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        <RelatedOrExemptFuncIncomeAmt>113829596</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>1074286</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1065204</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>9082</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>308296</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>308296</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>115212178</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>56100</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>4978</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>51122</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>51122</TotalRevenueColumnAmt>
        <ExclusionAmt>51122</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
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      <OtherRevenueMiscGrp>
        <Desc>REBATES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>73034</TotalRevenueColumnAmt>
        <ExclusionAmt>73034</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>10729</TotalRevenueColumnAmt>
        <ExclusionAmt>10729</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>GIFT SHOP SALES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>2724</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>588</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>17555</ExclusionAmt>
      </MiscellaneousRevenueGrp>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>115203096</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>9670</UnrelatedBusinessRevenueAmt>
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      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>0</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
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      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>43993024</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3045926</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>366787</ProgramServicesAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3370272</TotalAmt>
        <ProgramServicesAmt>3092412</ProgramServicesAmt>
        <ManagementAndGeneralAmt>277860</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
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        <ProgramServicesAmt>2923375</ProgramServicesAmt>
        <ManagementAndGeneralAmt>211855</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>4800000</TotalAmt>
        <ManagementAndGeneralAmt>4800000</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>5227</TotalAmt>
        <ManagementAndGeneralAmt>5227</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>13822070</ProgramServicesAmt>
        <ManagementAndGeneralAmt>308883</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>220134</TotalAmt>
        <ProgramServicesAmt>190933</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29201</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>99646</ProgramServicesAmt>
        <ManagementAndGeneralAmt>211990</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>38704</ProgramServicesAmt>
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      <RoyaltiesGrp>
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      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>1241919</TotalAmt>
        <ProgramServicesAmt>1213694</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>7362</ProgramServicesAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>125750</TotalAmt>
        <ManagementAndGeneralAmt>125750</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
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        <ManagementAndGeneralAmt>4366277</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>1009167</TotalAmt>
        <ManagementAndGeneralAmt>1009167</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DRUGS &amp; MEDICAL SUPPLIES</Desc>
