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        <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>
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      <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>
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      <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>
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      <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>
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      <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>
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      <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 $39,117,419. MHUMC EXCLUDED $39,117,419, 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>
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        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT RESPONSIBILITY WRITTEN OFF AS UNCOLLECTIBLE PER POLICY.</ExplanationTxt>
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      <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>
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      <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>
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      <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>
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      <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>
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        <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>
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        <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>
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        <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>
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        <ExplanationTxt>GA</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Lee III MHA MBA</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHRYN MCCLELLAN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rebecca Keightley</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Laura Dow MACC CPA</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFF WILSON JD THROUGH 916</PersonNm>
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        <PersonNm>GUY PETRUZZELLI MD PHD MBA FACS</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN BOYER MHA MBA RN</PersonNm>
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        <PersonNm>JAMES WATSON JR</PersonNm>
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        <PersonNm>LAURIE MULGREW</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALYSIA SHIRLEY CISA</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHONNA MCGEE</PersonNm>
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      <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>
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        <CUSIPNum>162033GU2</CUSIPNum>
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        <PurposeDesc>ADV. REFUND, CAPITAL ACQ.</PurposeDesc>
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      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <InReserveFundAmt>3670693</InReserveFundAmt>
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        <IssuanceCostsFromProceedsAmt>2184187</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>125985940</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2014</SubstantialCompletionYr>
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        <AdvanceRefundingInd>1</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>1</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
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        <FormAndLineReferenceDesc>Date Rebate Computation Performed</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer Name: CHATHAM COUNTY HOSPITAL AUTHORITY Date the Rebate Computation was Performed: 02/13/2015</ExplanationTxt>
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      <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>
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      <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>
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          <PersonNm>MARY C DOWNING</PersonNm>
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        <RelationshipDescriptionTxt>FAMILY RELATIONSHIP WITH BOARD MEMBER HELEN DOWNING</RelationshipDescriptionTxt>
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          <PersonNm>KATHERINE SANDT</PersonNm>
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        <RelationshipDescriptionTxt>FAMILY RELATIONSHIP WITH BOARD MEMBER ROBERT F. BROWN, JR.</RelationshipDescriptionTxt>
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          <PersonNm>LESLIE PETRUZZELLI</PersonNm>
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          <PersonNm>MELISSA WATSON</PersonNm>
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        <RelationshipDescriptionTxt>FAMILY RELATIONSHIP WITH KEY EMPLOYEE JAMES WATSON, JR.</RelationshipDescriptionTxt>
