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        <ReportableCompFromRltdOrgAmt>362163</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC PLOTT</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES CAMPBELL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationAmt>20823</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PHILIP MYERS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>39387</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMARA HARPER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationAmt>17597</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WASSEM JUAKIEM</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>1487773</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>198339</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>62</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>AIR MASTERS SERVICE AMERICA</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MS</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LIFELINC ANESTHESIA PLLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3340 PLAYERS CLUB PARKWAY SUITE 35</AddressLine1Txt>
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            <ZIPCd>38125</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN COVERAGE</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ENCORE REHABILITATION INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>251 JOHNSTON ST STUTE 200</AddressLine1Txt>
            <CityNm>DECATUR</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>35601</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT LABOR</ServicesDesc>
        <CompensationAmt>1323414</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EXPRESS SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 203901</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT LABOR</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GIFTED NURSES LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 205426</AddressLine1Txt>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT LABOR</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>24</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>426274</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>426274</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>185837815</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>4659929</RelatedOrExemptFuncIncomeAmt>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>622110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1505573</RelatedOrExemptFuncIncomeAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>GIFT SHOP SALES</Desc>
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        <ProgramServicesAmt>520296</ProgramServicesAmt>
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        <ProgramServicesAmt>3426239</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>4800000</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>6696</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>137623</ProgramServicesAmt>
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        <ProgramServicesAmt>136290</ProgramServicesAmt>
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        <ProgramServicesAmt>94846</ProgramServicesAmt>
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        <ProgramServicesAmt>8940</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>75387</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>58566001</EOYAmt>