        <TotalAmt>26065379</TotalAmt>
        <ProgramServicesAmt>26065379</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>2787727</TotalAmt>
        <ProgramServicesAmt>2741989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45738</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL EXPENSE</Desc>
        <TotalAmt>694857</TotalAmt>
        <ProgramServicesAmt>506230</ProgramServicesAmt>
        <ManagementAndGeneralAmt>188627</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
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        <ProgramServicesAmt>920891</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7669</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>1795574</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106596</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>112547061</TotalAmt>
        <ProgramServicesAmt>97778070</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14768991</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
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        <EOYAmt>5009219</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>16458043</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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      <RcvblFromDisqualifiedPrsnGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>3492962</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      <InvestmentsPubTradedSecGrp>
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      <TaxExemptBondLiabilitiesGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>60886667</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>3575731</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
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      <BuildingsGrp>
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      <OtherLiabilitiesOrgGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
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      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
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        <NetCommunityBenefitExpnsAmt>1632207</NetCommunityBenefitExpnsAmt>
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      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
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        <DirectOffsettingRevenueAmt>45839902</DirectOffsettingRevenueAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
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        <NetCommunityBenefitExpnsAmt>1632207</NetCommunityBenefitExpnsAmt>
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      </TotalFinancialAssistanceTyp>
      <SubsidizedHealthServicesGrp>
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      </SubsidizedHealthServicesGrp>
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      <TotalCommunityBenefitsGrp>
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      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
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      <CostingMethodologyUsedGrp>
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      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
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        <BusinessName>
          <BusinessNameLine1Txt>SINGING RIVER GULFPORT</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>15200 COMMUNITY</AddressLine1Txt>
          <CityNm>GULFPORT</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>39503</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>SINGINGRIVERHEALTHSYSTEM.COM</WebsiteAddressTxt>
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        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
