﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2017v2.3">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2018-12-06T14:58:46-06:00</ReturnTs>
    <TaxPeriodEndDt>2017-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>560747981</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>DIXON HUGHES GOODMAN LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>500 RIDGEFIELD COURT</AddressLine1Txt>
        <CityNm>ASHEVILLE</CityNm>
        <StateAbbreviationCd>NC</StateAbbreviationCd>
        <ZIPCd>28806</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2017-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>311126469</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>MEMORIAL HEALTH UNIVERSITY MEDICAL</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>CENTER INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>MEMO</BusinessNameControlTxt>
      <PhoneNum>9123504927</PhoneNum>
      <USAddress>
        <AddressLine1Txt>425 W NEW ENGLAND AVE STE 300</AddressLine1Txt>
        <CityNm>WINTER PARK</CityNm>
        <StateAbbreviationCd>FL</StateAbbreviationCd>
        <ZIPCd>32789</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MATTHEW RUBIN</PersonNm>
      <PersonTitleTxt>CFO</PersonTitleTxt>
      <PhoneNum>9123504927</PhoneNum>
      <SignatureDt>2018-12-06</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>AMY BIBBY</PreparerPersonNm>
      <PTIN>P00445891</PTIN>
      <PhoneNum>8282542254</PhoneNum>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>12.25.12.224</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2018-12-06</IPDt>
      <IPTm>14:55:39</IPTm>
      <IPTimezoneCd>ES</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>DA39A3EE5E6B4B0D3255BFEF95601890AFD80709</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>ADBFC64F84809A3D359AE279AE52D225AAF16287</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2017</TaxYr>
    <BuildTS>2019-02-21 02:37:17Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="11">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <AddressChangeInd>X</AddressChangeInd>
      <PrincipalOfficerNm>MATTHEW RUBIN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>425 W NEW ENGLAND AVE STE 300</AddressLine1Txt>
        <CityNm>WINTER PARK</CityNm>
        <StateAbbreviationCd>FL</StateAbbreviationCd>
        <ZIPCd>32789</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>564062521</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.MEMORIALHEALTH.COM</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1984</FormationYr>
      <LegalDomicileStateCd>GA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>WITH COMPASSION, WE HEAL, TEACH, AND DISCOVER</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>10</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>8</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>4415</TotalEmployeeCnt>
      <TotalVolunteersCnt>8</TotalVolunteersCnt>
      <TotalGrossUBIAmt>811998</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>5731655</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>10682997</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>528823896</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>541183508</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>3280031</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>5073648</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>7183862</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>7122368</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>545019444</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>564062521</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>38000</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>16350</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>211982108</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>203350422</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>337843218</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>373200812</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>549863326</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>576567584</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-4843882</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-12505063</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>441970718</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>401303592</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>383095308</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>374540068</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>58875410</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>26763524</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>WITH COMPASSION WE HEAL, TEACH, AND DISCOVER</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>533060394</ExpenseAmt>
      <GrantAmt>16350</GrantAmt>
      <RevenueAmt>541876863</RevenueAmt>
      <Desc>PATIENT SERVICES - WE ARE THE REGIONAL REFERRAL CENTER FOR CARDIAC CARE, CANCER CARE, TRAUMA, PEDIATRICS, HIGH-RISK OBSTETRICS, AND NEONATOLOGY. OUR HOSPITAL INCLUDES THE REGION'S ONLY LEVEL 1 TRAUMA CENTER, THE REGION'S ONLY LEVEL III NEONATAL ICU, THE REGION'S ONLY CHILDREN'S HOSPITAL, AND A STATE-OF-THE-ART LABORATORY WHERE SCIENTISTS CONDUCT RESEARCH ON THE MOLECULAR GENETICS OF CANCER. WE ALSO PROVIDE SIGNIFICANT LEVELS OF CHARITY CARE WITHIN THE REGION.PLEASE SEE OUR EXTENDED "2017 COMMUNITY BENEFIT REPORT" ATTACHED TO THE FORM 990.</Desc>
      <TotalProgramServiceExpensesAmt>533060394</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039600001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039600001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039600001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc1040000001">1</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">1</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc1041500001">1</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2317200001">1</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc1053100001">1</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>0</InvestTaxExemptBondsInd>
      <EscrowAccountInd>1</EscrowAccountInd>
      <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc1042800001">0</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc1042800001">0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc1042800001">1</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd referenceDocumentId="RetDoc1042800001">0</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">0</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>436</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>4415</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>1</ForeignFinancialAccountInd>
      <ForeignCountryCd>CJ</ForeignCountryCd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>10</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>8</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>1</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>0</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>GA</StatesWhereCopyOfReturnIsFldCd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>MATTHEW RUBIN</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>9123504927</PhoneNum>
        <USAddress>
          <AddressLine1Txt>425 W NEW ENGLAND AVE STE 300</AddressLine1Txt>
          <CityNm>WINTER PARK</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32789</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE BARRAGAN</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HUGH TAPPAN</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CURTIS LEWIS III</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID BYCK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>469695</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15918</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES F MCMILLAN SR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RA MEGUIAR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>456399</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17313</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK ROSSITER JR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ISRAEL SMALL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERENCE VAN ARKEL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN WILLETTS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET M GILL</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO (RESIGNED)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>652990</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10609</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAYNE GEORGE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA DOW</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>377718</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11350</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY CHATMAN PHD RN</PersonNm>
        <TitleTxt>COO &amp; CNO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>150554</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4899</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM LEE III MHA MBA</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>146460</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5853</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN MCCLELLAN</PersonNm>
        <TitleTxt>VP OF INFORMATION SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>70821</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1778</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEITH MCNEICE</PersonNm>
        <TitleTxt>VP OF INFORMATION SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>253677</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12102</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA KEIGHTLEY</PersonNm>
        <TitleTxt>VP, CHIEF COMMUNICATIONS O</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>209085</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12931</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN BOYER MHA MBA RN</PersonNm>
        <TitleTxt>CNO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>274789</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14109</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GUY PETRUZZELLI MD PHD MBA FACS</PersonNm>
