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        <PersonNm>MURRAY ROBINSON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>646665</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46991</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL HARTMAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1051343</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31788</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD GULLICK</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>801896</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26020</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER HARASZTI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>619421</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21067</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>6537228</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>45361</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>375889</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>359</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MORRISON MANAGEMENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 102289</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303682289</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>4175662</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMERICAN ANESTHESIOLOGY OF GEORGIA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2171 WEST PARK COURT SUITE A</AddressLine1Txt>
            <CityNm>STONE MOUNTAIN</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30087</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANESTHESIOLOGY SERVICES</ServicesDesc>
        <CompensationAmt>3316667</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DEKALB EMERGENCY PHYSICIAN (CEP)</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2100 POWELL STREET</AddressLine1Txt>
            <CityNm>EMERYVILLE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94608</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SURGICAL SERVICES</ServicesDesc>
        <CompensationAmt>2138229</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FRESENIUS MEDICAL ACUTE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 101518</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303921518</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NEPHROLOGY SERVICES</ServicesDesc>
        <CompensationAmt>1720850</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GRANT THORNTON LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1901 MEYERS ROAD SUITE 455</AddressLine1Txt>
            <CityNm>OAKBROOK TERRACE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60181</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING SERVICES</ServicesDesc>
        <CompensationAmt>1421696</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>56</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>376323</AllOtherContributionsAmt>
      <TotalContributionsAmt>376323</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REV N DECATUR</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>364663252</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>364663252</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REV HILLANDALE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>110902323</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>110902323</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REV PRIMARY CARE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>63149163</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>63149163</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM SERVICE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4333231</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4261989</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>71242</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>WELLNESS CENTER</Desc>
        <BusinessCd>713940</BusinessCd>
        <TotalRevenueColumnAmt>462706</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>462706</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>-196356</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-196356</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>543314319</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3403666</TotalRevenueColumnAmt>
        <ExclusionAmt>3403666</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>17512</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>17512</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>17512</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17512</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>4261624</SecuritiesAmt>
        <OtherAmt>26992</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>4261624</SecuritiesAmt>
        <OtherAmt>26992</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>4288616</TotalRevenueColumnAmt>
        <ExclusionAmt>4288616</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1713167</TotalRevenueColumnAmt>