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        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>21</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
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        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
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        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY HEALTH NEEDS, REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AND/OR REPRESENT MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS SERVED BY SINGING RIVER GULFPORT HOSPITAL. INTERVIEWS WERE CONDUCTED DURING THE MONTH OF MAY &amp; JUNE 2021. KEY INFORMANTS FROM THE FOLLOWING ORGANIZATIONS PARTICIPATED: - BOAT PEOPLE SOS - COASTAL FAMILY HEALTH CENTER - EL PUEBLO - JACKSON COUNTY CIVIC ACTION - HARRISON COUNTY HEALTH DEPARTMENT - HARRISON COUNTY SCHOOL DISTRICT - MISSISSIPPI STATE DEPARTMENT OF HEALTH, DISTRICT OFFICE FOR PUBLIC HEALTH DISTRICT IX - PASCAGOULA - GAUTIER SCHOOL DISTRICT - PASCAGOULA SENIOR CENTER - PREVENTION AND SAFETY SERVICES - THE SALVATION ARMY KROC CENTER MISSISSIPPI GULF COAST - THE SALVATION ARMY MISSISSIPPI GULF COAST - SINGING RIVER HEALTH SYSTEM PATIENT RESOURCE MANAGEMENT - UNITED WAY FOR JACKSON AND GEORGE COUNTIES - UNITED WAY FOR HARRISON COUNTY INTERVIEW QUESTIONS FOCUSED ON INTERVIEWEE'S INDIVIDUAL/ORGANIZATIONAL BACKGROUND AND EXPERTISE, GREATEST COMMUNITY NEEDS OR CONCERNS, BARRIERS AND CONTRIBUTING FACTORS TO CONSIDER, COMMUNITY RESOURCES, ANY FURTHER CONCERNS FOR THEIR REPRESENTED POPULATION, AND OTHER PERTINENT INFORMATION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>SINGING RIVER HEALTH SYSTEM, OCEAN SPRINGS HOSPITAL, AND PASCAGULA HOSPITAL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINES 7A &amp; 10A</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://SINGINGRIVERHEALTHSYSTEM.COM/ABOUT-SINGING-RIVER/PUBLIC-INFORMATIO N/COMMUNITYINFORMATION/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY BENEFIT DEPARTMENT REVIEWED AND ANALYZED ALL PRIMARY AND SECONDARY DATA FOR RECURRING THEMES, SCOPE, SEVERITY, AND URGENCY OF IDENTIFIED HEALTH NEEDS FOR OUR AREA. FEASIBILITY AND EFFECTIVENESS OF POSSIBLE INTERVENTIONS WERE CONSIDERED, AS WELL AS ALIGNMENT WITH THE MISSION OF SINGING RIVER HEALTH SYSTEM, EXISTING PROGRAMS, AND THE IMPORTANCE THAT THE COMMUNITY PLACED ON THE HEALTH NEED. WITH ADDITIONAL INPUT SOLICITED FROM HEALTH SYSTEM LEADERSHIP THIS PROCESS IDENTIFIED THE FOLLOWING PRIORITIZED HEALTH NEEDS FOR THE COMMUNITIES WE SERVE: 1. OBESITY OBESITY IS DEFINED AS A BODY MASS INDEX (BMI) OF 30 OR GREATER. MISSISSIPPI RANKS NUMBER ONE IN THE NATION FOR OBESITY, WITH 39% OF ADULTS BEING OBESE COMPARED TO 27.5 % NATIONALLY. THE COUNTY HEALTH RANKINGS MEASURE OF OBESITY SERVES AS A PROXY METRIC FOR POOR DIET AND LIMITED PHYSICAL ACTIVITY. OBESITY INCREASES THE RISK FOR HEALTH CONDITIONS SUCH AS CORONARY HEART DISEASE, TYPE 2 DIABETES, CANCER, HYPERTENSION, DYSLIPIDEMIA, STROKE, LIVER AND GALLBLADDER DISEASE, SLEEP APNEA AND RESPIRATORY PROBLEMS (SUCH AS ASTHMA), OSTEOARTHRITIS, AND POOR HEALTH STATUS. ACCORDING TO COUNTY HEALTH RANKINGS, JACKSON COUNTY PERFORMS MARGINALLY BETTER THAN THE STATE AT 36% AND COMMUNITY COMMONS REPORTS 35.2% OF JACKSON COUNTY ADULTS ARE OVERWEIGHT (BMI GREATER THAN 30.0). COUNTY HEALTH RANKINGS FURTHER REPORTS THAT 26% OF JACKSON COUNTY ADULTS ARE PHYSICALLY INACTIVE. CURRENT PROGRAMS AND SERVICES THAT ADDRESS OBESITY: -BARIATRIC SURGERY PROGRAM: PROVIDES SURGICAL WEIGHT LOSS PROCEDURES, AS WELL AS OFFERS GUIDANCE TO HELP PATIENTS MAKE LIFESTYLE CHANGES. - BREASTFEEDING RESOURCE CENTERS: RESEARCH HAS SHOWN THAT BREASTFEEDING DECREASES THE RISK OF A CHILD BECOMING OBESE (CDC, 2012). BOTH OCEAN SPRINGS HOSPITAL AND SINGING RIVER HOSPITAL OFFER BREASTFEEDING RESOURCE CENTERS WHERE BREASTFEEDING SUPPORT IS OFFERED, AS WELL AS BREASTFEEDING SUPPLIES AND PUMPS FOR RENT OR PURCHASE. - HEALTHY