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        <Desc>PLEASE REFER TO SCHEDULE O FOR INFORMATION REGARDING HOPE HOSPICE'S PACE PROGRAM.</Desc>
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        <NontaxableBenefitsFilingOrgAmt>10309</NontaxableBenefitsFilingOrgAmt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING EMPLOYEES CONTRIBUTED TO A NONQUALIFIED RETIREMENT 457(F) PLAN: SAMIRA BECKWITH 19,000; BRIDGET MONTANA 19,000; AHMED HASSAN 19,000; JAMES HUBERT 14,240.</ExplanationTxt>
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          <BusinessNameLine1Txt>Lee County Industrial Development Authority</BusinessNameLine1Txt>
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        <BondIssuedDt>2017-09-07</BondIssuedDt>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <FormAndLineReferenceDesc>Schedule K, Part V Different Procedures to Undertake Corrective Action</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: Lee County Industrial Development Authority N/A</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: Lee County Industrial Development Authority The calculation for computing no rebate due was performed on 09/07/2017</ExplanationTxt>
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        <RelationshipDescriptionTxt>BOARD MEMBER OF ORGANIZATION AND PRESIDENT, INVESTOR'S SECURITY TRUST</RelationshipDescriptionTxt>
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        <RelationshipDescriptionTxt>PRESIDENT AND CEO OF ORGANIZATION, BOARD MEMBER OF INVESTOR'S SECURITY TRUST</RelationshipDescriptionTxt>
        <TransactionAmt>107000</TransactionAmt>
        <TransactionDesc>THE ORGANIZATION HAS AN ACCOUNT WITH INVESTOR'S SECURITY TRUST THAT IS USED AS A DEPOSITORY FOR INVESTMENTS OF THE ORGANIZATION TOTALING $19,912,700. PAYMENTS TOTALING $107,000 WERE PAID FOR INVESTMENT MANAGEMENT SERVICES.</TransactionDesc>
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            <BusinessNameLine1Txt>BO TURBEVILLE</BusinessNameLine1Txt>
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        <TransactionAmt>50300</TransactionAmt>
        <TransactionDesc>ACCENT BUSINESS PRODUCTS PROVIDED OFFICE MACHINES UNDER LEASE AGREEMENTS, TO WHICH PAYMENTS ARE MADE MONTHLY. PAYMENTS MADE DIRECTLY TOTALED $50,300.</TransactionDesc>
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            <BusinessNameLine1Txt>Joe Gammons</BusinessNameLine1Txt>
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        <RelationshipDescriptionTxt>Board Member and Principal, Office Furniture &amp; Design Concepts</RelationshipDescriptionTxt>
        <TransactionAmt>89100</TransactionAmt>
        <TransactionDesc>The Organization purchased office furniture totaling $89,100.</TransactionDesc>
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            <BusinessNameLine1Txt>Jerry Nichols</BusinessNameLine1Txt>
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        <RelationshipDescriptionTxt>Board Member and Representative, Northwestern Mutual</RelationshipDescriptionTxt>
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            <BusinessNameLine1Txt>Samira Beckwith</BusinessNameLine1Txt>
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        <RelationshipDescriptionTxt>President / CEO of Organization, and Board Member of Tabula Rasa Healthcare</RelationshipDescriptionTxt>
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        <TransactionDesc>Tabula Rasa, through its subsidiaries, provided various technology enabled products and services for medication risk management and organization performance optimization.</TransactionDesc>
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        <NoncashContributionsRptF990Amt>1621899</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>1048733</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Securities - Publicly traded - Number of Contributions</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4b HOPE HOSPICE'S PACE PROGRAM</FormAndLineReferenceDesc>