        <ExclusionAmt>1713167</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1713167</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>553113603</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>543260589</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>71242</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>9405449</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>4785467</TotalAmt>
        <ProgramServicesAmt>4785467</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>766618</TotalAmt>
        <ProgramServicesAmt>6607</ProgramServicesAmt>
        <ManagementAndGeneralAmt>760011</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>191059546</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47006527</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1095850</ProgramServicesAmt>
        <ManagementAndGeneralAmt>273963</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>22171907</TotalAmt>
        <ProgramServicesAmt>17737526</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4434381</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>12656014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3164004</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>589009</TotalAmt>
        <ManagementAndGeneralAmt>589009</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>322861</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>901826</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>7815678</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>8117118</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2029279</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>11082914</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2770729</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>106552</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26638</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>118858</TotalAmt>
        <ProgramServicesAmt>95086</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23772</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>11406026</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>13413498</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3353375</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>8974465</ProgramServicesAmt>
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      </InsuranceGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>81331368</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>80443732</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL PROVIDER TAX</Desc>
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        <ProgramServicesAmt>5084404</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>3712310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>928078</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>494681</ProgramServicesAmt>
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      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>482286304</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90880057</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1508882</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>7658673</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>7156798</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>2905664</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>95861667</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>135581538</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>25000</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>4484139</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>15189508</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>233805125</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>846655</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>101561312</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>335366437</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-20052758</ReconcilationRevenueExpnssAmt>
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      <OtherChangesInNetAssetsAmt>1997610</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
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      <OtherActivitiesAmt>54282</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>54282</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>DUES PAID TO GEORGIA HOSPITAL ASSOCIATION WERE $169,216; OF THIS AMOUNT, $42,304 OR APPROXIMATELY 25%, WENT TOWARDS LOBBYING. DUES PAID TO AMERICAN HOSPITAL ASSOCIATION WERE $54,150; OF THIS AMOUNT, $11,978 OR APPROXIMATELY 22.12%, WENT TOWARDS LOBBYING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>0</InclEscrowCustodialAcctLiabInd>
      <CYEndwmtFundGrp>
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        <ContributionsAmt>899799</ContributionsAmt>
        <OtherExpendituresAmt>787673</OtherExpendituresAmt>
        <EndYearBalanceAmt>847126</EndYearBalanceAmt>
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        <OtherExpendituresAmt>1064237</OtherExpendituresAmt>
        <EndYearBalanceAmt>735000</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
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        <OtherExpendituresAmt>918632</OtherExpendituresAmt>