        <TitleTxt>VP OF ONCOLOGY PROGRAMS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>583626</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17253</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES WATSON JR</PersonNm>
        <TitleTxt>VP OF REVENUE CYCLE &amp; PATI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>244143</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12531</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURIE MULGREW</PersonNm>
        <TitleTxt>VP OF HEART &amp; VASCULAR SER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>172066</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11489</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALYSIA SHIRLEY CISA</PersonNm>
        <TitleTxt>VP OF COMPLIANCE &amp; AUDIT S</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>208027</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16759</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMY ARCHER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>236734</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3676</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RENEE LEWIS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>215644</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6050</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LERISSA ANTONIO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>204267</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4308</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>931434</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>3995261</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>178928</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>138</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CONIFER HEALTH SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1500 SOUTH DOUGLAS RD</AddressLine1Txt>
            <CityNm>ANAHEIM</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92806</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REVENUE CYCLE SERVICES</ServicesDesc>
        <CompensationAmt>19759957</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MORRISON MANAGEMENT SPECIALIST INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 102289</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30368</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICES</ServicesDesc>
        <CompensationAmt>9879277</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CROTHALL HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>13028 COLLECTION CENTER DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EVS SERVICES</ServicesDesc>
        <CompensationAmt>5946036</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUND PHYSICIANS OF GEORGIA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1498 PACIFIC AVE STE 400</AddressLine1Txt>
            <CityNm>TACOMA</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98402</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>3083231</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JAMES R VANNOY &amp; SONS CONSTRUCTION CO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1608 US HWY 221</AddressLine1Txt>
            <CityNm>JEFFERSON</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28640</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>2320889</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>252</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>6960283</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>3722714</AllOtherContributionsAmt>
      <TotalContributionsAmt>10682997</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>536141631</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>536141631</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EDUCATION REVENUE</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>4489535</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4489535</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM SERVICE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>372342</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>372342</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>180000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>180000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>541183508</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2359137</TotalRevenueColumnAmt>
        <ExclusionAmt>2359137</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>2652644</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>2652644</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>2652644</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>797172</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1855472</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2714511</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>2714511</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>2714511</TotalRevenueColumnAmt>
        <ExclusionAmt>2714511</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>693355</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>693355</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>693355</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>3776369</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>14826</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3761543</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>3776369</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>564062521</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>541876863</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>811998</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>10690663</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>16350</TotalAmt>
        <ProgramServicesAmt>16350</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>288898</TotalAmt>
        <ManagementAndGeneralAmt>288898</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>236733</TotalAmt>
        <ProgramServicesAmt>236733</ProgramServicesAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>173234037</TotalAmt>
        <ProgramServicesAmt>170122499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3111538</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1449507</TotalAmt>
        <ProgramServicesAmt>1421140</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28367</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>15826676</TotalAmt>
        <ProgramServicesAmt>15516952</ProgramServicesAmt>
        <ManagementAndGeneralAmt>309724</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>12314571</TotalAmt>
        <ProgramServicesAmt>12073578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>240993</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>695724</TotalAmt>
        <ManagementAndGeneralAmt>695724</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>61364</TotalAmt>
        <ProgramServicesAmt>34502</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26862</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>150569</TotalAmt>
        <ManagementAndGeneralAmt>150569</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>101910815</TotalAmt>
        <ProgramServicesAmt>72709842</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29200973</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>85083</TotalAmt>
        <ProgramServicesAmt>69811</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15272</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>65857000</TotalAmt>
        <ProgramServicesAmt>56910240</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8946760</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>28745326</TotalAmt>
        <ProgramServicesAmt>28712351</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32975</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>7157200</TotalAmt>
        <ProgramServicesAmt>6870755</ProgramServicesAmt>
        <ManagementAndGeneralAmt>286445</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>975111</TotalAmt>
        <ProgramServicesAmt>848112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>126999</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>111219</TotalAmt>
        <ProgramServicesAmt>66128</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45091</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>10703776</TotalAmt>
        <ProgramServicesAmt>10703776</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>16437329</TotalAmt>
        <ProgramServicesAmt>16437329</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>8956008</TotalAmt>
        <ProgramServicesAmt>8956008</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES/DRUGS</Desc>
        <TotalAmt>86021711</TotalAmt>
        <ProgramServicesAmt>86021711</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>45331103</TotalAmt>
        <ProgramServicesAmt>45331103</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSES</Desc>
        <TotalAmt>1474</TotalAmt>
        <ProgramServicesAmt>1474</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>576567584</TotalAmt>
        <ProgramServicesAmt>533060394</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43507190</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>8013911</BOYAmt>
        <EOYAmt>21878498</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1440166</BOYAmt>
        <EOYAmt>1621236</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>98476146</BOYAmt>
        <EOYAmt>95792862</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>12098409</BOYAmt>
        <EOYAmt>10950385</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2434994</BOYAmt>
        <EOYAmt>2264009</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>545271255</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>395579644</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>159187020</BOYAmt>
        <EOYAmt>149691611</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>139161559</BOYAmt>
        <EOYAmt>103350732</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>1365012</BOYAmt>
        <EOYAmt>1097018</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>19793501</BOYAmt>
        <EOYAmt>14657241</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>441970718</BOYAmt>
        <EOYAmt>401303592</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>128159312</BOYAmt>
        <EOYAmt>129042119</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>435402</BOYAmt>
        <EOYAmt>412461</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>175084070</BOYAmt>
