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      <Desc>See attached PDF.</Desc>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>290811</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>61766</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jade Le</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>310441</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53667</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Charles Vedder</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>252094</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>58632</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2439333</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>291600</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>563800</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dr Chris Grevengood</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1890 SW Health Parkway Suite 203</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34109</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare</ServicesDesc>
        <CompensationAmt>663000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dr Thomas Beckett</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1890 SW Health Parkway Suite 203</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34109</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare</ServicesDesc>
        <CompensationAmt>740292</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UF College of Dentistry</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 100405</AddressLine1Txt>
            <CityNm>Gainesville</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32610</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Rental</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Vanguard Cleaning Systems</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2571 N Toledo Blade Blvd Suite 2</AddressLine1Txt>
            <CityNm>North Port</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34289</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Janitorial</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>AMDG Naples 100</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5855 Rolling Pines Drive</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34110</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting</ServicesDesc>
        <CompensationAmt>264250</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>15</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>650038</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>9593126</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3995476</AllOtherContributionsAmt>
      <NoncashContributionsAmt>3335012</NoncashContributionsAmt>
      <TotalContributionsAmt>14238640</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Fees</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>33270555</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>33270555</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Practice Mgmt Fees</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>478947</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>478947</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>33749502</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>292822</TotalRevenueColumnAmt>
        <ExclusionAmt>292822</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>Liquidation Distributio</Desc>
        <BusinessCd>900099</BusinessCd>
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      <OtherRevenueMiscGrp>
        <Desc>Other</Desc>
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      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>29125</TotalAmt>
        <ProgramServicesAmt>29125</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1003500</TotalAmt>
        <ProgramServicesAmt>763672</ProgramServicesAmt>
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        <TotalAmt>24154664</TotalAmt>
        <ProgramServicesAmt>18381902</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5772762</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>2676390</ProgramServicesAmt>
        <ManagementAndGeneralAmt>887697</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1789521</TotalAmt>
        <ProgramServicesAmt>1361841</ProgramServicesAmt>
        <ManagementAndGeneralAmt>427680</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1107022</TotalAmt>
        <ProgramServicesAmt>607772</ProgramServicesAmt>
        <ManagementAndGeneralAmt>499250</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <AdvertisingGrp>
        <TotalAmt>35653</TotalAmt>
        <ProgramServicesAmt>24843</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10810</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1609363</TotalAmt>
        <ProgramServicesAmt>1224739</ProgramServicesAmt>
        <ManagementAndGeneralAmt>384624</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1905917</TotalAmt>
        <ProgramServicesAmt>1087078</ProgramServicesAmt>
        <ManagementAndGeneralAmt>818839</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>210525</TotalAmt>
        <ProgramServicesAmt>153590</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56935</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>335736</TotalAmt>
        <ProgramServicesAmt>72398</ProgramServicesAmt>
        <ManagementAndGeneralAmt>263338</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>901211</TotalAmt>
        <ProgramServicesAmt>685829</ProgramServicesAmt>
        <ManagementAndGeneralAmt>215382</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>322666</TotalAmt>
        <ProgramServicesAmt>206795</ProgramServicesAmt>
        <ManagementAndGeneralAmt>115871</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Patient Care</Desc>
        <TotalAmt>8306399</TotalAmt>
        <ProgramServicesAmt>8306399</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Utilities</Desc>
        <TotalAmt>924809</TotalAmt>
        <ProgramServicesAmt>703787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>221022</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Inkind Expenses</Desc>
        <TotalAmt>3335012</TotalAmt>
        <ProgramServicesAmt>3335012</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Equipment &amp; lease</Desc>
        <TotalAmt>529463</TotalAmt>
        <ProgramServicesAmt>402926</ProgramServicesAmt>
        <ManagementAndGeneralAmt>126537</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>2719907</TotalAmt>
        <ProgramServicesAmt>2330902</ProgramServicesAmt>
        <ManagementAndGeneralAmt>389005</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>52784580</TotalAmt>
        <ProgramServicesAmt>42355000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10429580</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1261001</BOYAmt>
        <EOYAmt>2759433</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>444746</BOYAmt>
        <EOYAmt>446521</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1787500</BOYAmt>
        <EOYAmt>980588</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>5967016</BOYAmt>
        <EOYAmt>4777323</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>277297</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>53166</BOYAmt>
        <EOYAmt>379142</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>20128944</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7738044</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>13013599</BOYAmt>
        <EOYAmt>12390900</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