        <EndYearBalanceAmt>724575</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
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        <ContributionsAmt>603135</ContributionsAmt>
        <OtherExpendituresAmt>641696</OtherExpendituresAmt>
        <EndYearBalanceAmt>535594</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
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        <ContributionsAmt>873035</ContributionsAmt>
        <OtherExpendituresAmt>837954</OtherExpendituresAmt>
        <EndYearBalanceAmt>574155</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <TermEndowmentBalanceEOYPct>1.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>403305</OtherCostOrOtherBasisAmt>
        <BookValueAmt>403305</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>241971072</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>190168050</DepreciationAmt>
        <BookValueAmt>51803022</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>184264324</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>144815605</DepreciationAmt>
        <BookValueAmt>39448719</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>7687288</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3480667</DepreciationAmt>
        <BookValueAmt>4206621</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>95861667</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>SELF INSURANCE RESERVES</Desc>
        <Amt>4484825</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ASSET RETIREMENT OBLIGATION</Desc>
        <Amt>6243211</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FAIR VALUE OF INTEREST RATE SWAPS</Desc>
        <Amt>535118</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PENSION BENEFIT LIABILITIES</Desc>
        <Amt>3926354</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>15189508</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PURCHASE EQUIPMENT, GRANT FUNDS FOR THE CANCER CENTER, PURCHASE SAFETY EQUIPMENT FOR THE EMERGENCY RESPONSE UNIT, AND FUND THE WELLNESS ON WHEELS PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The System, DMC, DHR, and the Foundation are exempt from federal income taxes pursuant to Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. Ventures is a taxable entity and annually files a corporate tax return. With respect to its for-profit entity, as well as any unrelated business income generated in the tax-exempt entities, the System records income taxes using the asset and liability method under which 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 currently enacted 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 June 30, 2017 and 2016, nor is income tax accounting otherwise significant with respect to the System's taxable subsidiaries.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
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      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
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      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
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        <TotalCommunityBenefitExpnsAmt>24290948</TotalCommunityBenefitExpnsAmt>
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        <TotalExpensePct>0.04930</TotalExpensePct>
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      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>72636054</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>47674236</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>24961818</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05070</TotalExpensePct>
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      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>96927002</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>47674236</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>49252766</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10000</TotalExpensePct>
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      <CommunityHealthServicesGrp>
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        <TotalCommunityBenefitExpnsAmt>690830</TotalCommunityBenefitExpnsAmt>
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        <TotalExpensePct>0.00140</TotalExpensePct>
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      <HealthProfessionsEducationGrp>
        <PersonsServedCnt>3797</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>953243</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>953243</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00190</TotalExpensePct>
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      <CashAndInKindContributionsGrp>
        <PersonsServedCnt>1259</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>232025</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>232025</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00050</TotalExpensePct>
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      <TotalOtherBenefitsGrp>