        <EOYAmt>174001298</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>67577455</BOYAmt>
        <EOYAmt>59528186</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>11839069</BOYAmt>
        <EOYAmt>11556004</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>383095308</BOYAmt>
        <EOYAmt>374540068</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>58875410</BOYAmt>
        <EOYAmt>26763524</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>58875410</BOYAmt>
        <EOYAmt>26763524</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>441970718</BOYAmt>
        <EOYAmt>401303592</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-12505063</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>3122885</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-22729708</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="RetDoc1039600001">
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>112547</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>112547</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>533263240</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>533375787</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>1000000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>6000000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>131678</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>126977</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>116660</CurrentYearMinus1Amt>
        <CurrentYearAmt>112547</CurrentYearAmt>
        <TotalAmt>487862</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>5927899</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>611000</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>6538899</GrantsOrScholarshipsAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>5554899</BeginningYearBalanceAmt>
        <ContributionsAmt>185000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>188000</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>5927899</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>4496899</BeginningYearBalanceAmt>
        <ContributionsAmt>1026000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>32000</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>5554899</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>3186899</BeginningYearBalanceAmt>
        <ContributionsAmt>1124000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>186000</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>4496899</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>3022837</BeginningYearBalanceAmt>
        <ContributionsAmt>23000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>303203</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>30500</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>131641</OtherExpendituresAmt>
        <EndYearBalanceAmt>3186899</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>1</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>1</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>16201089</OtherCostOrOtherBasisAmt>
        <BookValueAmt>16201089</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>279920927</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>179347951</DepreciationAmt>
        <BookValueAmt>100572976</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>11638849</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10385541</DepreciationAmt>
        <BookValueAmt>1253308</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>231621103</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>205846152</DepreciationAmt>
        <BookValueAmt>25774951</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>5889287</OtherCostOrOtherBasisAmt>
        <BookValueAmt>5889287</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>149691611</TotalBookValueLandBuildingsAmt>
      <CloselyHeldEquityInterestsGrp>
        <BookValueAmt>23289569</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </CloselyHeldEquityInterestsGrp>
      <OtherSecuritiesGrp>
        <Desc>ASSETS LIMITED - CURRENT</Desc>
        <BookValueAmt>32442568</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>ASSETS LIMITED - NON-CURRENT</Desc>
        <BookValueAmt>47618595</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>103350732</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTEREST PAYABLE</Desc>
        <Amt>3670388</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MALPRACTICE</Desc>
        <Amt>7731324</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PENSION BENEFIT LIABILITIES</Desc>
        <Amt>154292</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>11556004</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>496908846</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>3122885</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>3122885</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>493785961</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>150569</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>70125991</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>70276560</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>564062521</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>529230440</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>529230440</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>150569</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>47186575</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>47337144</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>576567584</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENDOWMENT FUNDS ARE USED FOR PEDIATRICS, EDUCATION/RESEARCH, AND ONCOLOGY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SYSTEM IS PARTIALLY COMPRISED OF ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTIONS 501(A) AND 501(C)(3) OF THE INTERNAL REVENUE CODE. WITH RESPECT TO ANY INCOME GENERATED BY ITS FOR-PROFIT SUBSIDIARIES OR UNRELATED BUSINESS INCOME, THE SYSTEM RECORDS INCOME TAXES USING THE LIABILITY METHOD UNDER WHICH THE DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLYENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR TO BE SETTLED. THE SYSTEM HAS EVALUATED ITS TAX POSITIONS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2017 AND 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS NET WITH REVENUE 45,331,103. RENTAL REVENUE NET WITH EXPENSE 1,855,472. EQUITY TRANSFERS TO AFFILIATES 22,939,416.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS NET WITH REVENUE 45,331,103. RENTAL REVENUE NET WITH EXPENSE 1,855,472.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>125.000000000000</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent250Ind>X</Percent250Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>0</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>25536771</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>4420047</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>21116724</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03980</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>107895349</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>94416875</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>13478474</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02540</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>133432120</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>98836922</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>34595198</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06520</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>29848413</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>10777576</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>19070837</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03590</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <ResearchGrp>
        <TotalCommunityBenefitExpnsAmt>1009500</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1009500</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00190</TotalExpensePct>
      </ResearchGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>30857913</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>10777576</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>20080337</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03780</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>164290033</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>109614498</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>54675535</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10300</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>45331103</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>174889099</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>181666427</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-6777328</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostAccountingSystemInd>X</CostAccountingSystemInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH UNIVERSITY MEDICAL CTR</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>4700 WATERS AVENUE</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31404</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.MEMORIALHEALTH.COM</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH UNIV MEDICAL CENTER</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>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE DISCLOSURE FOR URL</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE DISCLOSURE FOR URL</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>125.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>250.