PARTNERS: WITH CONVENIENT SCREENINGS, RISK ASSESSMENTS, ON-SITE EVENTS AND OTHER SUPPORT, OUR HEALTHY PARTNER COMPANIES HAVE A DIRECT CONNECTION TO ALL THE RESOURCES OF OUR AWARD-WINNING CARE TEAMS. SCREENINGS FOR THE MOST COMMON CONDITIONS CAN IMPROVE HEALTH AND SAVE LIVES. - HEALTHY REVOLUTION BLUEPRINT WHICH IS A SIMPLE-TO-FOLLOW, NONSURGICAL HEALTHY LIFESTYLE &amp; WEIGHT MANAGEMENT PROGRAM. THERE IS A MISCONCEPTION THAT LOSING A LARGE AMOUNT OF WEIGHT IS DIFFICULT AND CRASH DIETS ARE THE ONLY WAY TO IMPROVE HEALTH. CREATING HEALTHY HABITS AND A FEW LIFESTYLE CHANGES CAN LOWER BLOOD PRESSURE, CHOLESTEROL, AND TRIGLYCERIDE LEVELS THAT CAN HELP AND PREVENT, CONTROL, AND EVEN REVERSE TYPE 2 DIABETES. SINGING RIVER IS ACTIVELY PROMOTING THE HEALTHY REVOLUTION BLUEPRINT AMONG OUR MORE THAN 2,500 EMPLOYEES AND THROUGHOUT OUR COMMUNITY TO REDUCE OBESITY RATES IN OUR REGION. VISIT WWW.SINGINGRIVERHEALTHSYSTEM.COM TO FIND THE FULL 12 WEEK PROGRAM. - HEALTHY REVOLUTION PROGRAM IS A CUSTOMIZED WELLNESS INITIATIVE FOR SINGING RIVER HEALTH SYSTEM EMPLOYEES. THE PROGRAM INCLUDES A UNIQUE BENEFIT PLAN STRUCTURE, UNPRECEDENTED TEAM-BASED REWARDS PROGRAMS, SCREENING PROGRAMS, MULTIPLE NUTRITION INITIATIVES, AND GROUP PROGRAMS FOR HEALTHY LIVING. - HEALTHPLEX: LOCATED IN PASCAGOULA, HEALTHPLEX IS A COMPREHENSIVE HEALTH AND WELLNESS CENTER OFFERING STATE-OF-THE-ART FITNESS EQUIPMENT AND GROUP CLASSES WHILE PROVIDING TRAINED STAFF TO ASSIST INDIVIDUALS WITH CHRONIC CONDITIONS OR THOSE AT RISK OF DEVELOPING THEM. SINGING RIVER ALSO PARTNERS WITH THE MS GULF COAST YMCA FOR HEALTH AND WELLNESS EDUCATION, COMMUNITY PROJECTS AND SUPPORT. - NUTRITION SERVICES: DIETARY CONSULTS ARE AVAILABLE BY APPOINTMENT AT BOTH HOSPITALS WITH PHYSICIAN REFERRAL. - COMMUNITY EDUCATION AND SCREENINGS: SUBJECT MATTER EXPERTS PROVIDE EDUCATIONAL PRESENTATIONS AND SPEECHES ON A VARIETY OF TOPICS IN THE COMMUNITY, INCLUDING PRESENTATIONS FOR SENIOR CENTERS, SCHOOLS, CHURCHES, AND CIVIC GROUPS. REGULAR PARTICIPATION IN HEALTH FAIRS IS ONGOING, WITH SCREENINGS OFFERED FOR BLOOD PRESSURE, BLOOD GLUCOSE, BODY MASS INDEX, AND LUNG FUNCTION. PARTNERSHIPS AND POTENTIAL OPPORTUNITIES: SINGING RIVER HEALTH SYSTEM IS A FOUNDING PARTNER AND ONGOING MEMBER OF THE MISSISSIPPI GULF COAST YOUTH HEALTH COALITION, WHOSE FIRST INITIATIVE "LET'S GO! GULF COAST," AIMS TO COMBAT CHILDHOOD OBESITY BY ENCOURAGING HEALTHY EATING AND ACTIVE LIVING FOR MISSISSIPPI GULF COAST CHILDREN, THEIR FAMILIES, AND THE COMMUNITIES IN WHICH THEY LIVE, LEARN, WORK, AND PLAY. ANTICIPATED IMPACT AND PLAN TO EVALUATE: THE PROGRAMS ARE ANTICIPATED TO IMPROVE THE HEALTH OF PARTICIPANTS BY ASSISTING IN WEIGHT LOSS, HEALTH PROMOTION, PHYSICAL FITNESS EDUCATION, NUTRITION EDUCATION, AND INCREASING AWARENESS OF OVERALL HEALTH. THE PARTNERSHIP WITH THE MISSISSIPPI GULF COAST YOUTH HEALTH COALITION IS ANTICIPATED TO RAISE AWARENESS IN JACKSON COUNTY ABOUT OBESITY AND HOW TO MAKE HEALTHIER CHOICES. THE PLAN TO EVALUATE INCLUDES TRACKING PATIENT PARTICIPATION AND OUTCOMES, WHERE APPLICABLE, AND REASSESSING THE HEALTH NEEDS OF THE COMMUNITY DURING THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT. EVALUATION METRICS ARE BUILT-IN TO THE LET'S GO! GULF COAST INITIATIVE AND WILL BE INCLUDED IN THE DATA ASSESSED DURING THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT. 2. BEHAVIORAL HEALTH JACKSON COUNTY, ALONG WITH ALL OF COASTAL MISSISSIPPI HAS EXPERIENCED NUMEROUS NATURAL AND ENVIRONMENTAL DISASTERS IN RECENT YEARS SUCH AS HURRICANE KATRINA AND THE BP OIL SPILL. THESE EVENTS, COMBINED WITH THE COVID 19 PANDEMIC ACROSS THE COUNTRY, HAVE LEFT A TOLL ON AN ALREADY ECONOMICALLY DEPRESSED REGION. THIS HAS CREATED A RIPE ENVIRONMENT FOR BEHAVIORAL HEALTH ISSUES SUCH AS DEPRESSION AND ANXIETY. TO COMPOUND THE PROBLEM, THERE IS A LACK OF MENTAL HEALTH PROVIDERS IN THE