        <PersonsServedCnt>15186</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1876098</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1876098</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00380</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
        <PersonsServedCnt>15186</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>98803100</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>47674236</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>51128864</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10380</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>23129871</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>79877255</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>81241701</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-1364446</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>2</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>DEKALB MEDICAL AT NORTH DECATUR</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>2701 NORTH DECATUR ROAD</AddressLine1Txt>
          <CityNm>DECATUR</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30033</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>DEKALB MEDICAL AT HILLANDALE</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>2801 DEKALB MEDICAL PARKWAY</AddressLine1Txt>
          <CityNm>DECATUR</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30058</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>FACILITY REPORTING GROUP - A</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <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>15</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>http://www.dekalbmedical.org/about-us/community-health-needs-assessments</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>15</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>http://www.dekalbmedical.org/about-us/community-health-needs-assessments</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>300.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Section B</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility Reporting Group A</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Facility Reporting Group A consists of:</FormAndLineReferenceDesc>
        <ExplanationTxt>- Facility 1: DEKALB MEDICAL AT NORTH DECATUR, - Facility 2: DEKALB MEDICAL AT HILLANDALE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- DEKALB MEDICAL AT NORTH DECATUR Part V, Section B, line 3j:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN COMPLIANCE WITH 501(R)(C) OF THE INTERNAL REVENUE CODE, BOTH DEKALB MEDICAL CENTER HOSPITAL FACILITIES CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN. THE IMPLEMENTATION PLANS WERE APPROVED BY THE BOARD OF DIRECTORS ON JUNE 10, 2013. THE NEXT FULL CHNAS AND IMPLEMENTATION PLAN ARE DUE IN 2016. SINCE THIS IS THE FIRST YEAR OF THE IMPLEMENTATION PLAN, SOME STRATEGIES HAVE BEEN STARTED, BUT NOT LONG ENOUGH TO ASSESS RESULTS.THE DEKALB COUNTY BOARD OF HEALTH (BOH) HAS A LONG HISTORY OF CONDUCTING COMMUNITY NEEDS HEALTH ASSESSMENTS AND THE DEKALB MEDICAL SYSTEM HAS PARTICIPATED IN AND SUPPORTED THOSE EFFORTS. THE DEKALB COUNTY BOH AGREED TO TAKE THE LEAD IN CONDUCTING COMMUNITY HEALTH ASSESSMENTS ON BEHALF OF DEKALB MEDICAL CENTER AND DEKALB MEDICAL AT HILLANDALE. IN ADDITION TO DEKALB SYSTEM HOSPITALS USING THE CHNAS AND IMPLEMENTATION PLANS, THEY ARE ALSO BEING USED AS THE COMMUNITY HEALTH ASSESSMENT. AFTER REVIEWING THE INFORMATION FROM THE CHNA, A STAKEHOLDER'S MEETING WAS CONVENED WITH OVER 30 REPRESENTATIVES OF COMMUNITY GROUPS, LOCAL GOVERNMENT AND OTHER PROVIDERS WHO REVIEWED THE RECENTLY COMPLETED CHNA, VALIDATED THE FINDINGS, PROVIDED INPUT FOR FUTURE CHNAS AND DEVELOPED A LIST OF COMMUNITY HEALTH PRIORITIES. USING THIS LIST OF PRIORITIES, THE HOSPITALS DEVELOPED IMPLEMENTATION PLANS WITH STRATEGIES IDENTIFIED FOR SELECTED PRIORITIES WHICH THE HOSPITALS DETERMINED THEY COULD MOST EFFECTIVELY ADDRESS. STRATEGIES FOR OTHER IDENTIFIED PRIORITIES WERE NOT DEVELOPED BECAUSE THERE ARE OTHER ORGANIZATIONS WITH MORE EXPERTISE DEALING WITH THOSE HEALTH ISSUES OR A LACK OF RESOURCES, AT THE HOSPITAL-LEVEL, TO ADDRESS THE PARTICULAR HEALTH ISSUE. PRIORITIES SUCH AS COLORECTAL CANCER, FALL PREVENTION, MATERNAL AND INFANTS HEALTH, AND PNEUMOCOCCAL AND PERTUSSIS VACCINATIONS, AMONG OTHERS, WERE IDENTIFIED AS PRIORITIES TO BE ADDRESSED BY HOSPITALS IN THE DEKALB SYSTEM.THE IMPLEMENTATION PLANS WILL HELP GUIDE THE DEKALB SYSTEM HOSPITALS' EFFORTS TOWARDS COMMUNITY HEALTH NEEDS THAT HAVE BEEN IDENTIFIED THROUGH THE CHNAS. ALL THE STRATEGIES IDENTIFIED ARE TO ENHANCE AND IMPROVE THE HEALTH OF THE COMMUNITY AND THE PEOPLE THE HOSPITALS SERVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- DEKALB MEDICAL AT NORTH DECATUR Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER REVIEWING THE INFORMATION FROM THE CHNA, A STAKEHOLDER'S MEETING WAS CONVENED WITH OVER 30 REPRESENTATIVES OF COMMUNITY GROUPS, LOCAL GOVERNMENT AND OTHER PROVIDERS WHO REVIEWED THE RECENTLY COMPLETED CHNA, VALIDATED THE FINDINGS, PROVIDED INPUT FOR FUTURE CHNAS AND DEVELOPED A LIST OF COMMUNITY HEALTH PRIORITIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- DEKALB MEDICAL