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTP://MEMORIALHEALTH.COM/FINANCIAL-ASSISTANCE-POLICY.ASPX</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTP://MEMORIALHEALTH.COM/FINANCIAL-ASSISTANCE-POLICY.ASPX</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTP://MEMORIALHEALTH.COM/FINANCIAL-ASSISTANCE-POLICY.ASPX</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitReportToCreditAgencyInd>X</PermitReportToCreditAgencyInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <NoneMadeInd>X</NoneMadeInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MEMORIAL HEALTH UNIV. MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: MEMORIAL HEALTH AND ST. JOSEPH'S/CANDLER PARTNERED WITH THE COASTAL GEORGIA INDICATORS COALITION (CGIC), CHATHAM COUNTY SAFETY NET PLANNING COUNCIL (CCSNPC), ST. JOSEPH/CANDLER GOOD SAMARITAN CLINIC AND J.C. LEWIS PRIMARY HEALTH CARE CENTER TO OBTAIN PRIMARY AND SECONDARY DATA. THE CGIC CONTRACTED WITH THE PUBLIC SERVICE CENTER AT ARMSTRONG STATE UNIVERSITY TO COMPLETE A PUBLIC OPINION SURVEY SENT TO APPROXIMATELY 26,000 HOUSEHOLDS. AFTER OBTAINING THE PRIMARY AND SECONDARY DATA, THE CGIC AND THE CCSPNC ASSISTED THE HOSPITALS WITH PRIORITIZING THE HEALTH AND SOCIAL NEEDS OF THE CHATHAM COUNTY COMMUNITY. IN ADDITION, GOOD SAMARITAN CLINIC AND J.C. LEWIS PRIMARY HEALTH CARE CENTER HELPED THE HOSPITALS OBTAIN ADDITIONAL INFORMATION FROM HISPANIC AND HOMELESS POPULATIONS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MEMORIAL HEALTH UNIV. MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: THE CHNA WAS COMPLETED WITH ST. JOSEPH'S HOSPITAL AND CANDLER HOSPITAL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MEMORIAL HEALTH UNIV. MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: PLEASE SEE THE IMPLEMENTATION PLAN AT THE WEBSITE LINK BELOW FOR EACH NEED AND THE SPECIFIC REASON THE FACILITY DID NOT ADDRESS THE NEED. MOST OF THE NEEDS WERE ALREADY BEING ADDRESSED BY ANOTHER COMMUNITY ORGANIZATION.HTTP://WWW.MEMORIALHEALTH.COM/UPLOADEDFILES/CONTENT/MAIN/ABOUT_US/COMMUNITY_NEEDS_ASSESSMENT/CHNA_MH_NEEDS%20%20ASSESSMENT.PDF</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, CHNA AND IMPLEMENTATION STRATEGY WEBSITE</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTP://WWW.MEMORIALHEALTH.COM/UPLOADEDFILES/CONTENT/MAIN/ABOUT_US/COMMUNITY_NEEDS_ASSESSMENT/MEMORIAL%20IMPLEMENTATION%20PLAN.PDF</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST WAS DERIVED USING THE COST ACCOUNTING SYSTEM TRENDSTAR, A DECISION SUPPORT SOFTWARE, WHICH ADDRESSES ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY ROOM, COMMERICAL INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF PAY. A COST-TO-CHARGE RATIO WAS USED TO DETERMINE CHARITY CARE. THE TOTAL OPERATING EXPENSE WAS DIVIDED BY PATIENT REVENUES TO CALCULATE AN OVERALL RATIO THAT WAS THEN APPLIED TO INDIGENT AND CHARITY CARE CHARGES TO ARRIVE AT COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(B), COLUMN (A) IS $45,331,103. MHUMC EXCLUDED $45,331,103, FOR PURPOSES OF CALCULATING THE PERCENTAGE IN COLUMN (F) ON PART I, LINE 7.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BUILDING ACTIVITIES INCLUDE PHYSICAL IMPROVEMENTS AND HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, COALITION BUILDING, AND WORKFORCE DEVELOPMENT.ECONOMIC DEVELOPMENT: COMMUNITY ECONOMIC DEVELOPMENT SUPPORTMHUMC PROVIDED SUPPORT FOR COMMUNITY EVENTS THAT CONTRIBUTE TO THE LOCAL ECONOMY. ORGANIZATIONS AND EVENTS INCLUDE: THE BLUFFTON FINS, FIREBALL 40 BASEBALL TOURNAMENT, GEORGIA CHAMBER OF COMMERCE, KIDS &amp; PROS FOOTBALL CAMP, MARTIN LUTHER KING PARADE, SAVANNAH AREA CHAMBER OF COMMERCE, SAVANNAH MORNING NEWS TABLE TENNIS TOURNAMENT. SAVANNAH MUSIC FESTIVAL, ST. PATRICK'S DAY PARADE.COMMUNITY SUPPORT:CEMA EMERGENCY SUPPORT FUNCTION (ESF) 6 &amp; 8MHUMC IS A VOTING MEMBER OF THE PUBLIC HEALTH DEPARTMENT ESF 6 &amp; 8 MASS CARE, EMERGENCY ASSISTANCE, HOUSING, AND HUMAN SERVICES THAT COORDINATES THE DELIVERY OF FEDERAL MASS CARE, EMERGENCY ASSISTANCE, HOUSING, AND HUMAN SERVICES WHEN LOCAL AND STATE RESPONSE CANNOT MEET RECOVERY NEEDS. REGION J COASTAL HEALTHCARE COALITION (RCH)THIS HEALTHCARE COALITION SERVES AS A MULTI-AGENCY COORDINATING GROUP THAT ASSISTS EMERGENCY MANAGEMENT AND EMERGENCY SUPPORT FUNCTION (ESF) 6 &amp; 8 WITH PREPAREDNESS, RESPONSE, RECOVERY, AND MITIGATION ACTIVITIES RELATED TO HEALTHCARE ORGANIZATION DISASTER OPERATIONS. TIER II ASSESSMENT HOSPITAL INFECTIOUS DISEASE NETWORK COORDINATORMHUMC IS DESIGNATED AS A STATE PUBLIC HEALTH TIER II ASSESSMENT HOSPITAL. IN THE EVENT OF A POTENTIAL EBOLA/SERIOUS INFECTIOUS DISEASE (SID), MEMORIAL IS THE DESIGNATED HOSPITAL TO CARE FOR THE PATIENT. THE SID RESPONSE TEAM CONSISTS OF APPROXIMATELY 45 TEAM MEMBERS. THE EMERGENCY COORDINATOR/SAFETY OFFICER, INVESTED 520 HOURS TO SUPPORT AND PREPARE THE SID RESPONSE TEAM.ENVIRONMENTAL IMPROVEMENTS:LOCAL EMERGENCY PLANNING COMMITTEEMHUMC IS A VOTING MEMBER OF THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC). THE LEPC OF CHATHAM COUNTY WAS CREATED TO ADDRESS INDUSTRIAL PUBLIC SAFETY CONCERNS WITH A SPECIFIC FOCUS ON HAZARDOUS MATERIALS AND OTHER ENVIRONMENTAL CONCERNS.COALITION BUILDING:CHATHAM COUNTY SAFETY NET PLANNING COUNCIL MHUMC WAS A FOUNDING MEMBER OF THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL. THIS COUNCIL SERVES AS A HEALTHCARE COUNTYWIDE PLANNING GROUP FOR THE UNINSURED AND UNDERINSURED CITIZENS OF CHATHAM COUNTY. THE SAFETY NET PROVIDER NETWORK IS COMPOSED OF PRIMARY CARE PROVIDERS AND OTHER AGENCIES THAT SUPPORT THE DELIVERY OF HEALTHCARE BY TARGETING A SPECIFIC POPULATION OR SERVICE. COASTAL GEORGIA COMMUNITY INDICATORS COALITIONTHE PURPOSE OF THIS COMMUNITY COALITION IS TO IMPROVE COMMUNITY WELL-BEING BY ENGAGING AND LEADING THE COMMUNITY TO WORK COLLECTIVELY IN THE DEVELOPMENT OF STRATEGIC PRIORITIES THAT GUIDE POLICY, PROGRAMS, AND RESOURCE ALLOCATION. HEALTHY SAVANNAH THE HEALTHY SAVANNAH INITIATIVE IS DEDICATED TO MAKING SAVANNAH A HEALTHIER PLACE TO LIVE. THE AIM OF THIS GROUP IS TO INCREASE OPPORTUNITIES FOR CITIZENS TO ENGAGE IN PHYSICAL ACTIVITY AND CONSUME A NUTRITIOUS, BALANCED DIET. WORKFORCE DEVELOPMENT:JUNIOR ACHIEVEMENTJUNIOR ACHIEVEMENT OF GEORGIA AND ITS PARTNERS INSPIRE AND PREPARE YOUNG PEOPLE TO SUCCEED IN A GLOBAL ECONOMY. VARIOUS MHUMC TEAM MEMBERS ASSISTED J.A. STUDENTS BY SUPPLEMENTING CLASSROOM EDUCATION WITH REAL-WORLD EXAMPLES AND HANDS-ON APPLICATION.EXPLORER POSTIN PARTNERSHIP WITH THE BOY SCOUTS, "LEARNING FOR LIFE" PROGRAM, HIGH SCHOOL SENIORS FROM SAVANNAH-CHATHAM COUNTY PUBLIC SCHOOLS WERE INVITED TO EXPLORE HEALTHCARE CAREERS. MEMORIAL TEAM MEMBERS FROM VARIOUS DEPARTMENTS OFFERED A COMBINATION OF LECTURES AND HANDS-ON ACTIVITIES. THE PROGRAM BEGAN WITH A WHITE COAT CEREMONY AND ENDED WITH A GRADUATION. SCHOOL CAREER FAIRSMEMORIAL TEAM MEMBERS PROVIDED 6 HOURS OF CAREER DAY SPEAKERS FOR LOCAL SCHOOLS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT RESPONSIBILITY WRITTEN OFF AS UNCOLLECTIBLE PER POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT IS REPORTED AT GROSS CHARGES PER THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS.THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE ALLOWABLE COST REPORTED ON LINE 6 AGREES TO THE MHUMC MEDICARE COST REPORT. THE ORGANIZATION RECEIVES ADDITIONAL MEDICARE REIMBURSEMENTS BASED ON THE DEMOGRAPHICS OF AND LEVEL OF CHARITY CARE IT PROVIDES WITHIN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S DEBT COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE SELF-PAY. THE ORGANIZATION MAINTAINS COLLECTION PRACTICES THAT APPLY TO ALL SELF-PAY PATIENTS INCLUDING WRITTEN LIMITATIONS ON ABUSIVE PHONE CALLS. A PATIENT CAN QUALIFY FOR TWO TYPES OF CHARITY CARE: FREE CARE AND REDUCED COST CARE. IF A PATIENT QUALIFIES FOR FREE CARE, THE AMOUNT IS WRITTEN OFF AND NO ATTEMPTS ARE MADE TO COLLECT ON THE ACCOUNT. IF A PATIENT QUALIFIES FOR REDUCED COST CHARITY CARE, COLLECTIONS ARE PURSUED ON THE REMAINDER OF THE DISCOUNTED PATIENT LIABILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMORIAL UNIVERSITY MEDICAL CENTER HAS NEVER LACKED FOR AN INFORMAL MEASURE OF THE HEALTH NEEDS OF THIS COMMUNITY THE EVIDENCE ROLLS THROUGH OUR DOORS ON A DAILY, SOMETIMES HOURLY, BASIS --FROM LOW BIRTH WEIGHT BABIES TREATED IN OUR NEONATAL INTENSIVE CARE NURSERY TO TRAUMA VICTIMS OF VIOLENCE ROOTED IN SOCIO-ECONOMIC CONDITIONS TO CHRONIC HEALTH PROBLEMS OF THE UNINSURED THAT BLOSSOM INTO EMERGENCIES DUE TO LACK OF INSURANCE COVERAGE. MEMORIAL HAS A LONG HISTORY OF SERVICE TO THIS COMMUNITY AS A SAFETY NET HOSPITAL.OTHER SOURCES OF DATA INCLUDE OUR PARTICIPATION AS A FOUNDING MEMBER (CIRCA 2004) OF THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL, DEDICATED TO IMPROVING HEALTHCARE DELIVERY TO CHATHAM COUNTY'S UNINSURED AND UNDER-INSURED. MEMORIAL ALSO PROVIDES DIRECT SUPPORT FOR THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL, A COUNTYWIDE PLANNING GROUP FOR HEALTHCARE FOR THE UNINSURED AND UNDERINSURED CITIZENS OF CHATHAM COUNTY; AND THE MEDBANK FOUNDATION INC., WHICH FACILITATES PRESCRIPTION ASSISTANCE TO THE NEEDY VIA PARTNERSHIPS WITH PHARMACEUTICAL MANUFACTURERS.IN 2013 AND AGAIN IN 2016, MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER JOINED FORCES WITH ST. JOSEPH'S/CANDLER, THE OTHER MAJOR HEALTH SYSTEM IN CHATHAM COUNTY, TO IDENTIFY THE HEALTH AND SOCIAL DETERMINANTS OF HEALTH NEEDS IN CHATHAM COUNTY. OTHER PARTNERS IN COMPILING THE REPORT WERE THE COASTAL GEORGIA INDICATORS COALITION, CHATHAM COUNTY COMMISSION, CHATHAM COUNTY HEALTH DEPARTMENT, AND THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL. IN ADDITION, THE REPORT DRAWS ON A VARIETY OF OTHER REPORTS FROM SOCIAL SERVICES AGENCIES IN THE REGION. THE ASSESSMENT WAS COMPLETED ON JUNE 30, 2016 AND IS AVAILABLE TO THE PUBLIC ON THE MHUMC WEBSITE AT HTTP://WWW.MEMORIALHEALTH.COM/CHNA/?EKFRM=11821.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>FAP INFORMATION, ELIGIBILITY REQUIREMENTS, AND APPLICATION PROCESS MAY BE OBTAINED BY DIRECTLY CALLING THE FINANCIAL ASSISTANCE DEPARTMENT AT (912)350-7828, OR A WRITTEN FINANCIAL ASSISTANCE SUMMARY, AVAILABLE IN ENGLISH AND SPANISH VERSIONS, MAY BE OBTAINED AT THE FOLLOWING POINTS OF SERVICE IN THE HOSPITAL: 1. ALL REGISTRATION AREAS 2. INSURANCE VERIFICATION/PRE-ADMISSION/PRE-CERTIFICATION 3. INPATIENT HOSPITAL ROOMS 4. DIRECT CONTACT WITH PATIENTS OR THEIR FAMILIES/FRIENDS 5. PHYSICIANS AND/OR OFFICE REPRESENTATIVES 6. EMERGENCY ROOM &amp; TRAUMA CENTER 7. BILLING AND COLLECTIONS 8. OTHER ENTITIES IN THE MEMORIAL HEALTH SYSTEM MHUMC MAKES REASONABLE EFFORTS TO WIDELY PUBLICIZE ITS FINANCIAL ASSISTANCE POLICY, FREE OF CHARGE, AS FOLLOWS: - PROVIDES COPIES OF FINANCIAL ASSISTANCE SUMMARY AT PATIENT ACCESS POINTS IN THE HOSPITAL FACILITY- INCLUDES FINANCIAL ASSISTANCE INFORMATION IN THE ANNUAL COMMUNITY BENEFIT REPORT WHICH IS PUBLICLY AVAILABLE.- PROVIDES COPIES OF FINANCIAL ASSISTANCE SUMMARY TO COLLABORATIVE PARTNERS, SUCH AS THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL AND CARE NAVIGATOR PROGRAM, WHO SERVE AS A COMMUNITY RESOURCES- PROVIDES AND/OR MAILS COPIES OF FINANCIAL ASSISTANCE SUMMARY AND APPLICATION WHEN SUCH REQUEST IS RECEIVED BY ANY MEMBER OF FINANCIAL ASSISTANCE, BILLING, COLLECTIONS, OR CUSTOMER SERVICE TEAMS.