AREA, WITH A RATIO OF 630 PEOPLE FOR EVERY 1 BEHAVIORAL HEALTH PROVIDER IN JACKSON COUNTY (COUNTY HEALTH RANKINGS, 2021). CURRENT PROGRAMS AND SERVICES THAT ADDRESS MENTAL HEALTH: - EMERGENCY BEHAVIORAL ASSESSMENT: 24-HOUR INTAKE AND EVALUATION FOR ALL AGES WITH SUPPORT FROM OUR CRISIS INTERVENTION PROGRAM TEAM. - INPATIENT MEDICAL-PSYCHIATRIC PROGRAM: PROVIDES ACUTE MEDICAL CARE AS WELL AS PSYCHIATRIC CARE FOR ADULTS WHO REQUIRE 24- HOUR INPATIENT TREATMENT. - PET ASSISTED WELLNESS SERVICES (PAWS). PET THERAPY PROGRAM OFFERED FOR THE EMOTIONAL WELLBEING OF INPATIENTS AT BOTH HOSPITALS. ANTICIPATED IMPACT AND PLAN TO EVALUATE: AS THE NEED FOR BEHAVIORAL HEALTH SERVICES INCREASES, SINGING RIVER IS ACTIVELY WORKING WITH PRIVATE PROVIDERS, GOVERNMENT AND NOT FOR PROFIT AGENCIES TO ADDRESS CAPACITY ISSUES AND ALTERNATIVES TO HOSPITALIZATION WHERE APPROPRIATE. 3. CHRONIC CONDITIONS CHRONIC ILLNESSES SUCH AS DIABETES, HIGH CHOLESTEROL, AND HEART DISEASE (THE LEADING CAUSE OF DEATHS IN THE UNITED STATES) ARE RAMPANT IN JACKSON COUNTY. THESE CONDITIONS SIGNIFICANTLY IMPACT QUALITY OF LIFE, AND MANY ARE THE RESULT OF LIFESTYLE CHOICES AND/OR LACK OF PREVENTIVE CARE DUE TO ACCESS ISSUES. THE HIGH RATE OF OBESITY ALSO PUTS RESIDENTS AT RISK FOR DEVELOPING A CHRONIC CONDITION. CURRENT PROGRAMS AND SERVICES THAT ADDRESS CHRONIC CONDITIONS: - BOARD CERTIFIED GERIATRICIAN: GERIATRIC MEDICINE SPECIALIZES IN THE COMPLEX MEDICAL AND PSYCHOSOCIAL PROBLEMS OF OLDER ADULTS. - CARDIAC CATH LAB: OFFERING CARDIAC DIAGNOSTIC CATHETERIZATION, CORONARY INTERVENTION PROCEDURES, BALLOON ANGIOPLASTY, CORONARY STENTING, ROTATIONAL ATHERECTOMY, PERIPHERAL DIAGNOSTIC CATHETERIZATION AND INTERVENTIONAL PROCEDURES, ELECTROPHYSIOLOGICAL STUDIES AND ABLATIONS, PACEMAKERS AND IMPLANTABLE CARDIOVERTER DEFIBRILLATORS, CAROTID STENTING, AND CARDIAC CALCIUM SCORING. CATH LAB PROCEDURES ARE ALSO PART OF THE BLUE DISTINCTION CENTERS OF EXCELLENCE FOR CARDIAC CARE. -CARDIAC AND PULMONARY REHABILITATION: COMPREHENSIVE PROGRAM FOR PATIENTS WITH CHRONIC HEART AND/OR LUNG DISEASE. - THE CENTER FOR CARDIOVASCULAR SURGERY: OFFERING CORONARY ARTERY BYPASS SURGERY, VALVE REPAIR AND REPLACEMENT, ANEURYSM REPAIR, THORACIC SURGERY, CAROTID ARTERY SURGERY, AND PERIPHERAL VASCULAR SURGERY. OCEAN SPRINGS HOSPITAL AND SINGING RIVER HOSPITAL WERE NAMED BLUE DISTINCTION CENTERS OF EXCELLENCE FOR CARDIAC CARE BY BLUE CROSS &amp; BLUE SHIELD OF MISSISSIPPI. THE DESIGNATION ACKNOWLEDGES BEST PRACTICE CARE COORDINATION WITH THE GOAL OF HEALTHIER OUTCOMES THROUGH AN EMPHASIS ON QUALITY AND PREVENTION. - COMMUNITY EDUCATION AND SCREENINGS: SUBJECT MATTER EXPERTS PROVIDE EDUCATIONAL PRESENTATIONS AND SPEECHES ON A VARIETY OF TOPICS IN THE COMMUNITY, INCLUDING PRESENTATIONS FOR SENIOR CENTERS, SCHOOLS, CHURCHES, AND CIVIC GROUPS. REGULAR PARTICIPATION IN HEALTH FAIRS IS ONGOING, WITH SCREENINGS OFFERED FOR BLOOD PRESSURE, BODY MASS INDEX, AND LUNG FUNCTION. FREE ONSITE SCREENINGS HAVE ALSO BEEN OFFERED FOR ALSO BEEN OFFERED FOR ALPHA TESTING WHICH DETECTS RISK FOR LUNG DISEASE. - CONGESTIVE HEART FAILURE CLINIC: OFFERING SHORT-TERM AND LONG-TERM SYMPTOM MANAGEMENT, DRUG THERAPIES, EDUCATION ON LIFESTYLE MODIFICATION, AND ENHANCED E</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINES 16A, 16B &amp; 16C</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://SINGINGRIVERHEALTHSYSTEM.COM/PATIENTS-AND-VISITORS/BILLING-AND-REC ORDS/FINANCIALSERVICES/FINANCIAL-ASSISTANCE-PROGRAM/</ExplanationTxt>
      </SupplementalInformationGrp>
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            <AddressLine1Txt>12121 HIGHWAY 49</AddressLine1Txt>
            <CityNm>GULFPORT</CityNm>
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            <ZIPCd>39503</ZIPCd>
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            <BusinessNameLine1Txt>FAMILY MEDICINE CLINIC - COWAN ROAD</BusinessNameLine1Txt>
