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        <TitleTxt>Former Vice President &amp; COO</TitleTxt>
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      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
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      <ContractorCompensationGrp>
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          <PersonNm>Steven Weinman</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <City>Williston</City>
            <State>FL</State>
            <ZIPCode>32696</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Settlement</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Werronen Healthcare Consulting</PersonNm>
        </ContractorName>
        <ContractorAddress>
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            <City>Arlington</City>
            <State>VA</State>
            <ZIPCode>22209</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting</ServicesDesc>
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      <TotalContributionsAmt>9818743</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <CompCurrentOfcrDirectorsGrp>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>1214308</ProgramServicesAmt>
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        <FundraisingAmt>14809</FundraisingAmt>
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      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>587820</ProgramServicesAmt>
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      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
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        <ProgramServicesAmt>33366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12757</ManagementAndGeneralAmt>
        <FundraisingAmt>2944</FundraisingAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>639751</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131033</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>170840</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40073</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>208031</TotalAmt>
        <ProgramServicesAmt>172666</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35365</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>648649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142386</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
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        <ProgramServicesAmt>135447</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66713</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Patient Care</Desc>
        <TotalAmt>2718491</TotalAmt>
        <ProgramServicesAmt>2718491</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Utilities</Desc>
        <TotalAmt>1760262</TotalAmt>
        <ProgramServicesAmt>1461017</ProgramServicesAmt>
        <ManagementAndGeneralAmt>299245</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Inkind Expenses</Desc>
        <TotalAmt>1737167</TotalAmt>
        <ProgramServicesAmt>1737167</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Contractual Expense</Desc>
        <TotalAmt>1497839</TotalAmt>
        <ProgramServicesAmt>1243206</ProgramServicesAmt>
        <ManagementAndGeneralAmt>254633</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>1216829</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>28574519</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6167483</ManagementAndGeneralAmt>
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        <EOYAmt>1671306</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipCostOrOtherBssAmt>14821297</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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      <InvestmentsPubTradedSecGrp>
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      <TotalLiabilitiesGrp>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>-1735162</ReconcilationRevenueExpnssAmt>
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      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>9280231</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>9624372</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9818743</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>9818743</CurrentTaxYearAmt>
        <TotalAmt>46177231</TotalAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus1YearAmt>27079</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35918</CurrentTaxYearAmt>
        <TotalAmt>169615</TotalAmt>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
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          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
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      <LeaseholdImprovementsGrp>
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      </OtherLandBuildingsGrp>
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      <OtherAssetsOrgGrp>
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      <OtherAssetsOrgGrp>
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      <OtherAssetsOrgGrp>
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      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <TotalRevenuePerForm990Amt>33181491</TotalRevenuePerForm990Amt>
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      <TotalExpensesPerForm990Amt>34916653</TotalExpensesPerForm990Amt>
      <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>
          <BusinessNameLine1>CHS Healthcare Foundation Inc</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>2390 Tamiami Trail N Ste 210</AddressLine1>
          <City>Naples</City>
          <State>FL</State>
          <ZIPCode>34103</ZIPCode>
        </USAddress>
        <RecipientEIN>260229508</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <PurposeOfGrantTxt>S Meredith Akin FGCU Scholarship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Community Foundation of Collier Cty</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>2400 Tamiami Trail N Suite 210</AddressLine1>
          <City>Naples</City>
          <State>FL</State>
          <ZIPCode>34103</ZIPCode>
        </USAddress>
        <RecipientEIN>592396243</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>Collier 211 Champion Level Pledge</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Greater Naples Chamber</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>2390 Tamiami Trail N Ste 210</AddressLine1>
          <City>Naples</City>
          <State>FL</State>
          <ZIPCode>34103</ZIPCode>
        </USAddress>
        <RecipientEIN>590688292</RecipientEIN>
        <IRCSectionDesc>501c6</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>Legacy Leader Program</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Ronald McDonald House Charities</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>16100 Roserush Court</AddressLine1>
          <City>Fort Myers</City>
          <State>FL</State>
          <ZIPCode>33908</ZIPCode>
        </USAddress>
        <RecipientEIN>113704163</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>7770</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorships</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Junior Achievement of Southwest FL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>9530 Marketplace Rd Ste 302</AddressLine1>
          <City>Fort Myers</City>
          <State>FL</State>
          <ZIPCode>33912</ZIPCode>
        </USAddress>
        <RecipientEIN>650503084</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship 2014 Business Hall of Fame</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="990J">
      <HousingAllowanceOrResidenceInd>X</HousingAllowanceOrResidenceInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Akin</PersonNm>
        <TitleTxt>Former President &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>334657</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>28115</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>28875</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>28613</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22291</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>442551</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jose Quero MD</PersonNm>
        <TitleTxt>Doctor</TitleTxt>
        <BaseCompensationFilingOrgAmt>200830</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>9826</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>774</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24081</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14655</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>250166</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Steven Weinman</PersonNm>