- PROVIDES GENERAL PUBLIC WITH ACCESS TO VIEW AND PRINT COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE SUMMARY, AND FINANCIAL ASSISTANCE APPLICATION, IN BOTH ENGLISH AND SPANISH VERSIONS, ON THE MHUMC WEBSITE, HTTP://MEMORIALHEALTH.COM/FINANCIAL-ASSISTANCE-POLICY.ASPX</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>MHUMC SERVES 35 COUNTIES IN SOUTHEAST GEORGIA AND SOUTHERN SOUTH CAROLINA. THE PRIMARY SERVICE AREA COVERS CHATHAM, EFFINGHAM, AND BRYAN COUNTIES. MHUMC IS HEADQUARTERED IN CHATHAM COUNTY, GEORGIA ON THE SOUTHEASTERN COAST OF THE UNITED STATES. CHATHAM COUNTY IS THE MOST POPULOUS OF THE THREE COUNTIES IN THE PRIMARY SERVICE AREA. THE TOTAL ESTIMATED POPULATION IN 2016 WAS 289,535 PEOPLE, 113, 232 HOUSEHOLDS, 71,309 FAMILIES.FEMALES MAKE UP THE LARGEST POPULATION AT 51.6% OF THE TOTAL POPULATION COMPARED TO MALES AT 48.4%. THE MOST POPULOUS AGE GROUP FOR BOTH GENDERS IS AGE 25-34 (15.62%). CAUCASIANS MAKE UP THE MAJORITY OF RESIDENTS IN CHATHAM COUNTY (52.78%) FOLLOWED BY AFRICAN AMERICANS (41.61%) AND HISPANICS (6.42%). THE MEDIAN INCOME IS $48,238 UP FROM $42,679 REPORTED IN THE 2013 CHNA. THE AVERAGE HOUSEHOLD INCOME IS UP, REPORTED AT $70,616 THIS YEAR COMPARED TO $58,884 IN 2013.MHUMC IS A LARGE PROVIDER OF CHARITY CARE IN THE REGION AND ALL THREE COUNTIES IN THE PRIMARY SERVICE AREA ARE DESIGNATED AS MEDICALLY UNDERSERVED AREAS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>MHUMC PROVIDES VITAL MEDICAL SERVICES THAT ARE NOT AVAILABLE AT ANY OTHER HOSPITALS IN OUR REGION. THIS INCLUDES OUR LEVEL 1 TRAUMA CENTER, CHILDREN'S HOSPITAL, LEVEL III NEONATAL INTENSIVE CARE NURSERY, AND HIGH-RISK OBSTETRICS PROGRAM. MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER PROVIDES A REAL AND ESSENTIAL SAFETY NET, ASSURING THAT THOSE WHO CHOOSE TO COME TO US RECEIVE THE MEDICAL CARE, FINANCIAL HELP, AND PATIENT RESOURCES THEY NEED. IN 2016, WE PROVIDED $20,148,702 IN INDIGENT/CHARITY SERVICES. WE ALSO PROVIDED COMMUNITY BENEFIT SERVICES TO IMPROVE THE OVERALL HEALTH OF THE ENTIRE COMMUNITY. AFTER FINANCIAL ASSISTANCE AND CHARITY CARE, OUR TOP COMMUNITY CONTRIBUTIONS WERE IN THE FOLLOWING CATEGORIES: 1. EDUCATION FOR HEALTH PROFESSIONALS 2. COMMUNITY HEALTH IMPROVEMENT 3. CASH AND IN-KIND CONTRIBUTIONS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>GA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <HousingAllowanceOrResidenceInd>X</HousingAllowanceOrResidenceInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID BYCK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>467135</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2560</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>7843</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8075</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>485613</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RA MEGUIAR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>406461</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>42318</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>7620</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>9313</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>473712</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARGARET M GILL</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO (RESIGNED)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>652518</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>22</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>450</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3619</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6990</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>663599</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURA DOW</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>347549</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>29327</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>842</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5350</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>389068</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY CHATMAN PHD RN</PersonNm>
        <TitleTxt>COO &amp; CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>107028</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>43318</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>208</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1719</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3180</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>155453</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM LEE III MHA MBA</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>114648</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>31500</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>312</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1038</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>4815</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>152313</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEITH MCNEICE</PersonNm>
        <TitleTxt>VP OF INFORMATION SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>240657</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>13020</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>12102</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>265779</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REBECCA KEIGHTLEY</PersonNm>
        <TitleTxt>VP, CHIEF COMMUNICATIONS O</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>198014</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>7984</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>3087</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3750</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>9181</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>222016</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN BOYER MHA MBA RN</PersonNm>
        <TitleTxt>CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>263391</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10025</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1373</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4801</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9308</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>288898</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GUY PETRUZZELLI MD PHD MBA FACS</PersonNm>
        <TitleTxt>VP OF ONCOLOGY PROGRAMS</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>581046</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2580</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>9253</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>600879</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES WATSON JR</PersonNm>
        <TitleTxt>VP OF REVENUE CYCLE &amp; PATI</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>233615</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>10013</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>515</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3249</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>9282</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>256674</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURIE MULGREW</PersonNm>
        <TitleTxt>VP OF HEART &amp; VASCULAR SER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>170203</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1863</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3323</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8166</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>183555</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALYSIA SHIRLEY CISA</PersonNm>
        <TitleTxt>VP OF COMPLIANCE &amp; AUDIT S</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>198821</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>8708</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>498</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3349</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>13410</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>224786</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMY ARCHER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>236480</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>254</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1526</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>240410</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RENEE LEWIS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>215390</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>254</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1075</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4975</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>221694</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LERISSA ANTONIO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>204064</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>203</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2158</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>208575</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>HOUSING ALLOWANCE IS OUTLINED IN THE EMPLOYMENT OFFER LETTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS A SERP AGREEMENT IN PLACE FOR AN UNFUNDED DEFERRED COMPENSATION PLAN FOR CERTAIN OFFICERS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CHATHAM COUNTY HOSPITAL AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>586003667</BondIssuerEIN>
        <CUSIPNum>162033GU2</CUSIPNum>
        <BondIssuedDt>2012-05-29</BondIssuedDt>
        <IssuePriceAmt>163880000</IssuePriceAmt>
        <PurposeDesc>ADV. REFUND, CAPITAL ACQ.</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>179573585</TotalProceedsAmt>
        <InReserveFundAmt>3670693</InReserveFundAmt>
        <RefundingEscrowAmt>47732765</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>2184187</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>125985940</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2014</SubstantialCompletionYr>
        <CurrentRefundingInd>0</CurrentRefundingInd>