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      <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 SENIOR MANAGEMENT WITHIN THE ORGANIZATION'S ACCOUNTING DEPARTMENT FOR INTERNAL REVIEW. A DRAFT IS THEN PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD FOR REVIEW.</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 39,745,176. Management and general expenses 21,855,259. Fundraising expenses 0. Total expenses 61,600,435. CONTRACT LABOR: Program service expenses 971,520. Management and general expenses 0. Fundraising expenses 0. Total expenses 971,520. MEDICAL FEES: Program service expenses 10,608,618. Management and general expenses 166,162. Fundraising expenses 0. Total expenses 10,774,780. CONSULTING FEES: Program service expenses 122,968. Management and general expenses 85,961. Fundraising expenses 0. Total expenses 208,929. HOSPITALISTS: Program service expenses 53,975. Management and general expenses 460,838. Fundraising expenses 0. Total expenses 514,813. OUTSIDE LAB FEES: Program service expenses 1,509,321. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,509,321. OTHER PROFESSIONAL FEES: Program service expenses 31,616. Management and general expenses 2,661,907. Fundraising expenses 0. Total expenses 2,693,523.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY TRANSFERS TO AFFILIATES -22,920,615. REALIZED LOSS ON IMPAIRMENT -1,108,020.</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 2016 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 2016, 140 resident physicians trained at MHUMC, along with 111 nurse residents and five pharmacy residents. 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 2016, 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 2016 - 27,039 hospital admissions - 244,317 hospital outpatient visits - 21,150 surgeries - 2,833 deliveries - 324 premature babies transported to our Level III neonatal intensive care nursery from other hospitals - 4,700 children's hospital admissions - 3,501 traumas - 105,903 emergency department visits - 450 average daily patient census - 5.75 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 2016 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 2016, we provided $20,148,702 in financial assistance, which includes indigent/charity care. 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. 2016 Accolades and Honors Memorial Health regularly earns recognition for our high-quality services. Recent accolades include: - Exceptional Joint Commission survey and full reaccreditation. - Certification in Advanced Heart Failure from The Joint Commission and the American Heart Association for our heart failure program and clinic. - Joint Commission disease-specific accreditation for hip replacement, knee replacement, and spine surgery. - Designated an Advanced Primary Stroke Center by The Joint Commission. - Chest Pain Accreditation with Percutaneous Coronary Intervention from the Society of Cardiovascular Patient Care. - Platinum recognition from the National Hospital Organ Donation Campaign for organ donation advocacy and education. - "39 Weeks" recognition from the March of Dimes for reducing the number of elective inductions and cesarean deliveries performed before 39 completed weeks of pregnancy. - $20,000 HopeLine grant from Verizon to provide domestic violence resources and education in our emergency department. - Designated a Breast Imaging Center of Excellence by the American College of Radiology. - Accredited comprehensive bariatric center by the American Society of Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. - Accredited by the Commission on Cancer of the American College of Surgeons. - Designated a Pink Ribbon Facility for Excellence in Breast Health by Hologic. - Designated a Blue Cross Blue Shield Blue Distinction Center for rare and complex cancers. - Designated a Blue Cross Blue Shield Blue Distinction Center+ for gastric stapling, gastric band, hip and knee replacement, maternity care, and spine surgery. - Named a Cigna Center of Excellence for total knee replacement, total hip replacement, and spine surgery. Key Services Bariatric Surgery Memorial Health Bariatrics offers laparoscopic Roux-en-Y gastric bypass, laparoscopic adjustable gastric band, and sleeve gastrectomy weight-loss surgery, along with a non-surgical, medically managed weight-loss program. Memorial Health Bariatrics includes two board-certified and fellowship-trained surgeons, pre-surgical education, and long-term support to help people transition to a healthy lifestyle. Cancer Care The Curtis and Elizabeth Anderson Cancer Institute (ACI) at Memorial University Medical Center provides the region's most comprehensive cancer services. In addition to a team of fellowship-trained surgical oncologists, the ACI offers disease-management teams, 3D mammography, intraoperative radiation therapy for breast cancer, the region's first gynecologic cancer services, access to an array of clinical trials, genetic testing and counseling, and nurse navigators to guide patients and their families through the treatment process. Children's Hospital The Dwaine &amp; Cynthia Willett Children's Hospital of Savannah is the region's only children's hospital. It provides an array of specialists including pediatric hematologists/oncologists, gastroenterologists, cardiologists, endocrinologists, orthopaedic surgeons, intensivists/critical care doctors, the region's only pediatric neurosurgeon, and a Level III neonatal intensive care nursery (NICN). The Level III designation means we are equipped to care for the most premature or critically ill infants. We also have a team of child life specialists who help children cope with and understand their illness. We are in the process of renovating an existing building on our campus to create the region's first and only freestanding children's hospital. Cardiovascular Care The Heart &amp; Vascular Institute at Memorial University Medical Center includes the largest group of cardiologists in the region. We offer state-of-the-art hybrid valve repair techniques: transcatheter aortic valve replacement (TAVR) and MitraClip mitral valve repair. In 2016, our Heart &amp; Vascular Institute became the only facility in the region to give patients lifesaving red armbands after heart surgery. The bands include a phone number that provides around-the-clock access to a heart specialist in the crucial days after surgery. The Heart &amp; Vascular Institute also formed a local chapter of the national Mended Hearts peer-support program for people living with a heart condition.