AT NORTH DECATUR Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER REVIEWING THE INFORMATION FROM THE CHNA, A STAKEHOLDER'S MEETING WAS CONVENED WITH OVER 30 REPRESENTATIVES OF COMMUNITY GROUPS, LOCAL GOVERNMENT AND OTHER PROVIDERS WHO REVIEWED THE RECENTLY COMPLETED CHNA, VALIDATED THE FINDINGS, PROVIDED INPUT FOR FUTURE CHNAS AND DEVELOPED A LIST OF COMMUNITY HEALTH PRIORITIES. USING THIS LIST OF PRIORITIES, THE HOSPITALS DEVELOPED IMPLEMENTATION PLANS WITH STRATEGIES IDENTIFIED FOR SELECTED PRIORITIES WHICH THE HOSPITALS DETERMINED THEY COULD MOST EFFECTIVELY ADDRESS. STRATEGIES FOR OTHER IDENTIFIED PRIORITIES WERE NOT DEVELOPED BECAUSE THERE ARE OTHER ORGANIZATIONS WITH MORE EXPERTISE DEALING WITH THOSE HEALTH ISSUES OR A LACK OF RESOURCES, AT THE HOSPITAL-LEVEL, TO ADDRESS THE PARTICULAR HEALTH ISSUE. PRIORITIES SUCH AS COLORECTAL CANCER, FALL PREVENTION, MATERNAL AND INFANTS HEALTH, AND PNEUMOCOCCAL AND PERTUSSIS VACCINATIONS, AMONG OTHERS, WERE IDENTIFIED AS PRIORITIES TO BE ADDRESSED BY HOSPITALS IN THE DEKALB SYSTEM.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- DEKALB MEDICAL AT NORTH DECATUR Part V, Section B, line 13b:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS PROVIDED CARE BY THE HOSPITAL MEET WITH A FINANCIAL COUNSELOR AFTER THEIR CARE IS RENDERED. ELEGIBILITY CRITERIA FOR VARIOUS FINANCIAL ASSISTANCE PROGRAMS IS REVIEWED WITH THE PATIENT INCLUDING CHARITY, MEDICAID, OR OTHER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS. BILLING STATEMENTS RECEIVED BY A PATIENT ADVISE THEM TO CONTACT THE FINANCIAL COUNSELING DEPARTMENT ABOUT THESE PROGRAMS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- DEKALB MEDICAL AT NORTH DECATUR Part V, Section B, line 15e:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS PROVIDED CARE BY THE HOSPITAL MEET WITH A FINANCIAL COUNSELOR AFTER THEIR CARE IS RENDERED. ELEGIBILITY CRITERIA FOR VARIOUS FINANCIAL ASSISTANCE PROGRAMS IS REVIEWED WITH THE PATIENT INCLUDING CHARITY, MEDICAID, OR OTHER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS. BILLING STATEMENTS RECEIVED BY A PATIENT ADVISE THEM TO CONTACT THE FINANCIAL COUNSELING DEPARTMENT ABOUT THESE PROGRAMS..9HB1 . \M\*4,9,S,1</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- DEKALB MEDICAL AT NORTH DECATUR Part V, Section B, line 16j:</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF THE FAP APPLICATION IS DISCUSSED DURING THE FINANCIAL COUNSELING PROCESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 1 -- DEKALB MEDICAL AT NORTH DECATUR Part V, Section B, line 24:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL CURRENTLY UTILIZES AN AUTOMATIC BILL PROCEDURE WHICH PREPARES THE FIRST BILL AT GROSS CHARGES. DISCOUNTS AND WRITE-OFFS ARE APPLIED AFTER THE FIRST BILL. IN TAX YEAR ENDING JUNE 30, 2015, THE FACILITY BILLED ALL FAP ELIGIBLE PATIENTS AT GROSS BUT COLLECTED LESS THAN GROSS BASED ON FAP AND FPG.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- DEKALB MEDICAL AT HILLANDALE Part V, Section B, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER REVIEWING THE INFORMATION FROM THE CHNA, A STAKEHOLDER'S MEETING WAS CONVENED WITH OVER 30 REPRESENTATIVES OF COMMUNITY GROUPS, LOCAL GOVERNMENT AND OTHER PROVIDERS WHO REVIEWED THE RECENTLY COMPLETED CHNA, VALIDATED THE FINDINGS, PROVIDED INPUT FOR FUTURE CHNAS AND DEVELOPED A LIST OF COMMUNITY HEALTH PRIORITIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- DEKALB MEDICAL AT HILLANDALE Part V, Section B, line 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER REVIEWING THE INFORMATION FROM THE CHNA, A STAKEHOLDER'S MEETING WAS CONVENED WITH OVER 30 REPRESENTATIVES OF COMMUNITY GROUPS, LOCAL GOVERNMENT AND OTHER PROVIDERS WHO REVIEWED THE RECENTLY COMPLETED CHNA, VALIDATED THE FINDINGS, PROVIDED INPUT FOR FUTURE CHNAS AND DEVELOPED A LIST OF COMMUNITY HEALTH PRIORITIES. USING THIS LIST OF PRIORITIES, THE HOSPITALS DEVELOPED IMPLEMENTATION PLANS WITH STRATEGIES IDENTIFIED FOR SELECTED PRIORITIES WHICH THE HOSPITALS DETERMINED THEY COULD MOST EFFECTIVELY ADDRESS. STRATEGIES FOR OTHER IDENTIFIED PRIORITIES WERE NOT DEVELOPED BECAUSE THERE ARE OTHER ORGANIZATIONS WITH MORE EXPERTISE DEALING WITH THOSE HEALTH ISSUES OR A LACK OF RESOURCES, AT THE HOSPITAL-LEVEL, TO ADDRESS THE PARTICULAR HEALTH ISSUE. PRIORITIES SUCH AS COLORECTAL CANCER, FALL PREVENTION, MATERNAL AND INFANTS HEALTH, AND PNEUMOCOCCAL AND PERTUSSIS VACCINATIONS, AMONG OTHERS, WERE IDENTIFIED AS PRIORITIES TO BE ADDRESSED BY HOSPITALS IN THE DEKALB SYSTEM.