        <AdvanceRefundingInd>1</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>1</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>1</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>1</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.01980</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.01980</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: CHATHAM COUNTY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/13/2015</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, DESCRIPTION OF PURPOSE:</FormAndLineReferenceDesc>
        <ExplanationTxt>A PORTION OF THE PROCEEDS OF THE SERIES 2012A BONDS WILL BE USED, TOGETHER WITH OTHER AVAILABLE FUNDS, TO REFUND PRIOR BONDS; TO FINANCE THE CONSTRUCTION AND EQUIPPING OF CERTAIN IMPROVEMENTS TO THE CHILDREN'S HOSPITAL AND THE EXPANSION, RENOVATION, AND EQUIPPING OF CERTAIN OPERATING ROOM FACILITIES; AND TO PAY COSTS OF ISSUANCE OF THE SERIES 2012A BONDS. PRIOR BONDS REFUNDED WERE ORIGINALLY ISSUED ON: 11/19/1996; 05/03/2001; AND 08/05/2004. THE LAST DATE ON WHICH THE REFUNDED BONDS WILL BE CALLED IS 01/01/2014. THE REFUNDED BONDS ARE NOT REPORTED ON THIS SCHEDULE K AS THEY ARE NO LONGER DEFINED AS OUTSTANDING BONDS PER DEFEASANCE MEASURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REPORTED ON PART II, LINE 11 REPRESENTS AMOUNTS USED TO REFUND PRIOR ISSUES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LESLIE PETRUZZELLI</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY RELATIONSHIP WITH KEY EMPLOYEE GUY PETRUZZELLI</RelationshipDescriptionTxt>
        <TransactionAmt>236733</TransactionAmt>
        <TransactionDesc>COMPENSATION AS AN EMPLOYEE.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ARTICLE VIII, SECTION 5 OF THE BYLAWS STATES THAT THE SOLE MEMBER OF THE CORPORATION SHALL BE MEMORIAL HEALTH, INC., A CORPORATION INCORPORATED UNDER THE GEORGIA NONPROFIT CORPORATION CODE, WHICH SHALL HAVE AND MAY EXERCISE TO THE CORPORATION ALL RIGHTS AND AUTHORITIES GRANTED BY LAW TO THE MEMBERS OF NONPROFIT CORPORATIONS IN GEORGIA OR BY THESE BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER SHALL SELECT MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO MANAGEMENT FOR REVIEW BEFORE BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO UPDATE AND SUBMIT A NEW CONFLICT OF INTEREST STATEMENT ANNUALLY. THE CHAIRMAN OF THE BOARD, PRESIDENT, AND CHIEF EXECUTIVE OFFICER AND THE CORPORATE COMPLIANCE OFFICER SHALL BECOME FAMILIAR WITH THE STATEMENTS OF THE BOARD MEMBERS IN ORDER TO GUIDE THEIR CONDUCT SHOULD A CONFLICT ARISE AT SUCH TIMES AS ANY MATTER COMES BEFORE THE BOARD THAT MAY POTENTIALLY RESULT IN A CONFLICT OF INTEREST. THE AFFECTED BOARD MEMBER SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER OR NOT DISCLOSED IN A WRITTEN STATEMENT. THE AFFECTED BOARD MEMBER MAY MAKE A PRESENTATION TO THE BOARD OR A COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE MUST LEAVE THE MEETING DURING THE DISCUSSION OF AND THE VOTE ON THE TRANSACTION OR ARRANGEMENT CONSIDERED TO BE A CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES SULLIVAN-COTTER (AN UNRELATED, INDEPENDENT THIRD PARTY COMPANY) TO ANALYZE APPROPRIATE COMPENSATION FOR THE CEO, EXECUTIVES, DIRECTORS AND TOP MANAGEMENT. FOR ALL OTHER POSITIONS, THE ORGANIZATION USES COMPENSATION ANALYST, SALARY.COM, TO ANALYZE COMPENSATION AND COMPILE DATA FOR COMPARABILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS MADE AVAILABLE UPON REQUESTION. IN ADDITION, THE FORM 990 IS AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF GEORGIA SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC AS THIS IS NOT A REQUIREMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 53,876,543. MANAGEMENT AND GENERAL EXPENSES 24,314,755. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,191,298. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 774,451. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 774,451. MEDICAL FEES: PROGRAM SERVICE EXPENSES 15,575,997. MANAGEMENT AND GENERAL EXPENSES 149,452. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,725,449. CONSULTING FEES: PROGRAM SERVICE EXPENSES 663,545. MANAGEMENT AND GENERAL EXPENSES 461,720. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,125,265. HOSPITALISTS: PROGRAM SERVICE EXPENSES 56,027. MANAGEMENT AND GENERAL EXPENSES 445,438. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 501,465. OUTSIDE LAB FEES: PROGRAM SERVICE EXPENSES 1,746,409. MANAGEMENT AND GENERAL EXPENSES 616. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,747,025. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 16,870. MANAGEMENT AND GENERAL EXPENSES 3,828,992. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,845,862.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY TRANSFERS TO AFFILIATES -22,939,416. OTHER TRANSFERS 209,708.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAINTAINS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITIES FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER 2017 COMMUNITY BENEFIT REPORT ABOUT MEMORIAL HEALTH MEMORIAL HEALTH IS A NONPROFIT HEALTHCARE ORGANIZATION THAT SERVES 35 COUNTIES IN SOUTHEAST GEORGIA AND SOUTHERN SOUTH CAROLINA. HEADQUARTERED IN SAVANNAH, GEORGIA, OUR PRIMARY SERVICE AREA COVERS CHATHAM, EFFINGHAM, AND BRYAN COUNTIES IN GEORGIA. OUR SYSTEM INCLUDES: MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER (MHUMC), A 604-BED TEACHING AND RESEARCH HOSPITAL AND REGIONAL REFERRAL CENTER FOR SOUTHEAST GEORGIA. MHUMC HOUSES THE REGION'S ONLY LEVEL 1 TRAUMA CENTER, THE REGION'S ONLY CHILDREN'S HOSPITAL, AND THE REGION'S ONLY LEVEL III NEONATAL INTENSIVE CARE NURSERY. MEMORIAL HEALTH UNIVERSITY PHYSICIANS (MHUP), THE REGION'S LARGEST PHYSICIAN NETWORK, CONSISTING OF BOTH PRIMARY AND SPECIALTY CARE PRACTICES. A MAJOR MEDICAL EDUCATION PROGRAM WITH PHYSICIAN RESIDENCY PROGRAMS IN DIAGNOSTIC RADIOLOGY, FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, PEDIATRICS, AND GENERAL SURGERY. IN 2017, 139 RESIDENT PHYSICIANS TRAINED AT MHUMC. OUR CAMPUS IS ALSO THE SAVANNAH CAMPUS OF MERCER UNIVERSITY SCHOOL OF MEDICINE, A FULL FOUR-YEAR MEDICAL SCHOOL. OUR AFFILIATION WITH MERCER HELPS MAINTAIN A SUPPLY OF NEW PHYSICIANS FOR RURAL AND MEDICALLY UNDERSERVED AREAS OF GEORGIA. TOGETHER, WE ESTABLISHED A THREE-YEAR FAMILY MEDICINE ACCELERATED CURRICULUM TO ENABLE STUDENTS TO FINISH MEDICAL SCHOOL A YEAR EARLY AND MOVE INTO THE WORK FORCE MORE QUICKLY. IN 2017, MHUMC'S MEDICAL EDUCATION PROGRAM PROVIDED CONTINUING EDUCATION TO 14,898 MEDICAL PROFESSIONALS THROUGHOUT THE REGION. MEMORIAL HEALTH PARTNERS (MHP) IS OUR PROVIDER-SPONSORED INSURANCE NETWORK FOR LOCAL EMPLOYERS. MHP WORKS WITH LOCAL BUSINESSES TO PROVIDE EMPLOYEE HEALTH PLAN BENEFITS, POPULATION HEALTH MANAGEMENT, AND WELLNESS COACHING. THE MHP NETWORK IS USED BY MORE THAN 35,000 PEOPLE. IT INCLUDES 19 HOSPITALS AND 2,200 PROVIDERS AND ANCILLARY CAREGIVERS IN 29 COUNTIES IN GEORGIA AND SOUTH CAROLINA. NURSEONE, A 24-HOUR CALL CENTER THAT ANSWERS QUESTIONS FROM PATIENTS, HELPS PATIENTS FIND A PRIMARY CARE DOCTOR, AND ASSISTS PHYSICIAN PRACTICES WITH AFTER-HOURS CALL AND SCHEDULING. MEMORIAL HEALTH BY THE NUMBERS IN 2017 26,737 HOSPITAL ADMISSIONS 245,147 HOSPITAL OUTPATIENT VISITS 20,391 SURGERIES 3,002 DELIVERIES 324 PREMATURE BABIES TRANSPORTED TO OUR LEVEL III NEONATAL INTENSIVE CARE NURSERY FROM OTHER HOSPITALS 4,700 CHILDREN'S HOSPITAL ADMISSIONS 3,234 TRAUMAS 106,506 EMERGENCY DEPARTMENT VISITS 444 AVERAGE DAILY PATIENT CENSUS 5.64 DAYS AVERAGE LENGTH OF STAY 636 PHYSICIANS ON OUR MEDICAL STAFF 140 RESIDENT PHYSICIANS 4,451 TEAM MEMBERS 2.2 PERCENT GROWTH IN PATIENT VOLUME IN 2017 OUR MISSION, VISION, AND VALUES MISSION: WITH COMPASSION, WE HEAL, TEACH, AND DISCOVER. VISION: WE WILL BE THE HEALTHCARE SYSTEM OF CHOICE BY DEMONSTRATING EXCELLENCE IN EVERYTHING WE DO. VALUES: SAFETY, TRUST, RESPECT, WORLD-CLASS, ENJOYMENT, AND MY MEMORIAL. CHARITY CARE MHUMC PROVIDES VITAL MEDICAL SERVICES THAT ARE NOT AVAILABLE AT ANY OTHER HOSPITALS IN OUR REGION. THIS INCLUDES OUR LEVEL 1 TRAUMA CENTER, CHILDREN'S HOSPITAL, LEVEL III NEONATAL INTENSIVE CARE NURSERY, AND HIGH-RISK OBSTETRICS PROGRAMS. IN 2017, WE PROVIDED $21,116,724 IN FINANCIAL ASSISTANCE, WHICH INCLUDES INDIGENT/CHARITY CARE AND MEDICAID SHORTFALLS/LOSSES. TWO KEY FACTORS CONTRIBUTE TO OUR HIGH RATE OF INDIGENT CARE: 1. WE DO NOT REFUSE SERVICE TO ANY MAN, WOMAN, OR CHILD, REGARDLESS OF THEIR ABILITY TO PAY. 2. WE ARE THE LARGEST HOSPITAL IN SOUTHEAST GEORGIA AND WE OFFER THE MOST ADVANCED MEDICAL SERVICES. AS A RESULT, WE OFTEN SEE THE MOST CRITICALLY ILL OR INJURED PATIENTS WHO THEN ACCRUE THE MOST COSTLY MEDICAL EXPENSES. 2017 ACCOLADES AND HONORS MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER IS ACCREDITED BY THE JOINT COMMISSION. ACCREDITATION FROM THIS ORGANIZATION IS A NATIONWIDE SEAL OF APPROVAL THAT INDICATES OUR HOSPITAL MEETS HIGH PERFORMANCE STANDARDS. EXCELLENCE IN BARIATRIC (WEIGHT-LOSS) SURGERY MEMORIAL UNIVERSITY MEDICAL CENTER IS ACCREDITED AS A COMPREHENSIVE BARIATRIC CENTER BY THE AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM. WE ARE ALSO DESIGNATED A BLUE CROSS BLUE SHIELD BLUE DISTINCTION CENTER+ FOR GASTRIC STAPLING AND GASTRIC BAND. EXCELLENCE IN BREAST IMAGING MEMORIAL UNIVERSITY MEDICAL CENTER IS DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY AND A PINK RIBBON FACILITY FOR EXCELLENCE IN BREAST HEALTH BY HOLOGIC. EXCELLENCE IN CANCER CARE THE CURTIS AND ELIZABETH ANDERSON CANCER INSTITUTE (ACI) AT MEMORIAL UNIVERSITY MEDICAL CENTER IS ACCREDITED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. IN ADDITION, THE ACI IS DESIGNATED A BLUE CROSS BLUE SHIELD BLUE DISTINCTION CENTER FOR BLADDER CANCER, BRAIN CANCER, ESOPHAGEAL CANCER, GASTRIC CANCER, LIVER CANCER, PANCREATIC CANCER, RECTAL CANCER, AND THYROID CANCER. EXCELLENCE IN COLONOSCOPY AND ENDOSCOPY OUR GASTROINTESTINAL PROCEDURES CENTER OF EXCELLENCE IS CERTIFIED BY THE AMERICAN SOCIETY FOR GASTROINTESTINAL ENDOSCOPY. EXCELLENCE IN HEART AND VASCULAR CARE THE HEART &amp; VASCULAR INSTITUTE AT MEMORIAL UNIVERSITY MEDICAL CENTER EARNED CERTIFICATION IN ADVANCED HEART FAILURE FROM THE JOINT COMMISSION AND THE AMERICAN HEART ASSOCIATION FOR OUR HEART FAILURE PROGRAM AND CLINIC. THE HEART &amp; VASCULAR INSTITUTE ALSO EARNED CHEST PAIN ACCREDITATION WITH PERCUTANEOUS CORONARY INTERVENTION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE. WE ARE THE ONLY HOSPITAL IN THE REGION PARTICIPATING IN THE NATIONAL VASCULAR