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>Emergency and Trauma The Parker's Emergency &amp; Trauma Center is a Level 1 trauma center one of only five in Georgia. Level 1 is the highest level of emergency care as established by the American College of Surgeons. Our trauma center serves 28 counties in Georgia and South Carolina and is the only Level 1 facility between Jacksonville, Florida, and Charleston, South Carolina. Another feature of our emergency care is the M. Gage Ochsner Institute for Injury Research and Prevention, which tracks trauma data and provides education to reduce injuries and improve trauma care in Georgia. Joint Replacement Surgery and Geriatric Fracture Repair Our joint replacement program was the first in the region to offer the anterior approach for hip replacement and was the site of Savannah's first total ankle arthroplasty procedure. The program includes a geriatric fracture service to expedite patients to surgery after a hip fracture, decrease their length of stay, and lower the risk of complications. Other features of the joint replacement program include a pre-surgery class to help patients and their families fully prepare for joint replacement surgery, and long-term follow-up care. Primary Care and Specialty Care Physician Practices Memorial Health University Physicians (MHUP) is the largest physician network serving southeast Georgia and southern South Carolina. It includes primary and specialty care offices throughout the region and student health clinics for Armstrong State University and Savannah College of Art and Design. All MHUP primary care practices are Level 3 Patient-Centered Medical Homes, a care concept that has been shown to improve patient wellness and reduce the cost of care. Our MHUP practices utilize Epic electronic medical records and the MyChart patient portal so patients can view their medical record, view lab results, request appointments, request prescription refills, and communicate with their doctor's office online. Spine Surgery Memorial Spine specializes in spine surgery and both the surgical and non-surgical treatment of spine conditions. Our spine surgery team includes both orthopaedic surgeons and neurosurgeons. Memorial Spine actively participates in national clinical trials to give patients access to new devices. We were one of the first facilities in the nation to implant a device called the Triumph lumbar disc for herniated disc treatment, and we are the only hospital in Georgia participating in the ACADIA Facet replacement system trial for lumbar spinal stenosis. Stroke Our stroke services include rapid treatment, community education, and telemedicine services. Our stroke team is made up of neurologists, emergency-trained physicians, and specially trained nurses. We were the first in the region to offer the breakthrough Apollo System, a minimally invasive tool that can quickly repair bleeding and remove blood clots deep in the brain. Memorial Health participates in telemedicine services that allow our physicians to evaluate patients and provide care recommendations for five hospitals in rural Georgia. In 2016, our Savannah doctors participated in 93 telemedicine consults for stroke and recommended the administration of a clot-busting medication 47 times. Women's Health Memorial Health for Women is the only labor and delivery program in the region with a team specializing in high-risk pregnancies and deliveries. We also provide genetic counseling, care for pregnant women with previous medical conditions, pre-term labor services, and care for women carrying multiples. Our maternal-fetal medicine specialists work closely with the Level III neonatal intensive care nursery at the Dwaine &amp; Cynthia Willett Children's Hospital of Savannah to ensure all new families receive a healthy start. Memorial Health for Women is actively working toward Baby-Friendly Hospital designation, which recognizes optimal infant feeding and mother-baby bonding. 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 2016, we provided more than $20.2 million 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 - $20,431,493 2. Community health improvement - $1,051,630 3. Cash and in-kind contributions - $550,909 Education for Healthcare Professionals - $20,431,493 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. 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 2016, 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 providers, and other healthcare professionals to improve patient safety and enhance clinical outcomes. Nurses/Nursing Students In 2016, 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 991 nursing students. Other Health Professionals Education Memorial Health University Medical Center provided clinical supervision and training for 267 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 - $1,031,164 Community health improvement services provided by MHUMC include programs that focus on patient support services, health screenings, education, and disease prevention. 