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            <AddressLine1Txt>350 COWAN ROAD</AddressLine1Txt>
            <CityNm>GULFPORT</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>39507</ZIPCd>
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          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
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            <AddressLine1Txt>15190 COMMUNITY ROAD STE 240</AddressLine1Txt>
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            <StateAbbreviationCd>MS</StateAbbreviationCd>
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          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15190 COMMUNITY ROAD SUITE 330</AddressLine1Txt>
            <CityNm>GULFPORT</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>39503</ZIPCd>
          </USAddress>
          <FacilityTxt>PEDIATRIC CLINIC</FacilityTxt>
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          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15190 COMMUNITY ROAD SUITE 350/360</AddressLine1Txt>
            <CityNm>GULFPORT</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>39503</ZIPCd>
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          <FacilityTxt>ORTHOPEDIC CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SRG GI CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15190 COMMUNITY ROAD SUITE 230</AddressLine1Txt>
            <CityNm>GULFPORT</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>39503</ZIPCd>
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          <FacilityTxt>GI CLINIC</FacilityTxt>
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          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12330 ASHLEY DRIVE</AddressLine1Txt>
            <CityNm>GULFPORT</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>39503</ZIPCd>
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        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SRG CARDIOVASCULAR CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15190 COMMUNITY ROAD SUITE 260</AddressLine1Txt>
            <CityNm>GULFPORT</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>39503</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOVASCULAR CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>SINGING RIVER GULFPORT USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART I, LINE 7G</FormAndLineReferenceDesc>
        <ExplanationTxt>SINGING RIVER GULFPORT INCLUDED ONE STAND-ALONE PHYSICIAN CLINIC IN SUBSIDIZED HEALTH SERVICES, AND THE ASSOCIATED COSTS WITH THE CLINIC TOTALS $2,040,298.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS ARE RECORDED AS A DEDUCTION FROM GROSS PATIENT REVENUE. THE HOSPITAL INTERNALLY TRACTS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE SEE ATTACHED AUDIT REPORT, NOTE 1.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE COST REPORT WAS USED TO CALCULATE THE MEDICARE ALLOWABLE COSTS. THE ORGANIZATION DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>SINGING RIVER GULFPORT STRIVES TO INFORM AND EDUCATE ALL UNINSURED PATIENTS THAT PRESENT TO OUR FACILITY ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. THE FAP AND FAP SUMMARY ARE AVAILABLE IN REGISTRATION AREAS AND ONLINE. FINANCIAL COUNSELORS ARE AVAILABLE FOR CONSULTATION AND PRE-SERVICE ASSESSMENTS FOR COSTS OF PROCEDURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>RESEARCHING THE COMMUNITY THROUGH INTERACTIONS WITH COMMUNITY LEADERS AND ORGANIZATIONS, AND A COMMUNITY NEEDS ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SINGING RIVER GULFPORT STRIVES TO INFORM AND EDUCATE ALL UNINSURED PATIENTS THAT PRESENT TO OUR FACILITY ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. THE FAP AND FAP SUMMARY ARE AVAILABLE IN