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        <ExplanationTxt>Facility , 1 - FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5. 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>
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        <ExplanationTxt>Facility , 1 - SINGING RIVER GULFPORT. SINGING RIVER HEALTH SYSTEM, OCEAN SPRINGS HOSPITAL, AND PASCAGULA HOSPITAL.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - SINGING RIVER GULFPORT. 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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 2 - SINGING RIVER GULFPORT. 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 EXTERNAL COUNTERPULSATION. - ENCOURAGE FITNESS: SINGING RIVER HEALTH SYSTEM FOUNDATION, WITH IN-KIND SUPPORT FROM SINGING RIVER HEALTH SYSTEM, HOSTS THE ANNUAL "RUN RUN RUDOLPH 5K AND FUN RUN," AS WELL AS PROMOTING/SUPPORTING OTHER COMMUNITY RUNS AND WALKS IN AN EFFORT TO CULTIVATE A CULTURE OF HEALTHFUL 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. - HOSPITALISTS: OCEAN SPRINGS HOSPITAL AND SINGING RIVER HOSPITAL EMPLOY HOSPITALISTS, WHICH ARE PHYSICIANS WHO SPECIALIZE IN THE CARE OF HOSPITALIZED PATIENTS. THIS SPECIALIZED EXPERTISE RESULTS IN BETTER QUALITY OF CARE DURING THE HOSPITAL STAY. - REGIONAL PULMONARY HYPERTENSION CENTER: LOCATED IN OCEAN SPRINGS, THE REGIONAL PULMONARY HYPERTENSION CENTER IS THE ONLY PULMONARY HYPERTENSION CLINIC ON THE MISSISSIPPI GULF COAST. - RETAIL PHARMACY: STARTING IN 2015, OCEAN SPRINGS HOSPITAL AND SINGING RIVER HOSPITAL NOW OFFER IN-HOUSE RETAIL PHARMACIES. THIS ALLOWS PATIENTS TO BE DISCHARGED WITH THE MEDICATIONS THAT THEY NEED, WHICH HELPS TO ELIMINATE GAPS IN TREATMENT AND PROVIDE CONTINUITY OF CARE. - SINGING RIVER HEALTH SYSTEM CLINICS: THERE ARE FIVE CLINICS TOTAL, WITH LOCATIONS IN HURLEY, OCEAN SPRINGS, PASCAGOULA, AND VANCLEAVE. EXTENDED AND/OR WEEKEND HOURS ARE OFFERED, AS WELL AS SAME DAY APPOINTMENTS AND A BOARD CERTIFIED EMERGENCY PHYSICIAN OFFERING FAST-TRACK SERVICES AT THE PASCAGOULA CLINIC. - SLEEP CENTER: MULTIDISCIPLINARY MEDICAL CLINIC AND SLEEP DIAGNOSTIC LABORATORY. - THE WOUND CARE CENTER: OFFERING SPECIALIZED EQUIPMENT AND A HIGHLY TRAINED STAFF FOR THE MANAGEMENT OF PROBLEM WOUNDS. THIS IS ESPECIALLY HELPFUL FOR PATIENTS WITH DIABETES. POTENTIAL OPPORTUNITIES: -EXPLORE POPULATION HEALTH PROGRAMS TARGETING CHRONIC CONDITIONS WITH A POSSIBLE PILOT PROGRAM FOR EMPLOYEES, WITH THE INTENT OF EXTENDING CORPORATE HEALTH STRATEGIES TO THE COMMUNITY. - DEVELOPING A BETTER BREATHING PROGRAM TO BEGIN AGAIN. ANTICIPATED IMPACT AND PLAN TO EVALUATE: THE INPATIENT AND OUTPATIENT SERVICES ARE EXPECTED TO IMPROVE CARE AND QUALITY OF LIFE OF PEOPLE WITH CHRONIC CONDITIONS, INCLUDING SPECIALIZED CARE FROM HOSPITALISTS AND GERIATRICIANS. CONTINUITY OF CARE SHOULD BE ENHANCED BY THE INTERNAL RETAIL PHARMACY. THE BETTER BREATHERS CLUB IS ANTICIPATED TO IMPROVE THE EMOTIONAL HEALTH AND WELL-BEING OF CHRONIC LUNG DISEASE SUFFERERS, AND COMMUNITY EDUCATION AND SCREENINGS SHOULD ENHANCE HEALTH KNOWLEDGE AND AWARENESS. IMPACT OF THE POTENTIAL POPULATION HEALTH PROGRAM IS NOT POSSIBLE TO DETERMINE AT THIS TIME SINCE THE PROGRAM IS UNDER DEVELOPMENT. 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. 