        <ExplanationTxt>THROUGH HOPE PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY), PREVENTIVE, PRIMARY, ACUTE AND LONG-TERM CARE SERVICES ARE PROVIDED TO THE FRAIL ELDERLY OF FLORIDA'S CHARLOTTE, COLLIER, AND LEE COUNTIES. THE INNOVATIVE PROGRAM HELPS SENIORS TO CONTINUE LIVING INDEPENDENTLY IN THE PLACE THEY CALL HOME. UPON ENROLLMENT, PARTICIPANTS MAY RECEIVE: * PRIMARY MEDICAL AND NURSING CARE * OCCUPATIONAL, PHYSICAL AND SPEECH THERAPY * MEDICATIONS AND MEDICAL EQUIPMENT * LABORATORY AND DIAGNOSTIC SERVICES * ALL NECESSARY PRESCRIPTION DRUGS * SKILLED HOME CARE AND PERSONAL CARE AIDES * HOSPITALIZATION, SKILLED NURSING FACILITY CARE, AND END-OF-LIFE CARE * CARE FROM MEDICAL SPECIALISTS IN CARDIOLOGY, NEPHROLOGY, OPHTHALMOLOGY, DERMATOLOGY, ORTHOPEDICS, SURGERY AND PODIATRY * TRANSPORTATION TO MEDICAL APPOINTMENTS HOPE PACE IS CURRENTLY SERVING APPROXIMATELY 500 CLIENTS. INCLUDED IN THE PROGRAM, ARE ADULT DAY CARE SERVICES THAT PROVIDES CLIENTS ASSISTANCE WITH DAILY ACTIVITIES IN A CARE CENTER SETTING. LIGHT EXERCISE SESSIONS HELP PARTICIPANTS MAINTAIN VITAL BODY STRENGTH, SUPPORT BALANCE. AND PREVENT FALLS. ALSO PROVIDED AT HOPE PACE CENTERS ARE GAMES, CRAFTS, GARDENING, ART, MUSIC AND PET THERAPIES. WARM LUNCHES AND SNACKS ARE ALSO SERVED. PHYSICAL AND OCCUPATIONAL THERAPIES ARE AVAILABLE, AND A NURSE IS ALWAYS ON SITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Hope Hospice Narrative</FormAndLineReferenceDesc>
        <ExplanationTxt>Hope Hospice and Community Services provides comprehensive, coordinated health care and support for individuals living with serious illness and their families throughout Florida's Glades, Hendry, and Lee counties. Hope began providing volunteer-based hospice services in 1979 and was licensed by the state of Florida in 1984. In the following decades, Hope expanded its mission to include palliative care, home health care, and other supportive services, creating a continuum of person-centered care. Today, Hope serves more than 4,000 individuals and their families each day throughout southwest Florida with innovative programs and supportive community services. Hope's comprehensive model of care has garnered the attention of health care agencies, policy makers, and associations around the country. Their continuum of care provides individuals with uninterrupted services, helping to prevent unnecessary suffering, emergency room visits, and hospitalizations. With Hope's support, those in Hope's care, their families, and caregivers find help with the social, emotional, and practical challenges that result from serious illness. Hope's Programs and Services * Hope Hospice helps everyone to live the last phase of their life with dignity and in comfort. * Hope Palliative Care provides help for those with serious illness as they navigate the complexities of care and treatment. Support is available from the time of diagnosis through the entire course of illness. * Hope Kids Care offers comforting care for children with complex medical conditions and their families. Counseling services are available to every child in the community and culminate in the beloved Rainbow Trails Bereavement Camp. * Hope PACE, a Program of All-Inclusive Care for the Elderly, includes medical and dental care, therapies, personal care, medications, medical supplies, and essential transportation. With Hope's help, participants can live safely in their own homes. * Hope Connections provides practical support to the seniors of Hendry and Glades counties through home delivered meals, social centers, transportation, housekeeping, and personal care. * Hope Parkinson Program coordinates events, classes, and social opportunities for individuals with Parkinson's disease and their care partners. Hope helps people experience the best possible quality of life while coping with the effects of this chronic illness. * Hope Healing Hearts supports individuals with grief issues or emotions related to experiences of change or loss. Professional bereavement counselors provide the tools needed to address difficult feelings and to continue along the path of healing. * Hope VALOR honors veterans for their service to our country with a personalized recognition ceremony. By recognizing the unique needs of America's veterans, Hope can guide them toward a more peaceful ending. * Hope Pet Program allows furry friends to provide unconditional love, companionship, and comfort and helps people and their pets stay together throughout their illness journey. * Hopeful Wishes make life extra