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        <ProgramServicesAmt>387150</ProgramServicesAmt>
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        <ProgramServicesAmt>501856</ProgramServicesAmt>
        <ManagementAndGeneralAmt>194876</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>40211</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>101761</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>19723</ProgramServicesAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>353761</TotalAmt>
        <ProgramServicesAmt>286321</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67440</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>20322</TotalAmt>
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        <ProgramServicesAmt>77304</ProgramServicesAmt>
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        <Desc>PROVIDER TAX</Desc>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>112881</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84795</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>9886360</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4176791</ManagementAndGeneralAmt>
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      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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      <MailingsMembersInd>false</MailingsMembersInd>
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      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
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      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
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      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTOR IS PAID TO REPRESENT THE HOSPITAL'S INTEREST AND A PERCENTAGE OF DUES PAID TO MEMBERSHIP ORGANIZATION'S IS ALLOCATED TO LOBBYING.</ExplanationTxt>
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        <Desc>OTHER RECEIVABLES</Desc>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE ASSOCIATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)3 OF THE INTERNAL REVENUE CODE. THE ASSOCIATION ANNUALLY FILES A FORM 990 TAX RETURN WHICH INCLUDES THE OPERATIONS OF THE HOSPITAL AND EMS. THE ASSOCIATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE ASSOCIATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING STATEMENT OF FINANCIAL POSITION FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2023 AND 2022 OR FOR THE YEARS THEN ENDED. THE ASSOCIATION'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
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        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://WWW.CALHOUNLIBERTYHOSPITAL.COM</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>HTTPS://WWW.CALHOUNLIBERTYHOSPITAL.COM</FAPSummaryOnWebsiteURLTxt>
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        <FormAndLineReferenceDesc>FACILITY 1, CALHOUN-LIBERTY PRIMARY CARE - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PARTNERED WITH THE CALHOUN COUNTY PUBLIC HEALTH DEPARTMENT AND SUMMIT POINTE IN CONDUCTING ITS 2022 CHNA. THE FOLLOWING PRIORITIZED HEALTH NEEDS WERE IDENTIFIED FOR THE COMMUNITY- 1. BEHAVIORAL HEALTH (MENTAL HEALTH &amp; MENTAL HEALTH ORDERS, AND ALCOHOL &amp; DRUG USE) 2. ACCESS TO HEALTH SERVICES 3. HEALTH EQUITY (DISCRIMINATION OR INEQUITY BASED ON RACE/ETHNICITY, GENDER, AGE, SEX, AND DISABILITY) 4. WEIGHT STATUS, NUTRITION &amp; HEALTHY EATING, AND DIABETES 5. CHILDRENS HEALTH 6. OLDER ADULTS 7. MATERNAL, FETAL, AND INFANT HEALTH 8. CRIME AND CRIME PREVENTION THE HOSPITAL ALSO PARTICIPATED IN THE LIBERTY COUNTY PUBLIC HEALTH DEPARTMENT CHNA FOR 2022. OBESITY WAS NAMED THE MOST SIGNIFICANT COMMUNITY HEALTH NEED TO BE ADDRESSED.