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- DEKALB MEDICAL AT HILLANDALE Part V, Section B, line 13b:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS PROVIDED CARE BY THE HOSPITAL MEET WITH A FINANCIAL COUNSELOR AFTER THEIR CARE IS RENDERED. ELEGIBILITY CRITERIA FOR VARIOUS FINANCIAL ASSISTANCE PROGRAMS IS REVIEWED WITH THE PATIENT INCLUDING CHARITY, MEDICAID, OR OTHER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS. BILLING STATEMENTS RECEIVED BY A PATIENT ADVISE THEM TO CONTACT THE FINANCIAL COUNSELING DEPARTMENT ABOUT THESE PROGRAMS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- DEKALB MEDICAL AT HILLANDALE Part V, Section B, line 16j:</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF THE FAP APPLICATION IS DISCUSSED DURING THE FINANCIAL COUNSELING PROCESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group A-Facility 2 -- DEKALB MEDICAL AT HILLANDALE Part V, Section B, line 24:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL CURRENTLY UTILIZES AN AUTOMATIC BILL PROCEDURE WHICH PREPARES THE FIRST BILL AT GROSS CHARGES. DISCOUNTS AND WRITE-OFFS ARE APPLIED AFTER THE FIRST BILL. IN TAX YEAR ENDING JUNE 30, 2015, THE FACILITY BILLED ALL FAP ELIGIBLE PATIENTS AT GROSS BUT COLLECTED LESS THAN GROSS BASED ON FAP AND FPG.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>3</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - DEKALB MEDICAL PRIMARY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2701 NORTH DECATUR ROAD</AddressLine1Txt>
            <CityNm>DECATUR</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30033</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - DEKALB MEDICAL SPECIALTY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2701 NORTH DECATUR ROAD</AddressLine1Txt>
            <CityNm>DECATUR</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30033</ZIPCd>
          </USAddress>
          <FacilityTxt>SPECIALIST CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - DEKALB MEDICAL OCCUPATIONAL MEDICINE GRO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2701 NORTH DECATUR ROAD</AddressLine1Txt>
            <CityNm>DECATUR</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30033</ZIPCd>
          </USAddress>
          <FacilityTxt>OCCUPATIONAL MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3c:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES FEDERAL POVERTY GUIDELINES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>A COST-TO-CHARGE RATIO, DERIVED FROM THE SCHEDULE H APPLICABLE WORKSHEETS, INCLUDING WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES, WAS USED TO DETERMINE CHARITY CARE. ACTUAL EXPENSE DATA IS ACCUMULATED WITHIN THE GENERAL LEDGER WHICH ADDRESSES ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY ROOM, COMMERCIAL INSURANCE, GOVERNMENT INSURANCE, UNINSURED AND SELF-PAY. 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, Line 7, Column (f):</FormAndLineReferenceDesc>
        <ExplanationTxt>The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 80,443,732.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PER THE DEKALB REGIONAL HEALTH SYSTEM, INC. AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS: "THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES, IN THE NORMAL COURSE OF BUSINESS, THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ITS ASSESSMENT OF THESE AND OTHER FACTORS BY PAYOR CATEGORY, AND ADJUSTS THE ALLOWANCE AND RELATED PROVISION ACCORDINGLY. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, MANAGEMENT ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A RELATED PROVISION, IF NECESSARY, FOR PAYORS WITH KNOWN FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL (PATIENT APPORTIONMENT), MANAGEMENT RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICES ON THE BASIS OF PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.HISTORICAL EXPERIENCE HAS DEMONSTRATED THAT A SIGNIFICANT PORTION OF THE SYSTEM'S UNINSURED OR UNDER-INSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE, ARE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THEREFORE, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS RELATED TO THESE PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. THE SYSTEM DOES NOT MAINTAIN A SIGNIFICANT ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS, NOR DOES IT INCUR SIGNIFICANT WRITE-OFFS, RELATED TO THIRD PARTY PAYORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CURRENT BILLING AND COLLECTION POLICY DOES NOT CONTAIN PROVISIONS FOR COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE BUT THE FAP OR "CHARITY POLICY" DOES AS IT OUTLINES THE COMPLETE WRITE OFF OR SLIDING SCALE AMOUNTS FOR WHICH THE INDIVIDUAL WILL BE RESPONSIBLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN COMPLIANCE WITH 501(R)(C) OF THE INTERNAL REVENUE CODE, ALL THREE HOSPITALS OF THE DEKALB MEDICAL SYSTEM CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN. THE IMPLEMENTATION PLANS WERE APPROVED BY THE BOARD OF DIRECTORS ON JUNE 10, 2013. THE NEXT FULL CHNAS AND IMPLEMENTATION PLANS ARE DUE IN 2016. AN ASSESSMENT OF THE STRATEGIES SET FORTH FROM THE IMPLEMENTATION PLAN ACCOMPANIES THIS REPORT. THE HIGH PRIORITY NEEDS IDENTIFIED WILL NOT YIELD RESULTS IMMEDIATELY PLUS THERE IS A 2-3 YEAR LAG TIME BETWEEN INTERVENTION AND AVAILABLE MEASURES&gt;THE DEKALB COUNTY BOARD OF HEALTH (BOH) HAS A LONG HISTORY OF CONDUCTING COMMUNITY NEEDS HEALTH ASSESSMENTS AND THE DEKALB MEDICAL SYSTEM HAS PARTICIPATED IN AND SUPPORTED THOSE EFFORTS. THE DEKALB COUNTY BOH AGREED TO TAKE THE LEAD IN CONDUCTING COMMUNITY HEALTH ASSESSMENTS ON BEHALF OF DEKALB MEDICAL CENTER AND DEKALB MEDICAL AT HILLANDALE. AFTER