QUALITY INITIATIVE TO IMPROVE THE QUALITY, SAFETY, EFFECTIVENESS, AND COST OF VASCULAR HEALTHCARE. IN 2017, OUR HEART FAILURE TREATMENT WAS RANKED IN THE TOP 10 PERCENT IN THE NATION FOR MEDICAL EXCELLENCE AND IN THE TOP 10 PERCENT IN THE NATION FOR PATIENT SAFETY BY CARECHEX -- AN INFORMATION SERVICE OF QUANTROS, INC. TO LEARN MORE, VISIT CARECHEX.COM. ALSO IN 2017, WE EARNED THE MISSION: LIFELINE BRONZE RECEIVING QUALITY ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION. THE AWARD RECOGNIZES OUR USE OF QUALITY IMPROVEMENT MEASURES OUTLINED BY THE AMERICAN HEART ASSOCIATION FOR THE TREATMENT OF PATIENTS WHO SUFFER SEVERE HEART ATTACKS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXCELLENCE IN JOINT REPLACEMENT SURGERY &amp; ORTHOPAEDIC CARE MEMORIAL UNIVERSITY MEDICAL CENTER HOLDS THE JOINT COMMISSION'S DISEASE-SPECIFIC ACCREDITATION FOR HIP REPLACEMENT AND KNEE REPLACEMENT. WE ARE DESIGNATED A BLUE CROSS BLUE SHIELD BLUE DISTINCTION CENTER+ FOR HIP AND KNEE REPLACEMENT. WE ARE A CIGNA CENTER OF EXCELLENCE FOR TOTAL KNEE REPLACEMENT AND TOTAL HIP REPLACEMENT. IN 2017, OUR HIP FRACTURE REPAIR WAS RANKED IN THE TOP 10 PERCENT IN THE NATION FOR MEDICAL EXCELLENCE AND IN THE TOP 10 PERCENT IN THE NATION FOR PATIENT SAFETY BY CARECHEX -- AN INFORMATION SERVICE OF QUANTROS, INC. CARECHEX ALSO RANKED OUR ORTHOPAEDIC CARE AMONG THE TOP 10 PERCENT IN THE NATION FOR PATIENT SAFETY. TO LEARN MORE, VISIT CARECHEX.COM. EXCELLENCE IN NEUROSURGERY IN 2017, WE WERE RANKED IN THE TOP 100 IN THE NATION FOR PATIENT SAFETY FOR MAJOR NEUROSURGERY. TO LEARN MORE, VISIT CARECHEX.COM. EXCELLENCE IN PNEUMONIA CARE IN 2017, OUR PNEUMONIA CARE WAS RANKED AMONG THE TOP 10 PERCENT IN THE NATION FOR MEDICAL EXCELLENCE BY CARECHEX -- AN INFORMATION SERVICE OF QUANTROS, INC. TO LEARN MORE, VISIT CARECHEX.COM. EXCELLENCE IN SPINE SURGERY MEMORIAL UNIVERSITY MEDICAL CENTER EARNED THE JOINT COMMISSION'S DISEASE-SPECIFIC ACCREDITATION FOR SPINE SURGERY. WE ARE DESIGNATED A BLUE CROSS BLUE SHIELD BLUE DISTINCTION CENTER+ FOR SPINE SURGERY. WE ARE A CIGNA CENTER OF EXCELLENCE FOR SPINE SURGERY. IN 2017, WE WERE RANKED IN THE TOP 100 IN THE NATION FOR MEDICAL EXCELLENCE IN SPINAL FUSION AND SPINAL SURGERY BY CARECHEX -- AN INFORMATION SERVICE OF QUANTROS, INC. TO LEARN MORE, VISIT CARECHEX.COM. EXCELLENCE IN STROKE SERVICES MEMORIAL UNIVERSITY MEDICAL CENTER IS AN ADVANCED PRIMARY STROKE CENTER AS DESIGNATED BY THE JOINT COMMISSION. IN 2017, OUR STROKE CARE WAS RANKED AMONG THE TOP 10 PERCENT IN THE NATION FOR PATIENT SAFETY BY CARECHEX -- AN INFORMATION SERVICE OF QUANTROS, INC. TO LEARN MORE, VISIT CARECHEX.COM. WE HOLD THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES -- STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD, ALONG WITH TARGET: STROKE HONOR ROLL ELITE PLUS DESIGNATION. EXCELLENCE IN TRAUMA CARE IN 2017, OUR TRAUMA CARE WAS RANKED IN THE TOP 100 IN THE NATION FOR PATIENT SAFETY BY CARECHEX -- AN INFORMATION SERVICE OF QUANTROS, INC. TO LEARN MORE, VISIT CARECHEX.COM. EXCELLENCE IN WOMEN'S HEALTH MEMORIAL UNIVERSITY MEDICAL CENTER WAS NAMED A BLUE DISTINCTION CENTER+ FOR MATERNITY CARE. WE HOLD INTERNATIONAL RECOGNITION AS A BABY-FRIENDLY DESIGNATED BIRTH FACILITY. "BABY-FRIENDLY" IS A GLOBAL PROGRAM SPONSORED BY THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDREN'S FUND (UNICEF) TO RECOGNIZE HOSPITALS THAT PROVIDE AN OPTIMAL LEVEL OF CARE FOR BREASTFEEDING MOTHERS AND THEIR BABIES. WE ALSO EARNED THE "39 WEEKS" RECOGNITION BANNER FROM THE MARCH OF DIMES FOR REDUCING ELECTIVE INDUCTIONS AND CESAREAN DELIVERIES PERFORMED BEFORE 39 COMPLETED WEEKS OF PREGNANCY. CARING FOR ALL, REGARDLESS OF THEIR ABILITY TO PAY MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER PROVIDES A REAL AND ESSENTIAL SAFETY NET, ASSURING THAT THOSE WHO CHOOSE TO COME TO US RECEIVE THE MEDICAL CARE, FINANCIAL HELP, AND PATIENT RESOURCES THEY NEED. IN 2017, WE PROVIDED MORE THAN $21MILLION IN FINANCIAL ASSISTANCE AND CHARITY CARE FOR PEOPLE IN NEED. IN ADDITION, MHUMC ALSO PROVIDED COMMUNITY BENEFIT SERVICES TO IMPROVE THE OVERALL HEALTH OF THE ENTIRE COMMUNITY. AFTER FINANCIAL ASSISTANCE AND CHARITY CARE, OUR TOP COMMUNITY CONTRIBUTIONS WERE IN THE FOLLOWING CATEGORIES: 1. EDUCATION FOR HEALTH PROFESSIONALS - $19,070,837 2. RESEARCH - $1,009,500 3. CASH AND IN-KIND CONTRIBUTIONS - $479,388 4. COMMUNITY HEALTH IMPROVEMENT - $288,568 EDUCATION FOR HEALTHCARE PROFESSIONALS - $19,070,837 ADDITIONAL HEALTHCARE PROFESSIONALS ARE DESPERATELY NEEDED THROUGHOUT SOUTHEAST GEORGIA. TO HELP FILL THAT NEED, MHUMC INVESTS IN PROVIDING QUALITY EDUCATION AND TRAINING EXPERIENCES FOR HEALTHCARE PROFESSIONALS. WE SERVE AS THE SAVANNAH CAMPUS OF MERCER UNIVERSITY SCHOOL OF MEDICINE, A FOUR-YEAR MEDICAL SCHOOL WHERE FUTURE DOCTORS LEARN THEIR PROFESSION. GRADUATE MEDICAL EDUCATION THE GRADUATE MEDICAL EDUCATION PROGRAM AT MHUMC HAD ITS BEGINNINGS WELL OVER 50 YEARS AGO WITH THE ESTABLISHMENT OF THE INTERNAL MEDICINE RESIDENCY PROGRAM. TODAY, THERE ARE SIX RESIDENCY PROGRAMS: FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS, OBSTETRICS AND GYNECOLOGY, GENERAL SURGERY, AND DIAGNOSTIC RADIOLOGY. MHUMC AND EACH PROGRAM ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). THE PHYSICIAN RESIDENT TRAINING PROGRAM ALIGNS WITH THE EARLY MISSION OF MHUMC TO PROVIDE CARE FOR THOSE IN NEED AS WELL AS TRAIN FUTURE PHYSICIANS FOR THE COMMUNITY AND THE REGION. OF THE 139 RESIDENTS TRAINED IN 2017, MHUMC DID NOT RECEIVE COMPENSATION FOR 40 OF THEM. THIS IS DUE TO CAPS PLACED ON THE ALLOWABLE NUMBER OF PHYSICIANS ENGAGED IN GRADUATE MEDICAL INSTRUCTION IN ALL TEACHING HOSPITALS ACROSS THE UNITED STATES. CONTINUING MEDICAL EDUCATION (CME) THE CONTINUING MEDICAL EDUCATION (CME) DEPARTMENT IS COMMITTED TO DEVELOPING, IMPLEMENTING, AND EVALUATING EDUCATIONAL OPPORTUNITIES AND INITIATIVES TO ASSIST PRACTICING PHYSICIANS, ADVANCED PRACTICE PROFESSIONALS, AND OTHER HEALTHCARE PROFESSIONALS TO IMPROVE PATIENT SAFETY AND ENHANCE CLINICAL OUTCOMES. NURSES/NURSING STUDENTS IN 2017, MHUMC PROVIDED AN INPATIENT AND OUTPATIENT CLINICAL ROTATIONS FOR UNDERGRADUATE NURSING STUDENTS FROM THE FOLLOWING ACCREDITED NURSING SCHOOLS: ARMSTRONG STATE UNIVERSITY, GEORGIA SOUTHERN UNIVERSITY, COLLEGE OF COASTAL GEORGIA, AND THE UNIVERSITY OF SOUTH CAROLINA BEAUFORT CAMPUS. CLINICAL EXPERIENCES WERE PROVIDED FOR 1062 NURSING STUDENTS. OTHER HEALTH PROFESSIONALS EDUCATION MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER PROVIDED CLINICAL SUPERVISION AND TRAINING FOR 221 STUDENTS IN THE FOLLOWING AREAS: CARDIAC CATH, CHILD LIFE SPECIALIST, CT ECHOCARDIOGRAPHY, NUCLEAR MEDICINE, OCCUPATIONAL THERAPY, PHARMACY, PHYSICAL THERAPY, RADIATION THERAPY, RADIOGRAPHY, RESPIRATORY THERAPY, SPEECH THERAPY, SURGICAL TECHNOLOGISTS, ULTRASOUND, AND OTHER HEALTH PROFESSIONALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY HEALTH IMPROVEMENT SERVICES - $288,568 COMMUNITY HEALTH IMPROVEMENT SERVICES PROVIDED BY MHUMC INCLUDE PROGRAMS THAT FOCUS ON PATIENT SUPPORT SERVICES, HEALTH SCREENINGS, EDUCATION, AND DISEASE PREVENTION. COMMUNITY HEALTH EDUCATION FOR CHILDREN CHATHAM COUNTY YOUTH COMMISSION HOSPITAL ACADEMY DAY MHUMC IS THE ANNUAL HOST FOR THE HOSPITAL ACADEMY DAY FOR CHATHAM COUNTY YOUTH COMMISSION CANDIDATES. THIS PROGRAM FOCUSES ON PERSONAL SAFETY, AS WELL AS, HEALTHY BEHAVIORS AND CHOICES. CHILDREN'S NUTRITION, FITNESS, AND WELLNESS &amp; SAFETY EDUCATION AND EVENTS COMMUNITY EDUCATION AND EVENTS FOR CHILDREN'S WELLNESS TOTALED 136 HOURS IN 2017. 1 CHILDREN'S ANTI BULLYING SUMMIT 2 SCPCSS STUDENT SUCCESS EXPO 3 LITTLE ONE LUNCH AND LEARN 4 HANCOCK DAY SCHOOL WELLNESS EDUCATION 5 THE CHILDREN'S HOUSE PRE-K 6 CHEF AND CHILD DAY 7 CHILDREN OF PURPOSE CAMP 8 CHILD SAFETY SEAT INSPECTIONS 9 CHILDREN'S WELLNESS COOKING CLASS 10 GSU CHILD LIFE PRESENTATION 11 FIT KIDS FEST 2017 12 HEARD ELEMENTARY SCHOOL HEALTHY HABITS 13 HODGE ELEMENTARY SCHOOL EDUCATION 14 JOHNSON HIGH SCHOOL FAMILY ENGAGEMENT DAY NUTRITION EDUCATION 15 KIDS LUV YOUR HEART WALK 16 MAKE A SPLASH WATER SAFETY EVENT 17 MAY HOWARD ELEMENTARY SCHOOL UNDERSTANDING PUBERTY EDUCATION 18 PULASKI ELEMENTARY SCHOOL PRESENTATION 19 SAFEKIDS WATER SAFETY 20 SAFEKIDS WATER SAFETY RADIO EDUCATION 21 STRONG4LIFE PROVIDER TRAINING 22 TEENS AND TOT CLINIC 23 TYBEE YMCA HEALTH KIDS DAY 24 TREMONT TEMPLE PRE-SCHOOL LEARNING CENTER NUTRITION EDUCATION COMMUNITY HEALTH EDUCATION CANCER EDUCATION ACI: HARVEST OF HOPE RETREAT EACH YEAR, ACI SPONSORS A RELAXING, FUN-FILLED WEEKEND RETREAT FOR PEOPLE WITH CANCER AND THEIR FAMILIES. THE RETREAT IS FREE OF CHARGE AND OPEN TO ADULTS, ADOLESCENTS, AND CHILDREN WITH CANCER AND UP TO FOUR OF THEIR IMMEDIATE FAMILY MEMBERS. THE RETREAT INCLUDES EDUCATIONAL PROGRAMS, MASSAGES, ART THERAPY, MUSIC, AND TIME TO CONNECT WITH OTHERS EXPERIENCING CANCER. PINK TEA TWO PINK TEA EVENTS WERE HOSTED BY MEMORIAL TEAM MEMBERS. PINK TEA IS AN EVENT TO CELEBRATE LIFE, SUPPORT BREAST CANCER SURVIVORS, AND BRING AWARENESS TO YOUNGER WOMEN IN THE COMMUNITY. OTHER COMMUNITY CANCER EDUCATION MEMORIAL TEAM MEMBERS PROVIDED AN ADDITIONAL 33 HOURS OF COMMUNITY CANCER ON A VARIETY OF TOPICS. COMMUNITY HEALTH EDUCATION FOR ADULTS COMMUNITY HEALTH EDUCATION MHUMC TEAM LEADERS AND TEAM MEMBERS PROVIDED 177.5 HOURS OF COMMUNITY EDUCATION REQUESTED BY THE COMMUNITY ORGANIZATIONS LISTED BELOW. 1 AKWAABA MAMA SUPPORT EVENT 2 COAST GUARD ED EDUCATION AND TOUR 3 EXCHANGE CLUB HEALTH EDUCATION SERIES 4 FLASHBACK FRIDAY COMMUNITY 5K AND WELLNESS FAIR 5 FORD PLANTATION HEALTH EDUCATION SERIES 6 FORT STEWART CHILD YOUTH AND SCHOOL SERVICES EDUCATION 7 GEORGIA ASSOCIATION OF SCHOOL NURSES NUTRITION EDUCATION 8 GEORGIA SOUTHERN CONGESTIVE HEART FAILURE EDUCATION 9 HEESE SCHOOL PTA NUTRITION EDUCATION 10 HILTON HEAD KIWANIS CLUB 11 JEWISH EDUCATIONAL ALLIANCE HEALTH EDUCATION SERIES 12 JUNIOR LEAGUE OF SAVANNAH 13 KIWANIS CLUB HEALTH EDUCATION 14 MENDED HEARTS OF SAVANNAH 15 PARENT UNIVERSITY 16 PUBLIX GROCERY STORE NUTRITION EDUCATION TOUR 17 POOLER SENIOR CENTER 18 RICE CREEK PTA HEALTH NIGHT PRESENTATION 19 SAFE SHELTER 20 SAVANNAH CHATHAM COUNTY PUBLIC SCHOOLS NEW TEACHER ORIENTATION 21 SHINING STAR AWARDS SPEAKER 22 SUN CITY EDUCATION 23 URBAN HOPE 24 WHITE BLUFF UNITED METHODIST CHURCH 25 SUNRISE ROTARY CHILDREN'S HEALTH PRESENTATION 26 WTKS MEMORIAL MEDICAL MONDAY EATING RIGHT 27 WTOC/BOUNCE TV - NUTRITION EDUCATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTH FAIRS IN 2017, MEMORIAL TEAM MEMBERS PARTICIPATED IN THIRTEEN (13) COMMUNITY HEALTH FAIRS. 