REGISTRATION AREAS AND ONLINE. FINANCIAL COUNSELORS ARE AVAILABLE FOR CONSULTATION AND PRE-SERVICE ASSESSMENTS FOR COSTS OF PROCEDURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SINGING RIVER GULFPORT PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. SERVING JACKSON AND HARRISON COUNTIES IN MISSISSIPPI PLUS SURROUDING AREAS. SINGING RIVER GULFPORT PROVIDES ACUTE CARE SERVICES INCLUDING INPATIENT SERVICES, SURGICAL SERVICES, OUTPATIENT DIAGNOSTICS, AND EMERGENCY SERVICES. SINGING RIVER GULFPORT ALSO HAS A CLINIC NETWORK THAT PROVIDES PRIMARY CARE AND SPECIALTY SERVICES IN GENERAL SURGERY AND ORTHOPEDIC SURGERY. THE SERVICE AREA FOR SINGING RIVER GULFPORT IS HARRISON COUNTY. THE POPULATION OF HARRISON COUNTY IS 210,881. APPROXIMATELY 23.8% OF PEOPLE IN THE SERVICE AREA ARE UNDER THE AGE OF 18, APPROXIMATELY 60.2% ARE BETWEEN THE AGES OF 18 TO 64, AND APPROXIMATELY 16.0% ARE OVER THE AGE OF 65. THE MEDIAN HOUSEHOLD INCOME FOR THE SERVICE AREA IS $48,341 AND THE POVERTY RATE IS 16%. IN TERMS OF RACE, WHITES WERE THE MAJORITY POPULATION IN EACH ZIP CODE EXCEPT GULFPORT (39501) WHERE BLACK/AFRICAN AMERICANS COMPOSE 58.71% OF THE POPULATION. FOR ETHNICITY, LONG BEACH (39560) HAD THE HIGHEST ESTIMATED PERCENTAGE OF HISPANICS AT 46.55%. FOLLOWED BY BILOXI/D'IBERVILLE (39540) WITH 9.92%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>SINGING RIVER GULFPORT OFFERS EDUCATIONAL SESSIONS FOR VARIOUS MEDICAL DIAGNOSES AND ILLNESSES. DURING THE HEIGHT OF THE PANDEMIC, THE ORGANIZATION OFFERED A VACCINATION DRIVE, TESTING, AND MONOCLONAL INFUSIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SINGING RIVER GULFPORT (SRG) IS A COMPONENT UNIT OF SINGING RIVER HEALTH SYSTEM. AS THE SOLE MEMBER OF THIS NOT-FOR-PROFIT CORPORATION, THE HEALTH SYSTEM EXERTS CONTROL AND HAS A FINANCIAL BENEFIT RELATIONSHIP. SRG IS A 130-BED, ACUTE CARE HOSPITAL WITH INPATIENT AND RELATED OUTPATIENT CARE AND OTHER FACILITIES PRINCIPALLY LOCATED IN GULFPORT, MISSISSIPPI. SINGING RIVER HEALTH SYSTEM (THE HEALTH SYSTEM) IS A COMPONENT UNIT OF JACKSON COUNTY, MISSISSIPPI, AS DEFINED BY THE GOVERNMENTAL ACCOUNTING STANDARDS BOARD (GASB). THE HEALTH SYSTEM IS OPERATED BY A NINE-MEMBER BOARD OF TRUSTEES, SEVEN OF WHOM ARE APPOINTED BY THE BOARD OF SUPERVISORS OF JACKSON COUNTY, MISSISSIPPI. ADDITIONALLY, THE CHIEF-OF-STAFF OF THE HEALTH SYSTEM SERVES ON THE BOARD. SRHS AMBULATORY SERVICES, INC. (SRHSAS) IS A COMPONENT UNIT OF THE HEALTH SYSTEM. AS THE SOLE MEMBER OF THIS NOT-FOR-PROFIT ORGANIZATION, THE HEALTH SYSTEM EXERTS CONTROL AND HAS A FINANCIAL BENEFIT RELATIONSHIP. SRHSAS IS OPERATED BY A BOARD OF DIRECTORS, ALL OF WHOM ARE APPOINTED BY THE HEALTH SYSTEM'S BOARD. AS OF SEPTEMBER 30, 2022 SRHSAS HOLDS A NONCONTROLLING OWNERSHIP INTEREST IN TWO AMBULATORY SURGERY CENTERS, MISSISSIPPI COAST ENDOSCOPY AND AMBULATORY SURGERY CENTER, LLC (MCEASC) AND OCEAN SPRINGS SURGICAL AND ENDOSCOPY CENTER, LLC (OSSEC). ANESTHESIA SERVICES, LLC IS A COMPONENT UNIT OF THE HEALTH SYSTEM. ANESTHESIA SERVICES, LLC IS A WHOLLY-OWNED SUBSIDIARY OF THE HEALTH SYSTEM THAT PREVIOUSLY PROVIDED MANAGEMENT, SCHEDULING, AND BILLING AND COLLECTION SERVICES FOR CERTIFIED REGISTERED NURSE ANESTHETISTS. SINGING RIVER HEALTH SYSTEM FOUNDATION (THE FOUNDATION) IS A COMPONENT UNIT OF THE HEALTH SYSTEM. THE FOUNDATION IS A 501(C)(3) NONPROFIT ENTITY THAT SERVES AS A SUPPORTING ORGANIZATION FOR THE HEALTH SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>MISSISSIPPI</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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        <PersonNm>JASON MCNEIL</PersonNm>