special at a unique moment. By granting heartfelt wishes, Hope can do more than provide medications and therapies - the organization can fulfill dreams. * Hope Therapies provide an outlet for relaxation and stress relief. Through art, music, or massage therapies, individuals may gain insight into emotions, establish new pathways for healing, and experience peace of mind. The generosity of the local community helps Hope to continue expanding essential programs and services. With this important financial support, the organization is able to close the gap between the level of care covered by insurance and the exceptional, comprehensive care Hope provides. And with the continued support of generous friends, Hope can provide comforting, compassionate care to every person in need.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>During the year the Board of Directors delegated broad authority to act on its behalf to an Executive Committee composed of the Chair, Vice Chair, Secretary, and Treasurer. The Executive Committee is authorized to handle any matters referred to it by the Board of Directors. In addition, it is authorized all powers of the Board during the interval between meetings of the Board, except and excluding purchase, sale, lease or encumbering of real property.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>CHARLES IDELSON, SAMIRA BECKWITH - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>A Copy of the Organization's Final Form 990 (Including required schedules), as ultimately filed with the IRS, was provided to each voting member of the Board of Directors prior to its filing with the IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>AS ORGANIZATION PERSONNEL, MEMBERS OF THE GOVERNING BODY AND ADVISORY BOARDS ARE COVERED UNDER ORGANIZATION'S CONFLICT OF INTEREST POLICY. IN THE EVENT THAT A SITUATION ARISES WHEREBY AN EMPLOYEE HAS A CONFLICT OF INTEREST, HE/SHE IS OBLIGATED TO REPORT THAT POTENTIAL TO THE PRESIDENT/CEO. DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST AND THE PRESIDENT/CEO'S DECISION REGARDING THE ACTIONS WILL BE NOTED IN A FILE KEPT BY THE PRESIDENT/CEO. IN THE EVENT A SITUATION EXISTS WHEREBY A MEMBER OF THE GOVERNING BODY OR ADVISORY COMMITTEE HAS A CONFLICT OF INTEREST, HE/SHE IS OBLIGATED TO REPORT THAT POTENTIAL TO THE GOVERNING BODY. THE GOVERNING BODY WILL THEN RENDER A DECISION OF THAT MEMBER'S ELIGIBILITY TO VOTE ON ANY PARTICULAR ISSUE. DISCLOSURE OF A POTENTIAL CONFLICT AND THE GOVERNING BODY'S DECISION REGARDING THE CONFLICT WILL BE NOTED IN THE MINUTES. A CONFLICT OF INTEREST STATEMENT IS SIGNED ANNUALLY BY EACH BOARD MEMBER AND IS COLLECTED AND KEPT ON FILE BY THE EXECUTIVE ASSISTANT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The President/CEO's Compensation is established and approved annually by the Executive Committee of the Board of Directors. The Committee utilizes data provided by independent compensation consultant studies to provide a basis for comparison. Additionally, an appraisal of performance is also discussed with all Board members. The Approval of the President/CEO's compensation is documented in the Executive Committee meeting minutes.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has a compensation program which applies to all personnel except the President/CEO. The policies and procedures define the general rules of operation of the compensation program and the President/CEO and Board retains the authority to revise the policy as needed for the effective management of the program. The compensation program was initially developed by an independent human resource consultant and is reviewed as needed. The salary structure is reviewed annually.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. HOWEVER, THE FEDERAL FORM 990 IS AVAILABLE UPON REQUEST.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Rounding - -306; Bad Debt - -1879280;</ExplanationTxt>
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          <AddressLine1Txt>9470 HealthPark Circle</AddressLine1Txt>
          <CityNm>Fort Myers</CityNm>
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        <PrimaryActivitiesTxt>TO PROVIDE HOME AND COMMUNITY BASED HEALTH CARE SERVICES.</PrimaryActivitiesTxt>
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