4. CANCER ACCORDING TO DATA AVAILABLE ON THE COMMUNITY COMMON PLATFORM, JACKSON COUNTY RESIDENTS HAVE A HIGHER INCIDENCE OF ALL CANCERS THAN THE US AVERAGE. THESE SPECIFICALLY INCLUDE BREAST CANCER, LUNG CANCER, AND PROSTATE CANCER. MORE MALES DIE OF CANCER THAN FEMALES IN THE COUNTY, STATE, AND NATION. THE CANCER INCIDENCE RATE IS 459.8 CASES PER 100,000 FOR JACKSON COUNTY. BREAST CANCER IS A LEADING CAUSE OF CANCER DEATH AMONG WOMEN IN THE UNITED STATES. ACCORDING TO THE AMERICAN CANCER SOCIETY, ABOUT 1 IN 8 WOMEN WILL DEVELOP BREAST CANCER AND ABOUT 1 IN 36 WOMEN WILL DIE FROM BREAST CANCER IN OUR REGION. BREAST CANCER IS ASSOCIATED WITH INCREASED AGE, HEREDITARY FACTORS, OBESITY, AND ALCOHOL USE. CURRENT PROGRAMS AND SERVICES THAT ADDRESS CANCER: - DISCOUNTED CANCER SCREENINGS - HEALTHPLEX CANCER EXERCISE PROGRAM: THIS FOUR WEEK EXERCISE AND LIFESTYLE MODIFICATION PROGRAM FOCUSES ON THE INDIVIDUALIZED NEEDS OF THE CANCER PATIENT. - SMOKE-FREE CAMPUS: ALL SINGING RIVER HEALTH SYSTEM PROPERTIES, INCLUDING BOTH HOSPITALS AND OUTLYING FACILITIES, ARE SMOKE-FREE. - AMERICAN CANCER SOCIETY PARTNERSHIPS: SINGING RIVER HEALTH SYSTEM HELPS TO ADVOCATE, SUPPORT AND RAISE FUNDS FOR THE AMERICAN CANCER SOCIETY. - 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. - SINGING RIVER HEALTH SYSTEM REGIONAL CANCER CENTER: OUR NATIONALLY ACCREDITED CANCER CENTER OFFERS STATE OF THE ART DIAGNOSTICS AND TREATMENT FOR A WIDE VARIETY OF CANCER RELATED CONDITIONS. WE HAVE RECENTLY EXPANDED ACCESS TO CANCER TREATMENT AND SUPPORT SERVICES WITH THE OPENING OF A NEW REGIONAL CANCER CENTER LOCATION AT OUR SINGING RIVER GULFPORT HOSPITAL LOCATION. CANCER SCREENING &amp; GENETIC TESTING WE UTILIZE CUTTING EDGE PATHOLOGICAL TESTS SUCH AS TUMOR MARKERS, GENETIC TESTING, BONE MARROW TESTING, PERIPHERAL BLOOD TESTING AND AN ASSORTMENT OF BIOPSIES IN THE SEARCH FOR DIAGNOSIS. IMAGING &amp; RADIOLOGY SINGING RIVER HEALTH SYSTEM'S TEAM OF TECHNICIANS, RADIOLOGISTS, SURGEONS, PATHOLOGISTS, AND ONCOLOGISTS DIAGNOSE AND TREAT A VARIETY OF CANCERS WITH THE LATEST TECHNOLOGIES INCLUDING: - 3D DIGITAL MAMMOGRAM - BREAST MRI - CT SCAN - PET SCAN - MRI - NUCLEAR MEDICINE TREATMENTS CANCER TREATMENTS ARE EVER-CHANGING, AND AT SINGING RIVER HEALTH SYSTEM'S CANCER CENTERS, WE ARE ON THE CUTTING EDGE OF THESE TREATMENTS. IN ADDITION TO CHEMOTHERAPY AND RADIATION TREATMENTS, WE EMPLOY IMMUNOTHERAPY AND ORAL CHEMOTHERAPY TREATMENTS THAT TARGET THE CANCER ON A CELLULAR LEVEL. STEREOTACTIC BODY RADIATION THERAPY CANCER PATIENTS WITH SMALLER, ISOLATED TUMORS BENEFIT FROM MINIMALLY INVASIVE, HIGHLY EFFECTIVE STEREOTACTIC BODY RADIATION THERAPY (SBRT) ADMINISTERED BY THE TRILOGY SYSTEM LINEAR ACCELERATOR WITH GATED RAPIDARC. BRACHYTHERAPY HDR BRACHYTHERAPY IS A SAFE, EFFECTIVE TREATMENT FOR CERTAIN TUMORS. DURING THE TREATMENT, THE RADIATION ONCOLOGY TEAM DELIVERS A VERY HIGH DOSE OF RADIATION DIRECTLY INSIDE A TUMOR. THIS HIGHLY LOCALIZED TREATMENT AVOIDS TREATING THE HEALTHY TISSUES THAT SURROUND THE TUMOR, LEADING TO LESS SIDE EFFECTS AND BETTER OUTCOMES. ACCREDITATIONS OUR CANCER CENTERS HAVE BEEN ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER FOR EIGHT CONSECUTIVE YEARS. THE COMMISSION ON CANCER RECOGNIZES CANCER CARE PROGRAMS FOR THEIR COMMITMENT TO PROVIDING COMPREHENSIVE, HIGH-QUALITY, AND MULTIDISCIPLINARY PATIENT-CENTERED CARE. PARTNERSHIPS SINGING RIVER'S CANCER CENTER IS A MEMBER OF THE THE UNIVERSITY OF ALABAMA AT BIRMINGHAM (UAB) HEALTH SYSTEM CANCER COMMUNITY NETWORK. THIS NETWORK INCLUDES COMMUNITY CANCER CENTERS ACROSS ALABAMA, GEORGIA, FLORIDA, MISSISSIPPI, AND TENNESSEE TO PROMOTE COLLABORATION BETWEEN UAB AND COMMUNITY PHYSICIANS IN ORDER TO PURSUE HIGH QUALITY PATIENT OUTCOMES, IMPROVE ACCESS TO EARLY CANCER DETECTION AND TREATMENT, AND OPTIMIZE PATIENT SATISFACTION AT A LOCAL LEVEL. SUPPORT GROUPS: BRAVE AND BEAUTIFUL AND SURVIVORSHIP PROGRAM 5. ACCESS TO HEALTHCARE ACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT FOR PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE HELPS INDIVIDUALS AND FAMILIES ACCESS NEEDED PRIMARY CARE, SPECIALISTS, AND EMERGENCY CARE, BUT DOES NOT ENSURE ACCESS ON ITS OWN-IT IS ALSO NECESSARY FOR PROVIDERS TO OFFER AFFORDABLE CARE, BE AVAILABLE TO TREAT PATIENTS, AND BE IN RELATIVELY CLOSE PROXIMITY TO PATIENTS. LACK OF HEALTH INSURANCE COVERAGE IS A SIGNIFICANT BARRIER TO ACCESSING NEEDED HEALTH CARE AND TO MAINTAINING FINANCIAL SECURITY. HOSPITALIZATION FOR AMBULATORY-CARE SENSITIVE CONDITIONS, DIAGNOSES USUALLY TREATABLE IN OUTPATIENT SETTINGS, SUGGESTS THAT ACCESS TO QUALITY CARE IN THE OUTPATIENT SETTING WAS LESS THAN IDEAL. THIS MEASURE MAY ALSO REPRESENT A TENDENCY TO OVERUSE EMERGENCY ROOMS AND URGENT CARE PROVIDERS AS A MAIN SOURCE OF CARE. PREVENTABLE HOSPITAL STAYS COULD BE CLASSIFIED AS BOTH A QUALITY AND ACCESS MEASURE, AS SOME LITERATURE DESCRIBES HOSPITALIZATION RATES FOR AMBULATORY CARE-SENSITIVE CONDITIONS PRIMARILY AS A PROXY FOR ACCESS TO PRIMARY HEALTH CARE. CURRENT PROGRAMS AND SERVICES THAT ADDRESS ACCESS TO CARE: - EMERGENCY SERVICES: OCEAN SPRINGS HOSPITAL AND SINGING RIVER HOSPITAL BOTH OFFER 24-HOUR EMERGENCY SERVICES WITH BOARD-CERTIFIED EMERGENCY PHYSICIANS. TO ENSURE ACCESS TO CARE, EMERGENCY SERVICES ARE PROVIDED TO ALL INDIVIDUALS IN JACKSON COUNTY WITHOUT REGARD FOR ABILITY TO PAY. - LAB SERVICES FOR VOLUNTEERS IN MEDICINE GAUTIER: SINGING RIVER HEALTH SYSTEM OFFERS A SET AMOUNT OF FREE LAB SERVICES FOR</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 3 - Singing River Gulfport. PATIENTS OF VOLUNTEERS IN MEDICINE GAUTIER, A FREE COMMUNITY HEALTHCARE CLINIC SERVING UNINSURED ADULTS. - SINGING RIVER HEALTH SYSTEM CLINICS: SINGING RIVER HEALTH SYSTEM PROVIDES ACCESS TO PRIMARY CARE WITH CLINICS IN BILOXI, GULFPORT, HURLEY, OCEAN SPRINGS, PASCAGOULA, AND VANCLEAVE. EXTENDED AND/OR WEEKEND HOURS ARE OFFERED, AS WELL AS SAME DAY APPOINTMENTS AND A BOARD-CERTIFIED ER PHYSICIAN OFFERING FAST-TRACK SERVICES AT THE PASCAGOULA CLINIC. - COMMUNITY EDUCATION AND SCREENINGS: SUBJECT MATTER EXPERTS PROVIDE COMMUNITY EDUCATION AND FREE HEALTH SCREENINGS ON A VARIETY OF TOPICS IN THE COMMUNITY, INCLUDING PRESENTATIONS FOR SENIOR CENTERS, SCHOOLS, CHURCHES, AND CIVIC GROUPS. - SINGING RIVER HEALTH SYSTEM FINANCIAL ASSISTANCE POLICY: WRITTEN POLICY THAT FULLY DESCRIBES THE ELIGIBILITY CRITERIA FOR OBTAINING FREE OR DISCOUNTED MEDICALLY NECESSARY CARE TO ASSIST THOSE UNABLE TO PAY FOR SUCH SERVICES. - SINGING RIVER HEALTH SYSTEM FOUNDATION: SINGING RIVER HEALTH SYSTEM PROVIDES OPERATIONAL SUPPORT FOR THIS NOT-FOR-PROFIT, 501(C)3 CHARITABLE FOUNDATION WHOSE MISSION IS TO PROVIDE PROGRAMS AND SERVICES THAT PROMOTE THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY. - SINGING RIVER HEALTH SYSTEM IMAGING CENTERS: AVAILABLE IN BOTH OCEAN SPRINGS AND PASCAGOULA, THE IMAGING CENTERS OFFER DIAGNOSTIC IMAGING SERVICES IN A MORE CONVENIENT SETTING THAN ACCESSING THESE SERVICES IN THE HOSPITALS. - SINGING RIVER HEALTH SYSTEM PATIENT TRANSPORTATION SERVICE: PROVIDES FREE TRANSPORTATION TO HEALTHCARE SERVICES WITHIN JACKSON COUNTY; DESIGNED FOR ELDERLY AND/OR DISABLED PATIENTS LACKING SUCH TRANSPORTATION. - SINGING RIVER HEALTH SYSTEM PHYSICIAN RECRUITMENT: PHYSICIANS ARE REQUIRED TO HAVE APPOINTMENTS AVAILABLE FOR MEDICARE AND MEDICAID PATIENTS IN ORDER TO IMPROVE ACCESS TO CARE. - SKILLED NURSING