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        <PersonNm>LEE BOND</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE J, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SINGING RIVER HEALTH SYSTEM, A RELATED ORGANIZATION, USES A COMPENSATION STUDY OR SURVEY AND APPROVAL BY THE BOARD COMPENSATION COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>SINGING RIVER HEALTH SYSTEM, THE SOLE MEMBER, HAS THE POWERS WITH RESPECT TO THE APPOINTMENT, ELECTION OR REMOVAL OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BUSINESS OF THE CORPORATION SHALL BE MANAGED BY THE BOARD OF DIRECTORS, WHICH MAY EXERCISE ALL POWERS OF THE CORPORATION AND PERFORM ALL ACTS THAT ARE NOT BY LAW, BY THE ARTICLES OF INORPORATION OR THESE BYLAWS REQUIRED TO BE EXERCISED, PERFORMED OR APPROVED BY THE MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED AND APPROVED BY THE CHIEF FINANCIAL OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MANAGERS, DIRECTORS AND EMPLOYED PHYSICIANS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS BY COMPLETING A CONFLICTS OF INTEREST DISCLOSURE FORM ANNUALLY. THE COMPLIANCE DEPARTMENT WILL EXAMINE THE INFORMATION PROVIDED AND DETERMINE WHETHER A CONFLICT EXISTS. FOLLOWING THE COMPLIANCE DEPARTMENT'S REVIEW, REPRESENTATIVES OF THE COMPLIANCE DEPARTMENT WILL PRESENT ANY INFORMATION RELATED TO POTENTIAL CONFLICTS TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES, ALONG WITH A RECOMMENDATION OF HOW TO RESOLVE OR MITIGATE AGAINST THE CONFLICT. THE AUDIT AND COMPLIANCE COMMITTEE SHALL APPROVE ANY RECOMMENDATION AND PRESENT A SUMMARY OF THE CONFLICTS OF INTEREST PROCESS TO THE BOARD OF TRUSTEES, WHICH SHALL RATIFY ANY DECISION BY THE AUDIT AND COMPLIANCE COMMITTEE REGARDING CONFLICTS OF INTEREST OF AN INTERESTED PERSON. WHEN AN INTERESTED PERSON BELIEVES HE/SHE OR A MEMBER OF HIS/HER FAMILY HAS A CONFLICT OF INTEREST, HE/SHE SHOULD, IN ADDITION TO SUBMITTING A DISCLOSURE FORM, ABSTAIN FROM MAKING MOTIONS, VOTING, NEGOTIATIONS, OR TAKING ANY OTHER DIRECT ACTION ON BEHALF OF SINGING RIVER WHERE THE CONFLICT MAY PERTAIN, AND REMOVE HIMSELF/HERSELF FROM THE NEGOTIATIONS, DEALINGS, AND MEETINGS DURING THE DISCUSSION AND/OR VOTE ON THE ISSUE AS TO WHICH HE/SHE HAS ACTUAL OR POTENTIAL CONFLICTS OF INTEREST.</ExplanationTxt>
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        <ExplanationTxt>SRHS EXECUTIVE DIRECTOR OF HUMAN RESOURCE GOVERNS THE REVIEW PROCESS FOR ALL EXECUTIVES. THE BOARD OF DIRECTORS APPROVES ALL EXECUTIVE COMPENSATION.</ExplanationTxt>
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        <ExplanationTxt>SRHS EXECUTIVE DIRECTOR OF HUMAN RESOURCE GOVERNS THE REVIEW PROCESS FOR ALL OFFICERS.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES, FINANICAL STATEMENTS, AND FORM 990 ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
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        <ExplanationTxt>DESCRIPTION:PURCHASED SERVICES TOTAL FEES:2388100</ExplanationTxt>
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        <ExplanationTxt>DESCRIPTION:CONTRACT LABOR TOTAL FEES:4657443</ExplanationTxt>
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        <ExplanationTxt>DESCRIPTION:PHYSICIAN FEES TOTAL FEES:7085410</ExplanationTxt>
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          <AddressLine1Txt>2101 HIGHWAY 90</AddressLine1Txt>
          <CityNm>GAUTIER</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>39553</ZIPCd>
        </USAddress>
        <EIN>640899755</EIN>
        <PrimaryActivitiesTxt>GOVERNMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>115</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SINGING RIVER HEALTH SYSTEM FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2101 HIGHWAY 90</AddressLine1Txt>
          <CityNm>GAUTIER</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>39553</ZIPCd>
        </USAddress>
        <EIN>640864350</EIN>
        <PrimaryActivitiesTxt>GOVERNMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>115</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>