2017 COMMUNITY HEALTH FAIRS 1. AASU WELLNESS FAIR 2. BRYAN COUNTY SPECIAL NEEDS FAIR 3. CALVARY BAPTIST WELLNESS FAIR 4. CHATHAM COUNTY GOVERNMENT EMPLOYEES 5. EFFINGHAM COUNTY HOSPITAL 6. FORD PLANTATION 7. GEORGIA POWER KILOWATT PLANT 8. GEORGIA POWER PLANT MCINTOSH 9. GEORGIA SOUTHERN UNIVERSITY 10. IMPERIAL SUGAR WELLNESS DAY 11. PALMETTO BLUFF 12. SUN CITY 13. WESTIN COMMUNITY SUPPORT GROUPS CANCER SUPPORT GROUPS INDIVIDUALS, FAMILY MEMBERS, AND CAREGIVERS WERE SERVED BY CANCER SUPPORT SERVICES. THESE SUPPORT GROUPS ARE OPEN TO THE COMMUNITY. CAREGIVER COFFEE HOUR MONTHLY SUPPORT GROUPS TO PROVIDE RESOURCES AND SUPPORT INFORMATION FOR CAREGIVERS IN A GROUP SETTING. THIS IS A PARTNERSHIP WITH STEWARD CENTER FOR PALLIATIVE CARE AND HOSPICE SAVANNAH. MAN TO MAN PROSTATE CANCER SUPPORT GROUP THIS GROUP MEETS EVERY OTHER MONTH AT ACI AND IS FOR MEN GOING THROUGH PROSTATE CANCER TREATMENT AND RECOVERY AND FOR THEIR LOVED ONES. OTHER SUPPORT GROUPS ICD SUPPORT GROUP THIS QUARTERLY MEETING IS FOR PEOPLE WHO WEAR ICD DEVICES OR PACEMAKERS. GUEST SPEAKERS PROVIDE INFORMATION AND ANSWER QUESTIONS. THE GROUP MEETS IN THE HEART &amp; VASCULAR INSTITUTE AT MEMORIAL UNIVERSITY MEDICAL CENTER MHUMC TEAM MEMBERS PROVIDED EDUCATIONAL OFFERINGS FOR THIS GROUP. COMMUNITY BASED CLINICAL SERVICES HEAD AND NECK SCREENING MEMORIAL PHYSICIANS AND TEAM MEMBERS PROVIDED FREE HEAD AND NECK SCREENINGS FOR THE COMMUNITY. HEALTHCARE SUPPORT SERVICES PATIENT ASSISTANCE PROGRAMS THIS MEMORIAL-FUNDED PATIENT ASSISTANCE PROGRAM WAS ESTABLISHED TO HELP UNINSURED AND UNDERINSURED PATIENTS WITH EXPENSES THAT GO BEYOND ROUTINE DISCHARGE PLANNING. EMERGENCY DEPARTMENT COMMUNITY RESOURCE SPECIALIST A FULL-TIME COMMUNITY RESOURCE SPECIALIST, (CRS) IS LOCATED IN THE EMERGENCY DEPARTMENT TO PROVIDE PATIENT EDUCATION AND HEALTHCARE NAVIGATION. NURSEONE - COMMUNITY TRIAGE LINE THE COMMUNITY TRIAGE LINE IS A FREE SERVICE PROVIDED FOR COMMUNITY MEMBERS WITH A HEALTHCARE QUESTION OR CONCERN. IN 2017, A TOTAL OF 8,414 CALLS WERE ANSWERED BY REGISTERED NURSES AND A TOTAL OF 24,866 CALLS WERE RECEIVED BY NURSEONE OPERATORS. COASTAL CAMPAIGN FOR HEALTHY KIDS AND FAMILIES THE COASTAL CAMPAIGN FOR HEALTHY KIDS AND FAMILIES IS PART OF A NATIONAL EFFORT TO IMPROVE PUBLIC HEALTH BY USING COMPREHENSIVE ENROLLMENT CAMPAIGNS FOR CHILDREN AND THEIR PARENTS WHO WERE ELIGIBLE FOR BUT NOT ENROLLED IN MEDICAID OR THE CHILDREN'S HEALTH INSURANCE PROGRAM. ACA OUTREACH AND ENROLLMENT MEMORIAL TEAM MEMBERS ASSISTED THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL WITH THE ACA OUTREACH AND ENROLLMENT EVENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BUILDING ACTIVITIES - $90,879 COMMUNITY BUILDING ACTIVITIES INCLUDE PHYSICAL IMPROVEMENTS AND HOUSING, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, ENVIRONMENTAL IMPROVEMENTS, COALITION BUILDING, AND WORKFORCE DEVELOPMENT. ECONOMIC DEVELOPMENT COMMUNITY ECONOMIC DEVELOPMENT SUPPORT MHUMC PROVIDED SUPPORT FOR COMMUNITY EVENTS THAT CONTRIBUTE TO THE LOCAL ECONOMY. ORGANIZATIONS AND EVENTS INCLUDE: MARTIN LUTHER KING PARADE, SAVANNAH AREA CHAMBER OF COMMERCE, SAVANNAH ECONOMIC DEVELOPMENT AUTHORITY, SAVANNAH MUSIC FESTIVAL, ST. PATRICK'S DAY PARADE, AND THE SAVANNAH PHILHARMONIC ORCHESTRA. COMMUNITY SUPPORT CEMA EMERGENCY SUPPORT FUNCTION (ESF) 6 &amp; 8 MHUMC IS A VOTING MEMBER OF THE PUBLIC HEALTH DEPARTMENT ESF 6 &amp; 8 MASS CARE, EMERGENCY ASSISTANCE, HOUSING, AND HUMAN SERVICES THAT COORDINATES THE DELIVERY OF FEDERAL MASS CARE, EMERGENCY ASSISTANCE, HOUSING, AND HUMAN SERVICES WHEN LOCAL AND STATE RESPONSE CANNOT MEET RECOVERY NEEDS. REGION J COASTAL HEALTHCARE COALITION (RCH) THIS HEALTHCARE COALITION SERVES AS A MULTI-AGENCY COORDINATING GROUP THAT ASSISTS EMERGENCY MANAGEMENT AND EMERGENCY SUPPORT FUNCTION (ESF) 6 &amp; 8 WITH PREPAREDNESS, RESPONSE, RECOVERY, AND MITIGATION ACTIVITIES RELATED TO HEALTHCARE ORGANIZATION DISASTER OPERATIONS. TIER II ASSESSMENT HOSPITAL INFECTIOUS DISEASE NETWORK COORDINATOR MHUMC IS DESIGNATED AS A STATE PUBLIC HEALTH TIER II ASSESSMENT HOSPITAL. IN THE EVENT OF A POTENTIAL EBOLA/SERIOUS INFECTIOUS DISEASE (SID), MEMORIAL IS THE DESIGNATED HOSPITAL TO CARE FOR THE PATIENT. THE SID RESPONSE TEAM CONSISTS OF APPROXIMATELY 45 TEAM MEMBERS. THE EMERGENCY COORDINATOR/SAFETY OFFICER, INVESTED 520 HOURS ANNUALLY TO SUPPORT AND PREPARE THE SID RESPONSE TEAM. ENVIRONMENTAL IMPROVEMENTS LOCAL EMERGENCY PLANNING COMMITTEE MHUMC IS A VOTING MEMBER OF THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC). THE LEPC OF CHATHAM COUNTY WAS CREATED TO ADDRESS INDUSTRIAL PUBLIC SAFETY CONCERNS WITH A SPECIFIC FOCUS ON HAZARDOUS MATERIALS AND OTHER ENVIRONMENTAL CONCERNS. COALITION BUILDING CHATHAM COUNTY SAFETY NET PLANNING COUNCIL MHUMC WAS A FOUNDING MEMBER OF THE CHATHAM COUNTY SAFETY NET PLANNING COUNCIL. THIS COUNCIL SERVES AS A HEALTHCARE COUNTYWIDE PLANNING GROUP FOR THE UNINSURED AND UNDERINSURED CITIZENS OF CHATHAM COUNTY. THE SAFETY NET PROVIDER NETWORK IS COMPOSED OF PRIMARY CARE PROVIDERS AND OTHER AGENCIES THAT SUPPORT THE DELIVERY OF HEALTHCARE BY TARGETING A SPECIFIC POPULATION OR SERVICE. COASTAL GEORGIA COMMUNITY INDICATORS COALITION THE PURPOSE OF THIS COMMUNITY COALITION IS TO IMPROVE COMMUNITY WELL-BEING BY ENGAGING AND LEADING THE COMMUNITY TO WORK COLLECTIVELY IN THE DEVELOPMENT OF STRATEGIC PRIORITIES THAT GUIDE POLICY, PROGRAMS, AND RESOURCE ALLOCATION. BEHAVIORAL HEALTH COMMUNITY COLLABORATIVE MHUMC PARTICIPATED IN THIS COLLABORATIVE TO IMPROVE MENTAL HEALTH CARE SERVICES AND COORDINATION AMONG SERVICE PROVIDERS. WORKFORCE DEVELOPMENT SCHOOL CAREER FAIRS MEMORIAL TEAM MEMBERS PARTICIPATED AS CAREER DAY SPEAKERS FOR LOCAL SCHOOLS TO HELP STUDENTS LEARN ABOUT THE MANY HEALTH CARE CAREER PATHS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 23089</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>314033089</ZIPCd>
        </USAddress>
        <EIN>581618486</EIN>
        <PrimaryActivitiesTxt>SUPPORT OF MHUMC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 23089</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>314033089</ZIPCd>
        </USAddress>
        <EIN>582460001</EIN>
        <PrimaryActivitiesTxt>SYSTEM SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEMORIAL PHYSICIANS GROUP INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 23089</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>314033089</ZIPCd>
        </USAddress>
        <EIN>474332277</EIN>
        <PrimaryActivitiesTxt>PROVISION OF MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEMORIAL SAVANNAH CARDIOLOGY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 23089</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>314033089</ZIPCd>
        </USAddress>
        <EIN>472872276</EIN>
        <PrimaryActivitiesTxt>PROVISION OF MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PAULSEN STREET SURGERY CENTER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4425 PAULSEN STREET 2ND FLOOR</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31405</ZIPCd>
        </USAddress>
        <EIN>454517515</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>4600 WATERS AVE PROFESSIONAL CONDO ASSOCIATION INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 23089</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>314033089</ZIPCd>
        </USAddress>
        <EIN>581990705</EIN>
        <PrimaryActivitiesTxt>CONDO ASSOCIATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH PARTNERS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 23089</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>314033089</ZIPCd>
        </USAddress>
        <EIN>581707311</EIN>
        <PrimaryActivitiesTxt>MANAGED CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH ANESTHETISTS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 23089</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>314033089</ZIPCd>
        </USAddress>
        <EIN>431985441</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MPPG INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 23089</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>314033089</ZIPCd>
        </USAddress>
        <EIN>582162071</EIN>
        <PrimaryActivitiesTxt>PHYSICIANS PRACTICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PROVIDENT HEALTH SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 23089</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>314033089</ZIPCd>
        </USAddress>
        <EIN>581611969</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PROVIDENT PROFESSIONAL BUILDING CONDO ASSOCIATION INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 23089</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>314033089</ZIPCd>
        </USAddress>
        <EIN>581845972</EIN>
        <PrimaryActivitiesTxt>CONDO ASSOCIATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SAVANNAH MIDTOWN PROPERTIES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 23089</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>314033089</ZIPCd>
        </USAddress>
        <EIN>582537941</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE HOLDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEMORIAL PROFESSIONAL ASSURANCE COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 1100</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <ProvinceOrStateNm>GRAND CAYMAN</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-1005</ForeignPostalCd>
        </ForeignAddress>
        <EIN>999999999</EIN>
        <PrimaryActivitiesTxt>OTHER INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH CORPORATE SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4700 WATERS AVE</AddressLine1Txt>
          <CityNm>SAVANNAH</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31404</ZIPCd>
        </USAddress>
        <EIN>900963434</EIN>
        <PrimaryActivitiesTxt>CORPORATE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>1</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PAULSEN STREET SURGERY CENTER LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>9600</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>6960283</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>