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      <Description>THE PRIMARY EXEMPT PURPOSE OF HEALTH FIRST, INC. IS TO SUPPORT CAPE CANAVERAL HOSPITAL, INC. (CCH), HOSPICE OF HEALTH FIRST, INC. (HHF), HOLMES REGIONAL MEDICAL CENTER, INC. (HRMC), PALM BAY HOSPITAL (PBH), AND VIERA HOSPITAL (VH). HEALTH FIRST, INC. PROVIDES STRATEGIC PLANNING, MANAGEMENT AND ADMINISTRATIVE SUPPORT SERVICES TO CCH, HHF, HRMC AND VH. MORE SPECIFICALLY, HEALTH FIRST ASSISTS ITS AFFILIATED ORGANIZATIONS WITH:1. COORDINATION OF PATIENT CARE SERVICES ACROSS ALL ITS HOSPITAL PROVIDER LOCATIONS TO REDUCE DUPLICATION OF RESOURCES AND INCREASE THE COST-EFFICIENCY OF PATIENT CARE OFFERED AT ANY HEALTH FIRST ENTITY;2. PROVISION OF ENHANCED CLINICAL, MARKETING, PLANNING, FINANCIAL AND ORGANIZATIONAL SERVICES AND EXPERTISE, AND;3. SERVICE AREA COMMUNITY HEALTH PLANNING TO ENSURE THAT COLLECTIVELY ALL HEALTH FIRST ENTITIES PROVIDE THE HEALTHCARE SERVICES REQUIRED TO MEET THE NEEDS OF RESIDENTS WHO LIVE IN CENTRAL AND SOUTH BREVARD COUNTY. ONE EXAMPLE OF ENHANCED CLINICAL CARE IS A SERVICE KNOWN AS VITALWATCH, WHICH IS CENTRAL FLORIDA'S ONLY "EICU" - ELECTRONIC INTENSIVE CARE UNIT. COMBINING TELEMEDICINE, SOFTWARE, AND 24/7 ELECTRONIC MONITORING TECHNOLOGY, THIS SERVICE PROVIDES INPATIENTS CARED FOR IN ALL CRITICAL CARE BEDS AT CCH AND HRMC AN EXTRA LAYER OF EXPERTISE AND OVERSIGHT. CRITICAL CARE PHYSICIANS AND NURSES AT A CENTRALIZED LOCATION MONITOR REAL-TIME VITAL SIGNS, LABORATORY RESULTS, AND COMPLETE ELECTRONIC MEDICAL RECORDS OF PATIENTS IN ALL INTENSIVE CARE UNITS (ICU) AT NO EXTRA COST TO THE PATIENTS.IF NECESSARY, THE VITALWATCH STAFF CAN ALSO DIRECT A PATIENT'S CARE ON THE SPOT VIA LIVE AUDIO AND VIDEO CONNECTIONS TO THE PATIENT'S ROOM. ALL INFORMATION IS TRANSMITTED OVER PRIVATE DATA LINES TO ENSURE PRIVACY AND SECURITY. BEYOND THE WALLS OF ITS HOSPITALS, HEALTH FIRST, INC. SUPPORTS THE BREVARD HEALTH ALLIANCE, THE ONLY FEDERALLY QUALIFIED HEALTHCARE CLINIC IN BREVARD COUNTY, WITH AN ANNUAL DONATION OF $1.1 MILLION IN CASH AND OVER $300,000 IN IN-KIND DIAGNOSTIC SERVICES. THIS FUNDING ALLOWS AREA RESIDENTS WITHOUT HEALTH INSURANCE TO ESTABLISH A MEDICAL HOME FOR PREVENTIVE AND EMERGENY HEALTHCARE SERVICES. IN ADDITION, HEALTH FIRST, INC. IS IN THE MIDST OF FULFILLING A NINE-YEAR PLEDGE OF DONATING ALMOST $2 MILLION TO BREVARD COMMUNITY COLLEGE TO EXPAND THE NURSING PROGRAM OFFERED TO STUDENTS AT THEIR PALM BAY CAMPUS. THIS FUNDING HAS EXPANDED THE CAPACITY OF THE COLLEGE TO PROVIDE MORE STUDENTS THE OPPORTUNITY TO PURSUE A DEGREE IN NURSING AND FILL JOBS AT HEALTH FIRST, INC., HOSPITALS AS WELL AS AT OTHER AREA HOSPITALS, NURSING FACILITIES AND OTHER HEALTHCARE ORGANIZATIONS.HEALTH FIRST, INC. ALSO PARTNERS WITH OTHER COMMUNITY ORGANIZATIONS IN PROGRAMS PROVIDING HEALTH SERVICES AND PREVENTATIVE CARE TO PATIENTS THAT HAVE LIMITED ACCESS TO PREVENTIVE OR PRIMARY HEALTHCARE SERVICES. ANOTHER FORM OF COMMUNITY SUPPORT IS THE CLINICAL TRAINING AND EDUCATION THAT HEALTH FIRST OFFERS TO PHYSICIANS, NURSING STUDENTS, TECHNICIANS AND OTHER HEALTH PROFESSIONALS.ADDITIONAL ACTIVITIES PROVIDED CAPE CANAVERAL HOSPITAL, HOSPICE OF HEALTH FIRST AND HOLMES REGIONAL MEDICAL CENTER BY HEALTH FIRST, INC. INCLUDE ADOPTING OVERALL BUDGETS AND STRATEGIC PLANS, CONTROLLING THE INCURRENCE OF DEBT, DIRECTING CAPITAL ACQUISITION STRATEGIES, DIRECTING MANAGED CARE PURCHASING ARRANGEMENTS AND DIRECTING OR APPROVING MERGERS AND ACQUISITIONS OF ADDITIONAL AFFILIATIONS WITHIN THE GROUP. FOR A COPY OF OUR HEALTH FIRST COMMUNITY BENEFIT REPORT SEE: HTTP://HFWWW1.HEALTH-FIRST.ORG/CR/HEALTH-FIRST-COMMUNITY-REPORT-2012.PDF</Description>
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        <Description>ASSETS LIMITED AS TO USE</Description>
        <BookValue>35796334</BookValue>
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      <OtherLiabilities>
        <Description>DEMAND NOTES PAY TO AFFILIATES</Description>
        <Amount>131693474</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>35935069</Amount>
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      <TotalOfAmounts>167628543</TotalOfAmounts>