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, CALHOUN-LIBERTY PRIMARY CARE - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>TO BETTER TARGET ACTIVITIES TO ADDRESS THE MOST PRESSING HEALTH NEEDS IN THE COMMUNITY, THE PUBLIC HEALTH DEPARTMENT CONVENED A GROUP OF COMMUNITY LEADERS TO PARTICIPATE IN A PRESENTATION OF DATA ON SIGNIFICANT HEALTH NEEDS FACILITATED BY CONDUENT HCI. DURING THE PRESENTATION AND DISCUSSION SESSION, PARTICIPANTS WERE GIVEN ACCESS TO AN ONLINE LINK TO COMPLETE A SCORING EXERCISE TO RANK THE SIGNIFICANT HEALTH NEEDS BASED ON A SET OF CRITERIA. THE PROCESS WAS CONDUCTED VIRTUALLY TO MAINTAIN SOCIAL DISTANCING AND SAFETY GUIDELINES RELATED TO THE COVID-19 PANDEMIC. CALHOUN COUNTYS CHNA PLANNING COMMITTEE REVIEWED THE SCORING RESULTS OF THE SIGNIFICANT COMMUNITY NEEDS AND DETERMINED PRIORITIZED HEALTH NEEDS BASED ON THE SAME SET OF CRITERIA USED IN THE SCORING EXERCISE.THE CHNA PRIORITIZATION PROCESS INCLUDED TWO MEETINGS WHERE COMMUNITY PARTNERS REVIEWED AND DISCUSSED THE RESULTS OF COMMUNITY INPUT AND SECONDARY DATA ANALYSIS. THIS LED TO THE PRELIMINARY SIGNIFICANT HEALTH NEEDS DISCUSSED IN DETAIL IN THE DATA SYNTHESIS PORTION OF THIS REPORT. DURING THE MEETINGS, PARTICIPANTS ACCESSED AN ONLINE SCORING TOOL AND HAD AN OPPORTUNITY TO SCORE EACH OF THE SIGNIFICANT HEALTH NEEDS BY HOW WELL THEY MET THE CRITERIA SET FORTH BY THE COUNTY HEALTH DEPARTMENT. COMPLETION OF THE ONLINE EXERCISE RESULTED IN A NUMERICAL SCORE FOR EACH HEALTH NEED THAT CORRELATED WITH HOW WELL THAT NEED MET THE CRITERIA FOR PRIORITIZATION. CONDUENT HCI DOWNLOADED THE ONLINE RESULTS, CALCULATED THE SCORES, AND THEN RANKED THE SIGNIFICANT HEALTH NEEDS ACCORDING TO THEIR TOPIC SCORES, WITH THE HIGHEST-SCORING HEALTH NEED RECEIVING THE HIGHEST PRIORITY RANKING.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, CALHOUN-LIBERTY PRIMARY CARE - PART V, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>FLORIDA DEPARTMENT OF HEALTH IN CALHOUN AND IN LIBERTY COUNTIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, CALHOUN-LIBERTY PRIMARY CARE - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL WILL FOCUS ON THE 3 AREAS THAT IT BELIEVES IT CAN HAVE THE MOST IMPACT IN THE COMMUNITY - ACCESS TO CARE; OBESITY, WEIGHT AND DIABETES; AND MENTAL HEALTH/SUBSTANCE ABUSE. THE HOSPITAL ATTEMPTS TO ADDRESS EACH SIGNIFICANT HEALTH NEED TO THE EXTENT OF ITS FINANCIAL ABILITY, EITHER THROUGH DIRECT PROGRAMS, COMMUNITY OUTREACH AND COMMUNITY EDUCATION, OR THROUGH COLLABORATION WITH OTHER PROVIDERS AND/OR PUBLIC HEALTH DEPARTMENTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, CALHOUN-LIBERTY PRIMARY CARE - PART V, LINE 13H</FormAndLineReferenceDesc>
        <ExplanationTxt>A PATIENT IS CONSIDERED MEDICALLY INDIGENT IF THEY ARE UNABLE TO PAY THE OUTSTANDING BALANCE IN THEIR ACCOUNT IF, AFTER ALL INSURANCE ANC 3RD PARTY PAYMENTS, THE AMOUNT OUTSTANDING EXCEEDS 5% OF ANNUAL HOUSEHOLD INCOME AND THE TOTAL ANNNUAL HOUSE HOLD INCOME EXCEEDS 300% OF FPG BUT IS LESS THAN 500% OF FPG.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTS FOR PART I, LINE 7A AND 7B WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. SEE ALSO THE DESCRIPTION FOR PART III, LINE 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>NET PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE HOSPITAL EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS AND INCLUDES VARIABLE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS, REVIEWS, AND INVESTIGATIONS. GENERALLY, THE HOSPITAL BILLS THE PATIENTS AND THIRD-PARTY PAYORS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED AND/OR THE PATIENT IS DISCHARGED FROM THE FACILITY. REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED BY THE HOSPITAL. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED BASED ON ACTUAL CHARGES INCURRED IN RELATION TO TOTAL EXPECTED (OR ACTUAL) CHARGES. THE HOSPITAL BELIEVES THAT THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS RECEIVING PATIENT CARE SERVICES. THE HOSPITAL MEASURES THE PERFORMANCE OBLIGATION FROM ADMISSION INTO THE HOSPITAL TO THE POINT WHEN IT IS NO LONGER REQUIRED TO PROVIDE SERVICES TO THAT PATIENT, WHICH IS GENERALLY AT THE TIME OF DISCHARGE. THESE SERVICES ARE CONSIDERED TO BE A SINGLE PERFORMANCE OBLIGATION AND HAVE A DURATION OF LESS THAN ONE YEAR. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME IS RECOGNIZED WHEN SERVICES ARE PROVIDED AND THE HOSPITAL DOES NOT BELIEVE IT IS REQUIRED TO PROVIDE ADDITIONAL SERVICES TO THE PATIENT. SEE FOOTNOTE 3 FOR A SUMMARY OF UNCOMPENSATED SERVICES, INCLUDING PRICE CONCESSIONS (BAD DEBTS).