REVIEWING THE INFORMATION FROM THE CHNS, A STAKEHOLDER'S MEETING WAS CONVENED WITH OVER 30 REPRESENTATIVES OF COMMUNITY GROUPS, LOCAL GOVERNMENT AND OTHER PROVIDERS WHO REVIEWED THE RECENTLY COMPLETED CHNA FOR BOTH FACILITIES,, VALIDATED THE FINDINGS, PROVIDED INPUT FOR FUTURE CHNAS AND DEVELOPED A LIST OF COMMUNITY HEALTH PRIORITIES. USING THIS LIST OF PRIORITIES, THE HOSPITALS DEVELOPED IMPLEMENTATION PLANS WITH STRATEGIES IDENTIFIED FOR SELECTED PRIORITIES WHICH THE HOSPITALS DETERMINED THEY COULD MOST EFFECTIVELY ADDRESS. STRATEGIES FOR OTHER IDENTIFIED PRIORITIES WERE NOT DEVELOPED BECAUSE THERE ARE OTHER ORGANIZATIONS WITH MORE EXPERTISE DEALING WITH THOSE HEALTH ISSUES OR A LACK OF RESOURCES, AT THE HOSPITAL-LEVEL, TO ADDRESS THE PARTICULAR HEALTH ISSUE. PRIORITIES SUCH AS COLORECTAL CANCER, FALL PREVENTION, MATERNAL AND INFANTS HEALTH, AND PNEUMOCOCCAL AND PERTUSSIS VACCINATIONS, AMONG OTHERS, WERE IDENTIFIED AS PRIORITIES TO BE ADDRESSED BY HOSPITALS IN THE DEKALB SYSTEM. THIS IMPLEMENTATION PLAN WAS APPROVED BY THE BOARD OF DIRECTORS IN JUNE 2013.PUBLIC HEALTH PROFESSIONALS FROM THE ROLLINS SCHOOL OF PUBLIC HEALTH AT EMORY UNIVERSITY AGREED TO TAKE THE LEAD IN CONDUCTING A CHNA ON BEHALF OF DEKALB MEDICAL AT DOWNTOWN DECATUR ("DECATUR HOSPITAL"). IN ORDER TO OBTAIN THE COMMUNITY PRIORITIES, IN-DEPTH INTERVIEWS WERE CONDUCTED WITH VARIOUS STAKEHOLDERS. STAKEHOLDERS WERE DEFINED AS INDIVIDUALS, OR GROUPS OF INDIVIDUALS, WHO WERE ACTIVE PARTICIPANTS IN THE TRANSITION OF THE PATIENT FROM AN ACUTE CARE FACILITY TO THE LTAC. THESE INCLUDED THE DISCHARGE PLANNERS, CURRENT PATIENTS, AND PATIENTS' FAMILIES. DISCHARGE PLANNERS FROM TWO OF LTAC'S MAJOR REFERRAL SOURCES- DEKALB MEDICAL CENTER AND EMORY HEALTHCARE WERE INTERVIEWED.BASED ON THE PATIENT AND DISCHARGE PLANNER INTERVIEWS, PRIORITIES WERE IDENTIFIED. THOSE PRIORITIES WERE ANALYZED AND AN IMPLEMENTATION PLAN WITH STRATEGIES IDENTIFIED FOR SELECTED PRIORITIES WAS DEVELOPED. THIS WAS APPROVED BY THE DECATUR HEALTH RESOURCES BOARD OF DIRECTORS IN JUNE 2013. THE IMPLEMENTATION PLAN WAS ACCOMPLISHED BY A TEAM OF DEKALB REGIONAL HEALTH SYSTEM STAFF (INCLUDING STAFF FROM DEKALB MEDICAL AT DOWNTOWN DECATUR) AND PUBLIC HEALTH PROFESSIONALS WHO SPEARHEADED THE DEVELOPMENT IF THE CHNA. THE IMPLEMENTATION PLAN IDENTIFIED AS PRIORITIES (1) THE NEED FOR EDUCATION TOOLS FOR PATIENT TRANSITION FROM LTAC TO HOME CARE, AND USE OF AVAILABLE HEALTH CARE RESOURCES IN THE COMMUNITY INCLUDING LTAC AND (2) THE NEED FOR PROFESSIONAL EDUCATION AND COMMUNICATION TO IMPROVE QUALITY OF CARE AND PATIENT AWARENESS. THE IMPLEMENTATION PLANS HELP GUIDE THE DEKALB SYSTEM HOSPITALS' EFFORTS TOWARDS COMMUNITY HEALTH NEEDS THAT HAVE BEEN IDENTIFIED THROUGH THE CHNAS. ALL THE STRATEGIES IDENTIFIED ARE TO ENHANCE AND IMPROVE THE HEALTH OF THE COMMUNITY AND RESIDENTS THE HOSPITALS SERVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>DEKALB REGIONAL HEALTH SYSTEM SERVES THE POPULATION OF DEKALB COUNTY, GA (54% AFRICAN AMERICAN, 35% WHITE, 4% ASIAN) AS WELL AS ROCKDALE AND GWINNETT COUNTIES. THE MEDIAN INCOME OF DEKALB COUNTY IS APPROXIMATELY $51,700 AND ABOUT 17% OF THE COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL. APPROXIMATELY 9% OF THE POPULATION IS OVER AGE 65 AND 24% OF THE POPULATION IS UNDER AGE 18.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDERSTANDING THAT A HEALTHY COMMUNITY IS ABOUT MORE THAN JUST THE ABSENCE OF DEATH AND DISEASE, WE ALSO CONTRIBUTE TO THE ECONOMIC VITALITY AND CREATION OF QUALITY JOBS RIGHT HERE AT HOME. NAMED THE 2010 CORPORATION OF THE YEAR BY THE DEKALB COUNTY CHAMBER OF COMMERCE FOR OUR ROLE AS AN ACTIVE CORPORATE CITIZEN AND PROPONENT OF DIVERSITY, THE FOLLOWING PROGRAMS HAVE HELPED BUILD THE HEALTH OF OUR COMMUNITY:1) WE HELP REDUCE TEEN PREGNANCY AND SEXUALLY TRANSMITTED DISEASE BY PROVIDING FREE PREVENTION EDUCATION THROUGH OUR PUBERTY ROCKS PROGRAM FOR PRE-TEENS;2) WE SUPPORT 100 BLACK MEN OF DEKALB IN THE EFFORT TO PROVIDE HIGHER EDUCATION TO AT-RISK YOUTH;3) WE PARTNER WITH THE PHYSICIANS'S CARE CLINIC TO PROVIDE NEARLY 2,000 LOW OR NO COST PATIENT VISITS A YEAR INCLUDING LAB WORK AND PRESCRIPTION MEDICATIONS TO AREA LOW-INCOME AND UNINSURED RESIDENTS;4) WE SPONSOR A FREE ANNUAL CANCER SCREENING DAY ON TWO OF OUR HOSPITAL CAMPUSES;5) WE HAVE RECENT HEALTHY WORKPLACE INIATIVES INCLUDE SMOKE-FREE BUILDINGS INSIDE AND OUT, A NO-NICOTINE HIRING POLICY AND ADOPTION OF HEALTHY FOOD OPTIONS IN HOSPITAL CAFETERIAS;6) WE COLLECT AND DONATE SURPLUS MEDICAL SUPPLIES TO MEDSHARE INTERNATIONAL IN SUPPORT OF HEALTH INITIATIVES IN LESS FORTUNATE COUNTRIES;7) WE HAVE AN OPEN MEDICAL STAFF THAT ATTRACTS UNLIMITED, HIGHLY TRAINED MEDICAL TALENT TO SERVE THE AREA;8) WE ARE A MAJOR SPONSOR OF THE LEADERSHIP DEKALB INITIATIVE TO PROMOTE COMMUNITY CONNECTIVITY AND ACTION PLANS FOR ECONOMIC DEVELOPMENT, SUSTAINABILITY AND IMPROVEMENT OF THE QUALITY OF LIFE IN DEKALB COUNTY;9) DEKALB MEDICAL PROVIDES FURTHER ENRICHMENT AND EMPLOYMENT OPPORTUNITIES BY CHAMPIONING WORKPLACE SUCCESS FOR YOUTH AND ADULTS WITH DISABILITIES. PARTNERING WITH