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. SafeKids of Savannah A MHUMC Team Member is the coordinator of the SafeKids program. This team member along with other MHUMC team members provided 248 hours of safety education and outreach programs. - ABC Childcare Center Health Fair - Au Pair Education - Bicycle Safety Programs - Bike to School Days - Brown Firm Bike Helmet Giveaway - Car Seat Inspection Station July - August - Car Seat Education Class - Child Safety Seat Inspection - Child Safety Seat Distribution - Children of Purpose Camp - Community Roundtable - Child Pedestrian Safety - Child Safety Seat Distribution - Emergency Department Education Outreach - Fort Stewart community Baby Shower - Gage Ochsner Fishing and Water Safety Event - Home Fire Safety Day - Horizons Savannah Bike Safety Day - Hunter Army Airfield Tuttle Health Clinic Back to School Fair - Immunization Coalition Presentation - Largo-Tibet Pedestrian Safety - Life Jacket Loaner Board - Child Pedestrian Safety Week Awareness - National Seat Check Day - Parents Reducing Driver Error Class - Safe Kids Day Poison Education - Safety Day - Savannah Chatham County Metro Policy Department Education - Teens and Tots Class - Teens in the Driver's Seat - Walk to School Day - Make a Splash Water Safety Event - Heat Stroke Awareness - Wal-Mart Safety Day - Zero Crazy Event Children's Nutrition, Fitness, and Wellness Education and Events Community education and events for Children's Wellness totaled 137 hours in 2016. - Bike to School Day - Child Mental Health Awareness - Children of Purpose Camp - City of Savannah Youth Development Day - Garden City Public Library Four Healthy Habits for Growing Children - Fit Kids Fest 2016 - Full Steam Ahead Hands On CPR Training - Health Night - Pulaski Elementary School - Healthy Kids Community Meeting - Healthy Kids Day - Healthy Me - Jump Rope for Heart Health - May Howard Elementary School Holiday Stress Program - May Howard Elementary School Understanding Puberty Education - Pryme Tyme Staff Training - Savannah-Chatham County Public Schools Cafeteria Managers Nutrition Education - Savannah-Chatham County Public Schools Curriculum Fair - Savannah Youth Council - School Nurse Training, Children's Wellness &amp; Nutrition Education - St. James Puberty Education - Wellness in the Park Community Health Education Cancer Education - Curtis &amp; Elizabeth Anderson Cancer Institute Harvest of Hope Retreat - Pink Tea Breast Cancer Survivor Program - Lung Cancer Awareness Education - Build a Bridge Foundation - Bible Baptist - Farmers Market - Healthy Eating Tour - Hilton Head Tennis Tournament Education - Hunter Army Airfield "Boots to Breast" Cancer Program - Landings Women's Association Golfing for Cure Education - Stilwell Towers - Thunderbolt Senior Center - Women's Health Symposium Heart &amp; Vascular Community Education - Stroke Awareness - JEA Heart Health Presentation - Mended Hearts of Savannah - Savannah Summit Heart Health - Sun City Heart Health - The Marshes Heart Health - Signature Healthcare Heart Health Education Institute for Ethics In 2016, Corporate Ethics provided 53.5 hours of community education. - Armstrong State University Ethics Lecture - Armstrong State University Nursing Lecture - Armstrong Nurse Residents Lecture - Emory Ethics Board Roundtable - Georgia Organization of Nursing Leaders Southeast District - HCEC Board Meeting - Healthcare Ethics Consortium - Hopkins Ethics Lecture Physician Orders for Life Sustaining Treatment - Jewish Way of Life Lecture Roundtable: Ethics/Guardianship Issues - Physician Orders for Life Sustaining Treatment Collaborative - Rotary Club Lecture on Ethics - Roundtable on Marginally Effective Care - Summit Panel Presentation Trauma and Injury Prevention A MHUMC Team Leader coordinates this education and outreach for the M. Gage Ochsner Trauma and Injury Prevention Center. This team leader along with other MHUMC team leaders and team members provided 86.5 hours of safety education. - Armstrong State University Trauma and Injury Prevention Education - Camden County Senior Center Fall Prevention Education - Exchange Club Fall Prevention Education - GA Teens Ride with PRIDE - Garden City Public Library Water and Pedestrian Safety - Georgia Southern University Trauma Education - Golden Age Center Eastside Fall Prevention Education - Islands High School - Kids Safety Day - Ochsner Fishing Event - Older American's Luncheon Trauma and Injury Prevention Education - Parents Reducing Injury and Drive Error - Regional Trauma Advisory Commission - Rotary Trauma and Injury Prevention Education - SCCPSS Social Worker Presentation - Senior Citizens Incorporated Fall Prevention - Shepherd Station Teens in the Driver's Seat - Thunderbolt Senior Center Fall Prevention Education - Trauma Outreach Bacon County - Walmart Safety Day Trauma and Injury Prevention Education - Woodville Tompkins School Teen Driving Safety Course - Zero Crazy Event Other Community Health Education MHUMC Team Leaders and Team Members provided 152.5 hours of community education requested by the community organizations listed below. - Antioch Foot and Ankle Diabetes in Children Education - Armstrong State University Town Hall Education - Armstrong State University Health Communications in Healthcare - Buckingham South - Exchange Club Health Education Series - Ford Plantation Health Education Series - Georgia Nurses Association HPV Education - Georgia Southern University Bereavement Lecture - HIV Consortium Care Linkage Education - JEA Diabetes and COPD Education - Landings Meet the Doctor - Kiwanis Club - Presbytery of Savannah - PTA Principal's &amp; President Meeting - Publix Grocery Store Nutrition Education Tour - River's Edge Bowel and Bladder Health - New Generation Church Nutrition Education - Savannah Chatham County Public Schools New Teacher Orientation - Savannah Chatham County Public Schools School Nurse Sickle Cell Education - Savannah Chatham County Public Schools Transportation Employees - Savannah Mall Diabetes Education - Signature Healthcare Cancer Prevention and Heart Health - Stephen's Ministry of Savannah - WTKS Memorial Medical Monday Eating Right</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>Health Fairs In 2016, Memorial Team Members participated in ten (10) health fairs. 