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE THE DISCUSSION REGARDING UNINSURED PATIENTS AND BAD DEBT EXPENSE WITH THE NET PATIENT SERVICE REVENUE AND UNCOMPENSATED SERVICES FOOTNOTES ON PAGES 12-17 ON THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO CONDUCTING A CHNA EVERY 3 YEARS, THE HOSPITAL SEEKS INPUT FROM MEMBERS OF THE COMMUNITY, MEDICAL AND NURSING STAFF AND COMMUNITY HEALTH LEADERS THROUGHOUT THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FAP, APPLICATION AND SUMMARY ARE POSTED ON THE ORGANIZATION'S WEBSITE. SIGNAGE THROUGHOUT THE HOSPITAL PROVIDES NOTICE OF THE FAP AND PATIENTS ARE INFORMED OF FINANCIAL ASSISTANCE PRIOR TO DISCHARGE. THE APPLICATION, FAP AND PLAIN LANGUAGE SUMMARY ARE AVAILABE UPON REQUEST AT THE HOSPITAL FACILITY'S ADMISSION POINTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S SERVICE AREA IS DEFINED LIBERTY COUNTY, FLORIDA. THE COUNTYS POPULATION IS COMPRISED OF AN ESTIMATED 8,333 RESIDENTS, LESS THAN 0.1% OF THE ESTIMATED POPULATION FOR THE STATE OF FLORIDA. THE MEDIAN AGE OF THE POPULATION IS 40.6 YEARS OLD; CHILDREN (INDIVIDUALS AGES 17 AND UNDER) MAKE UP LESS THAN ONE-FIFTH (17%) OF THE POPULATION AND ADULTS AGES 65 AND OLDER COMPRISE 13%. MALES MAKE UP 59% OF THE POPULATION WHILE WOMEN MAKE UP 41%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS AN EMERGENCY ROOM OPEN 24/7/365 TO ALL PATIENTS ON A NON- DISCIMINATORY BASIS WITHOUT REGARD FOR THE PATIENT'S ABILITY TO PAY. THE HOSPITAL IS LEAD BY A BOARD OF DIRECTORS COMPRISED ON INDEPENDENT COMMUNITY MEMBERS AND THE MEDICAL STAFF IS OPEN TO PROPERLY CREDENTIALED PHYSICIANS. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL AND ITS SERVICE COMMUNITY WERE SEVERELY IMPACTED BY THE LANDFALL OF HURRICANE MICHAEL, A CATEGORY 5 STORM THAT INFLICTED TREMENDOUS DAMAGE THROUGHT LIBERTY AND CALHOUN COUNTIES AFTER IT CAME ASHORE IN MEXICO BEACH FLORIDA WHICH IS 41 MILES SOUTHWEST OF BLOUNTSTOWN.</ExplanationTxt>
      </SupplementalInformationDetail>
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    <IRS990ScheduleJ documentId="RetDoc6">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</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>JARED BARBER</PersonNm>
        <TitleTxt>PRIMARY CARE PROVIDE</TitleTxt>
        <BaseCompensationFilingOrgAmt>203848</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>46794</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>664</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4017</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>255323</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRISTINIA JEPSEN'S SERVICES ARE PROVIDED UNDER CONTRACT WITH ALLIANT MANAGEMENT SERVICES, INC. ALLIANT WAS PAID 630,093 DURING CALENDAR YEAR 2023 FOR MANAGEMENT SERVICES. THIS PAYMENT INCLUDES COMPENSATION FOR MS. JEPSEN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POSITIONS OF HOSPITAL ADMINISTRATOR (AS WELL AS CERTAIN OTHER DUTIES) HAVE BEEN CONTRACTED TO AN UNRELATED MANAGEMENT COMPANY THAT COMPENSATES THOSE POSITIONS DIRECTLY. THE HOSPITAL PAYS A FEE TO THE MANAGEMENT COMPANY FOR THESE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPEDENT CPA PREPARES THE RETURN FROM INFORMATION OBTAINED DURING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND FROM MANAGEMENT. THE RETURN IS REVIEWED BY MANAGEMENT AND A COPY IS PROVIDED TO MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AND THE OTHER INFORMATION ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES 1,437,507 0 0 PHYSICIAN FEES 10,800 0 0 PURCHASED SERVICES 775,703 1,379,027 0 TOTAL 2,224,010 1,379,027 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI</FormAndLineReferenceDesc>
        <ExplanationTxt>CALHOUN-LIBERTY HOSPITAL DECEMBER 31, 2022 FINANCIAL STATEMENTS, AN ERROR WAS IDENTIFIED IN AN AUDIT ADJUSTMENT WHICH RESULTED IN THE OVERSTATEMENT OF EMS PATIENT ACCOUNTS RECEIVABLE. ACCORDINGLY, AN ADJUSTMENT HAS BEEN MADE TO CORRECT PATIENT ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2022. THE 2022 AUDITED FINANCIAL STATEMENTS WERE RESTATEDTO CORRECT THIS ERROR WHICH RESULTED IN A DECREASE IN PATIENT ACCOUNTS RECEIVABLE AND IN NET ASSETS OF 557,282.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>BIG BEND HEALTH ALLIANCE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>20370 NE BURNS AVENUE</AddressLine1Txt>
          <CityNm>BLOUNTSTOWN</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32424</ZIPCd>
        </USAddress>
        <EIN>922938056</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TMHC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>TALLAHASSEE MEMORIAL HEALTHCARE</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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</Return>