FACILITY: AN AWARD-WINNING, SHORT-STAY TRANSITIONAL UNIT DESIGNED FOR PATIENTS WHO ARE NOT STRONG ENOUGH TO GO HOME AFTER THEIR HOSPITAL STAY BUT ARE NOT SICK ENOUGH TO REMAIN ADMITTED TO THE HOSPITAL. ANTICIPATED IMPACT AND PLAN TO EVALUATE: INPATIENT AND OUTPATIENT SERVICES ARE ANTICIPATED TO IMPACT THOSE NEEDING MEDICAL CARE BY HELPING TO EASE FINANCIAL AND GEOGRAPHIC BARRIERS BY OFFERING FINANCIAL ASSISTANCE AND FACILITIES PLACED IN CONVENIENT LOCATIONS. FREE LAB SERVICES AND PROGRAMS OF THE SINGING RIVER HEALTH SYSTEM FOUNDATION ARE ANTICIPATED TO IMPACT THOSE WHO WOULD HAVE OTHERWISE AVOIDED TESTING, EQUIPMENT, AND/OR MEDICAL CARE. PATIENT TRANSPORTATION SERVICES ARE EXPECTED TO ASSIST THOSE WITH TRANSPORTATION BARRIERS TO ACCESSING MEDICAL CARE. 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>8</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY MEDICINE CLINIC - ORANGE GROVE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12121 HIGHWAY 49</AddressLine1Txt>
            <CityNm>GULFPORT</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>39503</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY MEDICINE CLINIC - COWAN ROAD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>350 COWAN ROAD</AddressLine1Txt>
            <CityNm>GULFPORT</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>39507</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SRG SURGICAL CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15190 COMMUNITY ROAD STE 240</AddressLine1Txt>
            <CityNm>GULFPORT</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>39503</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGICAL CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SRG PEDIATRIC CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15190 COMMUNITY ROAD SUITE 330</AddressLine1Txt>
            <CityNm>GULFPORT</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>39503</ZIPCd>
          </USAddress>
          <FacilityTxt>PEDIATRIC CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SRG ORTHOPEDIC CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15190 COMMUNITY ROAD SUITE 350/360</AddressLine1Txt>
            <CityNm>GULFPORT</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>39503</ZIPCd>
          </USAddress>
          <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>
          </USAddress>
          <FacilityTxt>GI CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SRG PRIMARY CARE PLUS - SEAWAY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12330 ASHLEY DRIVE</AddressLine1Txt>
            <CityNm>GULFPORT</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>39503</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY CARE</FacilityTxt>
        </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>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>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</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>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE SEE ATTACHED AUDIT REPORT, NOTE 1.