1. Savannah Hilton Head International Airport 2. Beach High School Community Wellness Fair 3. Chatham County Government 4. Georgia Power Kilowatt Plant 5. Georgia Power Plant McIntosh 6. Georgia Southern University 7. Imperial Sugar 8. Mitsubishi 9. Palmetto Bluff 10. Sun City Cancer Community Support Groups In 2016, approximately 600 individuals, family members, and caregivers were served by cancer support services. These support groups are open to the community - Caregiver Coffee Hour - Cooking Classes for Cancer Patients - Head and Neck Cancer Support Group - Healing through Art - Man to Man Prostate Cancer Support Group - Sisters Network Breast Cancer Support Group - Look Good Feel Better Program - Support B.R.A.S. Breast Cancer Support Group Other Support Groups - Support After Stroke (SAS) - ICD Support Group Healthcare Support Services In 2015, MHUMC invested in the following patient assistance programs and services: Patient Assistance Program - MMC Payer This Memorial-funded patient assistance program was established to help uninsured and underinsured patients with expenses that go beyond routine discharge planning. Free Patient Non-Emergency Transportation MHUMC has 9 fleet vehicles used to provide patients with free non-emergency transportation services. 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 2016, a total of 8,856 calls were answered by Registered Nurses and 24,599 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 Outreach Memorial Team Members assisted the Chatham County Safety Net Planning Council with development of ACA educational materials and coordination of outreach and enrollment events. Cash and In-Kind Contributions - $550,909 Cash Donations and Grants In 2016, cash contributions and grants were provided to the following organizations. MedBank Foundation Inc. The MedBank Foundation is a private, nonprofit organization offering prescription assistance to low-income patients of area health providers. MedBank excels in obtaining medications at no cost to patients through programs presented by participating pharmaceutical manufacturers. In 2016, MedBank provided more than $11.2 million in free medications to the community by working with community clinics. The Chatham County Safety Net Planning Council (CCSNPC) The CCSNPC serves as a countywide planning group for healthcare for the uninsured and underinsured citizens of Chatham County. Created in 2004 to improve the efficiency and effectiveness of the local healthcare delivery system, the council's goals are to strengthen the healthcare infrastructure, build capacity within the community, improve access to healthcare for the uninsured and underinsured, and improve health outcomes. As a founding member, MHUMC has been actively involved in this program since its inception. Other Cash Contributions MHUMC support the projects and initiatives for the following not-for-profit entities: Alzheimer's Association Coastal Region, American Heart Association, Bethesda Home for Boys, Crohns &amp; Colitis Foundation, E.F. Garrison K-8 School, Georgia Medical Society, Leukemia &amp; Lymphoma Society, Low Country Down Syndrome Society, March of Dimes, Matthew Reardon Center for Autism, Melanoma Research Association, NAMI Savannah, Ronald McDonald House, Step-Up Savannah, Susan G. Komen Race for the Cure, Union Mission, and United Way of the Coastal Empire. In-Kind Donations In 2016, MHUMC provided in-kind donations of space, time, and other resources to the following community organizations. Board Service for Community Organizations Senior Executives, Team Leaders, and some Team Members at MHUMC are involved at every level of the community through their service to many nonprofit organizations, local community agencies, and educational institutions. Team Leaders and Members invested 690.5 hours of service. Conference Room Services In 2016, Conference Room Services provided a total of 1,604.25 hours of free conference room and education space, audiovisual equipment, and technology assistance for 662 community meetings and events. Fundraising for Community Organizations Team members helped coordinate the following fundraising events for nonprofit organizations: Leukemia/Lymphoma Society Light the Night, Miles for Melanoma, and the Susan G. Komen Race for the Cure. In-Kind Space In 2015, MHUMC provided operating space for the Violence Intervention Program, a community focused, hospital-based program designed to reduce recidivism of violent crimes among young people ages 1225. For the convenience of our patients, Memorial provides office space for Department of Family and Children's Services (DFACS) personnel. Meals for Families Partnering with local churches and other non-profit organizations, members of MHUMC's Key 100 hosted 145 luncheons in 2016, serving 3,625 family members of hospitalized patients. Savannah Chatham County Public School System Memorial Health Sports Medicine Team Members invested 95 hours to support events and physical activities for public school children with special needs.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Building Activities - $138,257 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: 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; 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 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. 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 Achievement Junior 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 Post In 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 Fairs Memorial Team Members provided 6 hours of career day speakers for local schools.</ExplanationTxt>
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