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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>The endowment funds are held by Bethesda Hospital Foundation, Inc. The endowment funds are used to support Bethesda Health, Inc. in the provision of quality health care services to the surrounding community.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Internal Revenue Service (IRS) has determined that BHS, BPS, BHC, WDC, the Foundation, and the Hospital are exempt from federal income taxes under Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code (IRC). All other affiliates of BHS are for-profit entities that file a consolidated tax return. As of September 30, 2015 and 2014, the consolidated for-profit entities have recorded a provision for income tax in accordance with ASC Topic 740, Income Taxes. The System applies the provisions of ASC Topic 740 to evaluate uncertain tax positions. This guidance creates a single model to address uncertain income tax positions and clarifies the accounting for income taxes by prescribing a more-likely-than-not minimum recognition threshold that a tax position is required to meet before being recognized in the financial statements. Under the requirements of ASC Topic 740, tax-exempt organizations may be required to record an obligation as the result of a tax position they have historically taken on various tax exposure items. There were no uncertain tax provisions recorded in the consolidated financial statements at September 30, 2015 or 2014.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds</FormAndLineReferenceDesc>
        <ExplanationTxt>BETHESDA HEALTH, INC. MAKES GRANTS TO ORGANIZATIONS BASED ON REVIEW AND INTENT OF THE USE OF THE FUNDS. GRANTEE ORGANIZATIONS ARE REQUIRED TO USE THE FUNDS CONSISTENT WITH THEIR EXEMPT PURPOSES.</ExplanationTxt>
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      <SupplementalInformationDetail>
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          <BusinessNameLine1Txt>LESLIE V ALBRIGHT</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>GARY L RITSON</BusinessNameLine1Txt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Tax indemnification and gross-up payments</FormAndLineReferenceDesc>
        <ExplanationTxt>Roger Kirk receives a gross-up payment related to the golf club memberships as well as a gross-up component that is included in the calculation of his retirement plan benefit. These benefits are treated as taxable compensation.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Health or social club dues or initiation fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Roger Kirk and Robert Broadway are reimbursed for golf club memberships. This benefit is treated as taxable compensation.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization maintains a 457(f) supplemental nonqualified retirement plan. During 2014, the following payments were received from the plan: Joanne Aquilina - $402 Robert Broadway - $681 Gary Ritson - $197 During 2014, the following contributions were made to the plan: Roger L. Kirk - $42,234 Joanne Aquilina - $4,328 Robert Broadway - $20,089 Regina Bellucy - $3,536 Leslie Albright - $9,606 Gary Ritson - $4,740.</ExplanationTxt>
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        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 3 Total proceeds of issue</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL PROCEEDS OF ISSUE IS NOT IDENTICAL TO ISSUE PRICE DUE TO INTEREST INCOME OF $978,272 OFFSET BY NET REALIZED LOSSES OF $704,365.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column (f) Description of Purpose</FormAndLineReferenceDesc>
        <ExplanationTxt>PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY HEALTH FACILITIES REVENUE BONDS - SERIES 2010A ISSUED (A) TO REFUND 3 BONDS ISSUES ISSUED ON 12/20/2001, 8/14/2003, AND 3/23/2006 (B) TO FINANCE THE CONSTRUCTION OF A NEW HOSPITAL. PALM BEACH COUNTY HEALTH FACILITIES AUTHORITY HEALTH FACILITIES REVENUE BONDS - SERIES 2010B ISSUED TO FINANCE THE CONSTRUCTION OF A NEW HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c Rebate Calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: Palm Beach County Health Facilities Authority The calculation for computing no rebate due was performed on 06/24/2014</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c Rebate Calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: Palm Beach County Health Facilities Authority The calculation for computing no rebate due was performed on 06/24/2014</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="14000329" softwareVersionNum="2014v1.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>The executive committee shall consist of the Chair, the Vice Chair, the Secretary, and other such trustees as appointed by the Chair. The President shall serve as an ex-officio nonvoting member of the executive committee. When the board is not in session, the executive committee shall have and exercise all of the authority of the board in the management of the corporation, except as such authority is limited by statute or by resolution creating or otherwise controlling the executive committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF FINANCIAL OFFICER OF THE ORGANIZATION REVIEWS THE FORM 990 AND ALL REQUIRED SUPPORTING SCHEDULES. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF TRUSTEES OF THE ORGANIZATION FOR REVIEW PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's conflict of interest policy covers any trustee, director, officer or member of any committee of the board with board-delegated powers. The individuals covered under the policy are required to disclose annually any conflicts of interest. The chairman of the board and the internal audit division of Bethesda Health continuously review and monitor all conflicts of interest noted by the individuals covered under the policy. Any individual who has a conflict of interest is prohibited from participating in the governing body's deliberations and decision in the transaction.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of trustees of Bethesda Health, Inc. annually appoints the President/CEO to a one-year term and establishes and approves the compensation of the President/CEO. The board of trustees of Bethesda Health periodically engages an independent outside professional compensation firm to review compensation and benefit levels of the president and chief financial officer of the Bethesda Health. The consulting firm works independently of management and reports the information directly to the trustees of Bethesda Health for the officer's positions. The consulting firm provides detailed compensation and benefit data for comparably sized healthcare organizations on a regional and national basis. Based on the compensation philosophy of the board of trustees of Bethesda Health as it relates to the market in general and on specific compensation levels noted as the result of the consulting engagement, the board of trustees of Bethesda Health sets the compensation and benefits of the positions noted above. The process was undertaken in the year ended September 30, 2015. The process and decisions are documented in the board minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The other officers of the organization are subject to Bethesda Health's annual employee review process. The vice president of human resources recommends to the President/CEO of Bethesda Health, Inc. compensation and benefit levels. The Vice President of Human Resources periodically engages an independent outside professional compensation firm to review compensation and benefit levels of this and other management level positions. The consulting firm works independently of management and provides detailed compensation and benefit data for comparably sized healthcare organizations on a regional and national basis. Based on the compensation philosophy of the board of trustees of the Bethesda Health as it relates to the market in general and on specific compensation levels noted as the result of the consulting engagement, the President/CEO of Bethesda Health sets the compensation and benefits for the other officers. The process was undertaken for the year ended September 30, 2015. The process and decisions are documented in the employee files. The compensation of the Chief Financial Officer is determined by the board of trustees of Bethesda Health as described in the narrative for Form 990, Part VI, Line 15a.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS OF THE ORGANIZATION, ITS CONFLICT OF INTEREST POLICY, ITS FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. DEPENDING ON THE QUANTITY OF THE REQUEST A MINIMAL FEE MAY APPLY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Printing - Total Revenue: 81177, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 81177; Badge Fees - Total Revenue: 1189, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 1189; Employee Activities - Total Revenue: 2823, Related or Exempt Function Revenue: 2823, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer to/from Affiliates - 7595740; Equity in Bethesda Holding - -500917;</ExplanationTxt>
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          <BusinessNameLine1Txt>Bethesda Hospital Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>143268734</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Bethesda Hospital Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>6000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>