGANIZATIONS.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 2A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS NO DIRECT EMPLOYEES. GEORGETOWN HOSPITAL SYSTEM, A RELATED ORGANIZATION, FILES PAYROLL FOR THE ORGANIZATION. THE NUMBER OF EMPLOYEES REPORTED BY GEORGETOWN HOSPITAL SYSTEM THAT ARE RELATED TO THE ORGANIZATION IS 1,019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE, FINANCE COMMITTEE, AND COMPENSATION COMMITTEE THAT HAVE LIMITED POWERS DELEGATED FROM THE FULL VOTING BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE IS COMPRISED OF FIVE OR MORE MEMBERS, INCLUDING FOUR WHO ARE ALSO MEMBERS OF THE MEMBER ORGANIZATION'S BOARD OF DIRECTORS. THE FINANCE COMMITTEE CONTAINS FOUR OR MORE MEMBERS INCLUDING THE TREASURER OF THE MEMBER ORGANIZATION. THE COMPENSATION COMMITTEE IS AS APPOINTED BY THE CHAIRMAN OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A MEMBER ORGANIZATION WITHIN THE MEANING OF THE SOUTH CAROLINA NONPROFIT CORPORATION ACT OF 1994. THE SOLE MEMBER OF THE CORPORATION IS GEORGETOWN HOSPITAL SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER HAS THE SOLE AUTHORITY TO APPOINT OR REMOVE A TRUSTEE OR THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER HAS THE SOLE AUTHORITY TO (1) DIRECT HEALTHCARE SERVICES UNDERTAKEN BY THE ORGANIZATION, INCLUDING THE ADDITION OR DELETION OF CLINICAL SERVICE LINES, AND AUDIT COMPLIANCE WITH SUCH DIRECTIVES, (2) VETO POLICIES AND PROCEDURES, (3) REQUIRE DISTRIBUTION OF INCOME, ASSETS, OR OTHER PROPERTY FROM, OR MAKE CONTRIBUTIONS TO THE ORGANIZATION TO ACHIEVE THE MUTUAL OBJECTIVES OF THE ORGANIZATION AND THE SOLE MEMBER, (4) APPROVE BUDGETS, (5) AUTHORIZE CAPITAL TRANSACTIONS, (6) ADOPT A PLAN OF DISSOLUTION, (7) ADMIT NEW MEMBERS TO THE ORGANIZATION, (8) AMEND THE ARTICLES OF THE ORGANIZATION, AND (9) NEGOTIATE AND AUTHORIZE MANAGEMENT AGREEMENTS WITH THIRD PARTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WITH THE ASSISTANCE AND OVERSIGHT OF MANAGEMENT. A REPRESENTATIVE OF THE ACCOUNTING FIRM PRESENTED THE RETURN TO THE FINANCE COMMITTEE WITH MANAGEMENT AND ANSWERED QUESTIONS FROM BOARD MEMBERS. THE CEO AND CFO THEN REVIEWED THE FORM WITH ALL BOARD MEMBERS, AS EVIDENCED IN THE BOARD MINUTES. A COPY OF THE RETURN WAS PROVIDED TO EACH VOTING BOARD MEMBER. AFTER A DISCUSSION PERIOD, THE BOARD VOTED TO APPROVE THE FILING OF THE FORM 990 WITH THE IRS AS PRESENTED. THE CFO/CEO MET IN PERSON WITH ANY MEMBERS ABSENT FROM THE MEETING TO DISCUSS THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED, ACCEPTED, AND SIGNED BY EACH OFFICER AND VOTING BOARD MEMBER ON AN ANNUAL BASIS. PURSUANT TO THIS POLICY, EACH OFFICER AND BOARD MEMBER WILL RECUSE HIMSELF OR HERSELF FROM ANY DISCUSSIONS AND VOTES FOR WHICH A CONFLICT EXISTS. DETERMINATION OF WHETHER A CONFLICT EXISTS IS MADE AT A MANAGEMENT, BOARD MEMBER, OFFICER, AND INDIVIDUAL LEVEL. ACTUAL CONFLICTS ARE REVIEWED BY MANAGEMENT AND THE BOARD WITHOUT THE PRESENCE OF THE INTERESTED PARTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES OUTSIDE AGENCIES TO ESTABLISH, ASSESS THE REASONABLENESS OF, REVIEW, AND APPROVE THE COMPENSATION OF DIRECTORS, SENIOR MANAGEMENT &amp; PHYSICIANS. SENIOR MANAGEMENT PROVIDES OVERSIGHT ON DIRECTOR COMPENSATION, THE BOARD COMPENSATION COMMITTEE PROVIDES OVERSIGHT ON PHYSICIAN COMPENSATION AND THE CEO PROVIDES OVERSIGHT (WITH THE ASSISTANCE OF THE CFO) ON SENIOR MANAGEMENT COMPENSATION. CEO COMPENSATION IS EVALUATED AND APPROVED BY THE FULL BOARD AND BOARD COMPENSATION COMMITTEE. FAIR MARKET VALUATIONS ARE COMPLETED FOR ALL COMPENSATION AT LEAST ANNUALLY AND MONTHLY COMPENSATION MEETINGS ARE HELD TO REVIEW ANY AND ALL COMPENSATION RELATED ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY TRANSFER -21,747,432.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, LINE 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>FORMER CHIEFS OF STAFF MAY CONTINUE TO BE COMPENSATED FOR EMERGENCY ROOM CALL PAY, COMMITTEE PAY, ETC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GEORGETOWN HOSPITAL SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO DRAWER 1718</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29442</ZIPCd>
        </USAddress>
        <EIN>020598440</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WACCAMAW COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3350</AddressLine1Txt>
          <CityNm>MURRELLS INLET</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29576</ZIPCd>
        </USAddress>
        <EIN>043633263</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GEORGETOWN HOSPITAL SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GEORGETOWN RADIATION THERAPY CENTER</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4033 HIGHWAY 17 BYPASS</AddressLine1Txt>
          <CityNm>MURRELLS INLET</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29576</ZIPCd>
        </USAddress>
        <EIN>200131459</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>1</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>