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        <EOYAmt>757271</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>63899352</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>4922525</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>3323735</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>9143050</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>53333047</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>1423255</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14093720</BOYAmt>
        <EOYAmt>54756302</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>23518341</BOYAmt>
        <EOYAmt>63899352</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>41062371</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-399789</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>9818743</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10288689</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11880616</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15172634</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14238640</CurrentTaxYearAmt>
        <TotalAmt>61399322</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>9818743</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10288689</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11880616</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15172634</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14238640</CurrentTaxYearAmt>
        <TotalAmt>61399322</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>61399322</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>35918</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>22952</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8739</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6142</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>292822</CurrentTaxYearAmt>
        <TotalAmt>366573</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>3121061</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3705094</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6536424</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1455079</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>45565987</CurrentTaxYearAmt>
        <TotalAmt>60383645</TotalAmt>
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      <GrossReceiptsRltdActivitiesAmt>33749502</GrossReceiptsRltdActivitiesAmt>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B" />
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        <BookValueAmt>3392357</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <BookValueAmt>5237040</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <BookValueAmt>2327223</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>3014803</DepreciationAmt>
        <BookValueAmt>610901</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>1323913</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>500534</DepreciationAmt>
        <BookValueAmt>823379</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>12390900</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Community Health</Desc>
        <BookValueAmt>411828</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Lee Cty Electric Coop Cap Credits</Desc>
        <BookValueAmt>157480</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Utility and Other Deposits</Desc>
        <BookValueAmt>114825</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Top Hat 457b Program</Desc>
        <BookValueAmt>73138</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>757271</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Liabilities</Desc>
        <Amt>1448336</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Compensated Absences</Desc>
        <Amt>810977</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Compensation</Desc>
        <Amt>649559</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Assets Held in Trust</Desc>
        <Amt>414863</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3323735</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>94086464</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>639162</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>-399649</OtherRevenueAmt>
      <RevenueNotReportedAmt>239513</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>93846951</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>93846951</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>53423882</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>639162</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>140</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>639302</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>52784580</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>52784580</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other revenues not included on Form 990 (Part XI, line 2d)</FormAndLineReferenceDesc>
        <ExplanationTxt>Loss on investments of $399,649 that was netted with investment income in the audited statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other expenses not included on Form 990 (Part XII, line 2d)</FormAndLineReferenceDesc>
        <ExplanationTxt>Unrealized loss on investments - $140</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is exempt from federal income taxes under Section 501(c)3 of the Internal Revenue Code (IRC). The Organization is not classified as a private foundation within the meaning of Section 509(a) of the Code.The IRC provides for taxation of unrelated business income under certain circumstances. The Organization reports no unrelated business taxable income; however, such status is subject to final determination upon examiniation of the related tax returns by the appropriate taxing authorities. The informational returns (Form 990) for the prior 3 fiscal years remain open for examination.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="990I">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Senior Friendship Centers</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2355 Stanford Court Unit 701</AddressLine1Txt>
          <CityNm>Naples</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34112</ZIPCd>
        </USAddress>
        <RecipientEIN>591522614</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>5600</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Ronald McDonald House Charities</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>16100 Roserush Court</AddressLine1Txt>
          <CityNm>Fort Myers</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33908</ZIPCd>
        </USAddress>
        <RecipientEIN>113704163</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="990J">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mike Ellis</PersonNm>
        <TitleTxt>PresidentCEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>324949</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1981</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>79451</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2952</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>409333</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sandra Steele-Riordan</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>175123</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1410</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>42616</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26132</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>245281</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jerry Starkey</PersonNm>
        <TitleTxt>DirectorTreasurer</TitleTxt>