        <TitleTxt>Former Vice President &amp; COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>180234</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>21184</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1526915</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17616</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1745949</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jerry Williamson</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>222818</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>330</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>3877</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>26143</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23362</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>276530</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Reinier Ramirez MD</PersonNm>
        <TitleTxt>Doctor</TitleTxt>
        <BaseCompensationFilingOrgAmt>184232</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>24663</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>375</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14471</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8872</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>232613</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jorge Camina MD</PersonNm>
        <TitleTxt>Doctor</TitleTxt>
        <BaseCompensationFilingOrgAmt>194978</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>31830</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>162</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>26177</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19133</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>272280</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Gonzalez MD</PersonNm>
        <TitleTxt>Doctor</TitleTxt>
        <BaseCompensationFilingOrgAmt>163841</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>32326</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>593</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21550</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1947</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>220257</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Ellis</PersonNm>
        <TitleTxt>President CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>137600</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>82</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>38825</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13551</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>190058</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Noel Roncal MD</PersonNm>
        <TitleTxt>Doctor</TitleTxt>
        <BaseCompensationFilingOrgAmt>173971</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8413</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>568</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17952</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20707</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>221611</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Benefit information (Part I, line 1a)</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization paid a housing allowance to former President &amp; CEO Richard Akin in the amount of $28,875. This amount was included in Akin's W2 and is reported in other reportable compensation on Schedule J, Part II.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Listed persons compensation information (Part I, line 4)</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization paid Steven Weinman $1,500,000 related to a lump sum payment of retirement benefits, severance pay and accrued leave after 30 years of service. This amount was reported on Form 1099 Misc (Box 7) and included as other reportable compensation on Schedule J, Part II.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="990L">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Richard Akin</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Former President &amp; CEO</RelationshipDescriptionTxt>
        <TransactionDesc>see below</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Mike Ellis</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>President &amp; CEO</RelationshipDescriptionTxt>
        <TransactionDesc>see below</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Steven Weinman</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Former Vice President &amp; COO</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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information for Schedule L</FormAndLineReferenceDesc>
        <ExplanationTxt>Richard Akin is the former President and CEO of Collier Health Services (CHS). He is also the President and Chairman of Board for Integral Health Plan, Inc (IHP). Mike Ellis is the current President and CEO of CHS and is also a Director on the Board for IHP. Steven Weinman is the former Vice President and COO of CHS and is also the Treasurer on the Board for IHP.IHP uses its majority member CHS for certain healthcare services. The aggregate amount of medical claims and capitation paid to CHS during the fiscal year was $2,346,470. IHP also has a management agreement with CHS. IHP paid CHS $1,288,147 for mamangement services during the fiscal year. Richard Akin is also the Chairman of the Board for the Community Health Center Alliance. CHS functions as a leasing service for Alliance's personnel. CHS billed Alliance $2,897,565 for salaries and fringe benefits it provided the Alliance during the fiscal year. Also during the fiscal year, CHS paid the Alliance dues totaling $8,500 and $737,960 for information technology and other services. J. Douglas Campbell was a member of the Board of Directors for both CHS Healthcare Foundation and Collier Health Services during the fiscal year. Collier Health Services received $465,411 in grants from CHS Healthcare Foundation. In addition, Collier Health Services donated $75,000 to CHS Healthcare Foundation to match a donation from Richard Akin in the amount of $75,000 in order to fund a $150,000 scholarship for nursing students at a local State University.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <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 Organization's 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 consultant's 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 consultant's services are utilized to review salaries.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization's 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>Form 990, Part VII and Schedule J Part IIReportable compensation paid to Steven Weinman included $228,333 of regular wages reported on Form W-2 Box 1. Additionally, $1,500,000 was reported on Form 1099 Misc (Box 7) paid to Steven Weinman related to a lump sum payment of retirement benefits, severance pay and accrued leave after 30 years of service.Reportable compensation paid to William Ellis included $137,682 of regular wages reported on Form W-2 Box 1. Additionally, $38,825 was reported on Form 1099 Misc (Box 7) paid to William Ellis for consulting services provided prior to becoming an employee of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Integral Health Plan Inc</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>1454 Madison Ave</AddressLine1>
          <City>Immokalee</City>
          <State>FL</State>
          <ZIPCode>34142</ZIPCode>
        </USAddress>
        <EIN>800420631</EIN>
        <PrimaryActivitiesTxt>Medical Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>CHS Healthcare Foundation</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>1454 Madison Ave</AddressLine1>
          <City>Immokalee</City>
          <State>FL</State>
          <ZIPCode>34142</ZIPCode>
        </USAddress>
        <EIN>260229508</EIN>
        <PrimaryActivitiesTxt>Medical Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Community Health Centers Alliance</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>140 Fountain Parkway Suite 210</AddressLine1>
          <City>Saint Petersburg</City>
          <State>FL</State>
          <ZIPCode>33716</ZIPCode>
        </USAddress>
        <EIN>593631620</EIN>
        <PrimaryActivitiesTxt>Medical Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>Integral Health Plan Inc</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>1288147</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>Integral Health Plan Inc</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>2346470</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>CHS Healthcare Foundation</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>465411</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>Community Health Centers Alliance</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>746460</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>Community Health Centers Alliance</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>2897565</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>CHS Healthcare Foundation</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>b</TransactionTypeTxt>
        <InvolvedAmt>75000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>