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</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>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</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>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SINGING RIVER GULFPORT: Line 16a URL: SINGINGRIVERHEALTHSYSTEM.COM/PATIENTS-AND-VISITORS/BILLING-AND-RECORDS/FINANCIAL-SERVICES;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SINGING RIVER GULFPORT: Line 16b URL: SINGINGRIVERHEALTHSYSTEM.COM/PATIENTS-AND-VISITORS/BILLING-AND-RECORDS/FINANCIAL-SERVICES;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SINGING RIVER GULFPORT: Line 16c URL: SINGINGRIVERHEALTHSYSTEM.COM/PATIENTS-AND-VISITORS/BILLING-AND-RECORDS/FINANCIAL-SERVICES;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>RESEARCHING THE COMMUNITY THROUGH INTERACTIONS WITH COMMUNITY LEADERS AND ORGANIZATIONS, AND A COMMUNITY NEEDS ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</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>Schedule H, Part VI, Line 4 Community information</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>Schedule H, Part VI, Line 5 Promotion of community health</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>Schedule H, Part VI, Line 6 Affiliated health care system</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>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>MS</ExplanationTxt>
      </SupplementalInformationDetail>
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        <PersonNm>JAMES CAMPBELL</PersonNm>
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        <ExplanationTxt>SINGING RIVER HEALTH SYSTEM, A RELATED ORGANIZATION, USES A COMPENSATION STUDY OR SURVEY AND APPROVAL BY THE BOARD COMPENSATION COMMITTEE.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>SRHS EXECUTIVE DIRECTOR OF HUMAN RESOURCE GOVERNS THE REVIEW PROCESS FOR ALL OFFICERS.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <ExplanationTxt>SINGING RIVER HEALTH SYSTEM, A RELATED ORGANIZATION, IS THE SOLE MEMBER OF THE CORPORATION.</ExplanationTxt>
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        <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>
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        <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 INCORPORATION OR THESE BYLAWS REQUIRED TO BE EXERCISED, PERFORMED OR APPROVED BY THE MEMBERSHIP.</ExplanationTxt>
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        <ExplanationTxt>THE FORM 990 IS REVIEWED AND APPROVED BY THE CHIEF FINANCIAL OFFICER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES, FINANICAL STATEMENTS, AND FORM 990 ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANOUS REVENUE - Total Revenue: 190599, Related or Exempt Function Revenue: , Unrelated Business Revenue: 180, Revenue Excluded from Tax Under Sections 512, 513, or 514: 190419;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="23017437" softwareVersionNum="2023v6.0">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SINGING RIVER HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2101 HIGHWAY 90</AddressLine1Txt>
          <CityNm>GAUTIER</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>39553</ZIPCd>
        </USAddress>
        <EIN>646000515</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SRHS AMBULATORY SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2101 HIGHWAY 90</AddressLine1Txt>
          <CityNm>GAUTIER</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>39553</ZIPCd>
        </USAddress>
        <EIN>640899755</EIN>
        <PrimaryActivitiesTxt>AMBULATORY SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>SRHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <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>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SRHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <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>