        <OtherCompensationRltdOrgsAmt>291600</OtherCompensationRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>291600</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Salvatore Anzalone</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>170637</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>127328</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>937</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>60270</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15253</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>374425</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Emily Ptaszek</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>213589</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>231</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>41061</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9963</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>264844</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jorge Camina</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>228842</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>77538</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>240</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>54244</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15853</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>376717</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Martine Gedeon</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>155746</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>134769</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>296</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>52283</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9483</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>352577</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jade Le</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>127054</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>183230</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>157</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>46305</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7362</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>364108</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Charles Vedder</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>230255</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>21479</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>360</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>42733</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15899</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>310726</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gregory Preston</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>259783</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>3399</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>31134</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10806</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>305122</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="990L">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>William Ellis</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>President &amp; CEO</RelationshipDescriptionTxt>
        <TransactionDesc>see below</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>J Douglas Campbell</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Director</RelationshipDescriptionTxt>
        <TransactionDesc>see below</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Sandra Steele-Riordan</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CFO</RelationshipDescriptionTxt>
        <TransactionDesc>see below</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Jerry Starkey</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DirectorTreasurer</RelationshipDescriptionTxt>
        <TransactionAmt>291600</TransactionAmt>
        <TransactionDesc>see below</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information for Schedule L</FormAndLineReferenceDesc>
        <ExplanationTxt>William Ellis is the current President and CEO of Healthcare Network of Southwest FL (HCN) and also a Director on the Board for Integral Health Plan, Inc (IHP). Sandra Steele-Riordan is the CFO of HCN and is also a Director on the Board for IHP. Jerry Starkey is a Director and Board Treasurer of HCN. He is also the Executive Chairman of IHP and the CEO of RE Partners International, LCC (REPTRS). During the 2017 calendar year, IHP paid REPTRS fees totaling $291,600 for executive and advisory services. IHP paid HCN liquidation distributions of $43,910,677 in 2017. J. Douglas Campbell was a member of the Board of Directors for both CHS Healthcare Foundation and Healthcare Network of Southwest Florida (HCN) during the fiscal year. HCN received $754,678 in grants from CHS Healthcare Foundation.Jerry Starkey was a member of the Board of Directors for Healthcare Network of Southwest Florida (HCN). He is married to Adria Starkey who was on the Board of Directors for CHS Healthcare Foundation during the fiscal year. HCN received $754,678 in grants from CHS Healthcare Foundation.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>35825</ContributionCnt>
        <NoncashContributionsRptF990Amt>3323527</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Misc Auction Items</Desc>
        <NoncashContributionsRptF990Amt>11486</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The CFO reviews a draft copy of the tax return for accuracy and completeness prior to signing the tax return. In addition, the Organizations finance committee reviews the tax return and a copy of the return is provided to all Board Members for review before filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Procurement and contracting policies include references to conflict of interest policy and procurement and contracting staff monitors transactions closely for compliance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>An independent compensation consultants services are utilized to review salaries.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>An independent compensation consultants services are utilized to review salaries.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organizations governing documents, conflict of interest policy, and financial statements are available to the public upon request without charge.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General explanation attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>Integral Health Plan (IHP)s Board approved a plan of liquidation on November 2, 2015. In September 2017, IHP began distributing its remaining assets to its three (3) provider member entities. Collier Health Services Inc (HCN) received $43,910,677 in liquidation distributions during the fiscal year ended March 31, 2018. This income is reported on Line 11a Miscellaneous Revenue of Part VIII Statement of Revenue. Effective December 21, 2017, IHP filed articles of dissolution with the State of Florida.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHS Healthcare Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1454 Madison Ave</AddressLine1Txt>
          <CityNm>Immokalee</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34142</ZIPCd>
        </USAddress>
        <EIN>260229508</EIN>
        <PrimaryActivitiesTxt>Medical Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Integral Health Plan Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1454 Madison Ave</AddressLine1Txt>
          <CityNm>Immokalee</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34142</ZIPCd>
        </USAddress>
        <EIN>800420631</EIN>
        <PrimaryActivitiesTxt>Medical Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHS Healthcare Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>650038</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>