THE NATIONALLY RECOGNIZED TOMMY NOBIS CENTER, DEKALB MEDICAL CONTRACTS WITH THE CENTER TO PROVIDE SWITCHBOARD OPERATORS FOR THE HEALTH SYSTEM;10) WE PARTNER WITH DEKALB COUNTY HIGH SCHOOLS TO PROVIDE MENTALLY AND PHYSICALLY CHALLENGED STUDENTS WITH VOCATIONAL TRAINING AND REAL-LIFE WORK EXPERIENCE IN THE HEALTHCARE INDUSTRY. THE STUDENTS, WHO RECEIVE SCHOOL CREDIT, SERVE AS VOLUNTEERS IN OUR CAFETERIA, LAUNDRY ROOM AND MOTHER-BABY UNITS;11) WE PARTICIPATE IN NUMEROUS CAREER DAYS, ENCOURAGING THE SCIENCE AND MATH EDUCATION THAT'S NEEDED TO PROVIDE COMPETENT HEALTH WORKERS OF THE FUTURE;12) WE SUPPORT A DEKALB WORKFORCE DEVELOPMENT PARTNERSHIP THAT PROVIDES TRAINING PROGRAMS, EDUCATION AND A CLINICAL SITE FOR PATIENT CARE TECHNICIAN CERTIFICATION; AND13) WE MAINTAIN A PARTNERSHIP WITH GEORGIA PERIMETER COLLEGE AND MERCER UNIVERSITY TO PROVIDE CLINICAL ROTATIONS, PRECEPTORSHIPS, EDUCATION AND INSTRUCTION TO GEORGIA'S FUTURE NURSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>DEKALB REGIONAL HEALTH SYSTEM, INC. IS THE PARENT ENTITY WHICH PROVIDES SUPPORT TO DEKALB MEDICAL CENTER, INC., DECATUR HEALTH RESOURCES, INC. AND DEKALB MEDICAL CENTER FOUNDATION, INC. DEKALB MEDICAL CENTER, INC. OPERATES TWO ACUTE CARE HOSPITALS AND A PHYSICIAN PRACTICE NETWORK TO PROVIDE HEALTHCARE SERVICES TO THE RESIDENTS OF DEKALB COUNTY, GEORGIA AND SURROUNDING COUNTIES. DECATUR HEALTH RESOURCES PROVIDES LONG-TERM ACUTE CARE HOSPITAL SERVICES TO PATIENTS WHO NEED ADDITIONAL TIME TO RECOVER FROM SERIOUS ILLNESS. DEKALB MEDICAL CENTER FOUNDATIONS'S MISSION IS TO STRENGTHEN THE LINK BETWEEN DEKALB REGIONAL HEALTH SYSTEM AND THE COMMUNITY IT SERVICES THROUGH COMMUNICATION, EDUCATION, SERVICE AND PHILANTHROPY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7, Reports Filed With States</FormAndLineReferenceDesc>
        <ExplanationTxt>GA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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          <AddressLine1Txt>2701 NORTH DECATUR ROAD</AddressLine1Txt>
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          <StateAbbreviationCd>GA</StateAbbreviationCd>
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          <AddressLine1Txt>2701 NORTH DECATUR ROAD</AddressLine1Txt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS GUIDELINES IN PLACE THAT ARE USED IN REVIEWING THE ELIGIBILITY OF GRANTEES. SCHOLARSHIP FUNDS ARE REMITTED TO THE EDUCATIONAL INSTITUTIONS DIRECTLY. FOR OTHER GRANTS, VARIOUS PROCEDURES ARE IN PLACE DEPENDING ON GRANT TYPE, INCLUDING REQUIREMENTS TO SUBMIT APPLICATIONS FOR REVIEW AND APPROVAL. ALL GRANTS REQUIRE WRITTEN DOCUMENTATION AND APPROPRIATE LEVELS OF APPROVAL.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
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        <ExplanationTxt>EACH BOARD OF DIRECTORS MEMBER NOMINATED TO THE DEKALB MEDICAL CENTER, INC. BOARD IS SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS OF DEKALB REGIONAL HEALTH SYSTEM, INC. IN ACCORDANCE WITH THE DEKALB MEDICAL CENTER BYLAWS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>DEKALB REGIONAL HEALTH SYSTEM, INC. MUST APPROVE CAPITAL EXPENDITURES IN EXCESS OF $2,000,000, ACQUISITIONS, REORGANIZATIONS, MERGERS AND/OR CONSOLIDATIONS, BUDGETS AND ANY REVISIONS AND REVISIONS OF THE ARTICLES OF INCORPORATIONS FOR DEKALB MEDICAL CENTER, INC.</ExplanationTxt>
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        <ExplanationTxt>FORM 990 IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND SUBMITTED TO THE FINANCE COMMITTEE OF THE DEKALB REGIONAL HEALTH SYSTEM, INC. BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. A COPY OF THE FORM 990 IS ALSO PROVIDED TO THE DEKALB MEDICAL CENTER, INC. BOARD OF DIRECTORS PRIOR TO FILING.</ExplanationTxt>
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        <ExplanationTxt>ALL OFFICERS ARE COMPENSATED BY DEKALB MEDICAL CENTER, INC., A RELATED ENTITY. COMPENSATION IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE DEKALB REGIONAL HEALTH SYSTEM, INC. BOARD OF DIRECTORS. THE COMMITTEE UTILIZES AN INDEPENDENT CONSULTANT TO ASSIST IN SETTING COMPENSATION LEVELS.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENT AVAILABLE TO THE PUBLIC. ANY WRITTEN REQUEST FROM THE PUBLIC TO VIEW THESE DOCUMENTS WOULD BE REVIEWED AND ACTED UPON BY THE ORGANIZATION'S BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Change in INterest rate swaps -153,599. PENSION ACCOUNTING ADJUSTMENT 10,430,397. PRIOR PERIOD ADJUSTMENT TO ACCOUNTS RECEIVABLE -8,279,188.</ExplanationTxt>
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          <CityNm>DECATUR</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30030</ZIPCd>
        </USAddress>
        <EIN>582110792</EIN>
        <PrimaryActivitiesTxt>PHYSICIANS SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DEKALB MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>1564076</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1224719</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.50000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>