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        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>FIN 48 FOOTNOTE: THE COMPANY IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(A), AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3), OF THE INTERNAL REVENUE CODE AND SECTION 220.13 OF THE FLORIDA STATUTES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. ASC TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN FINANCIAL STATEMENTS. ASC TOPIC 740 PROVIDES GUIDANCE FOR RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN.</Explanation>
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        <TypeOfActivitiesConducted>INSURANCE SERVICES</TypeOfActivitiesConducted>
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      <ContNumberOfEmployees>0</ContNumberOfEmployees>
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      <TotalAmountSpent>1464537</TotalAmountSpent>
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        <RecipientNameBusiness>
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        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
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        <EINOfRecipient>593528774</EINOfRecipient>
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        <AmountOfCashGrant>1154054</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>BREVARD COMMUNITY COLLEGE NURSING PROGRAM</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1519 CLEARLAKE ROAD</AddressLine1>
          <City>COCOA</City>
          <State>FL</State>
          <ZIPCode>32922</ZIPCode>
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        <TypeOfGrant>NURSING / EDUCATIONAL SCHOLARSHIP</TypeOfGrant>
        <NumberOfRecipients>1</NumberOfRecipients>
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        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: THE HEALTH FIRST, INC. BOARD MONITORS USAGE BY EACH ENTITY TO ASSURE FUNDS RAISED ARE USED APPROPRIATELY.</Explanation>
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        <Identifier>OTHER INFORMATION:</Identifier>
        <ReturnReference>PART IV:</ReturnReference>
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        <ReturnReference>PART I, LINE 4B</ReturnReference>
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        <DateIssued>2005-12-14</DateIssued>
        <IssuePrice>173754107</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>BREVARD COUNTY HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>592444629</IssuerEIN>
        <DateIssued>2009-06-04</DateIssued>
        <IssuePrice>70000000</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>BREVARD COUNTY HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>592444629</IssuerEIN>
        <CUSIPNumber>10741LBX3</CUSIPNumber>
        <DateIssued>2009-07-01</DateIssued>
        <IssuePrice>84829591</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>BREVARD COUNTY HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>592444629</IssuerEIN>
        <DateIssued>2010-07-16</DateIssued>
        <IssuePrice>21835000</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>173754107</TotalProceeds>
        <IssuanceCostsFromProceeds>1363425</IssuanceCostsFromProceeds>
        <CapitalExpenditures>172390682</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>70000000</TotalProceeds>
        <IssuanceCostsFromProceeds>120000</IssuanceCostsFromProceeds>
        <CapitalExpenditures>69880000</CapitalExpenditures>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>84829591</TotalProceeds>
        <AmountInReserveFund>8585000</AmountInReserveFund>
        <IssuanceCostsFromProceeds>1224591</IssuanceCostsFromProceeds>
        <CapitalExpenditures>75000000</CapitalExpenditures>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>21835000</TotalProceeds>
        <IssuanceCostsFromProceeds>139921</IssuanceCostsFromProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.01520</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.01520</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>COMPASS BANK</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>7.000000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>FORM 990, SCHEDULE K, PART I, DESCRIPTION OF BOND ISSUE PURPOSE:</Identifier>
        <Explanation>NOVEMBER 2005 BOND: 1. FINANCE OR REFINANCE THE COST OF ACQUISITION, CONSTRUCTION AND EQUIPPING OF CERTAIN CAPITAL IMPROVEMENTS TO THE HEALTH FACILITIES OF THE OBLIGATED GROUP 2. PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE BOND JUNE 2009 BOND: 1. FINANCE OR REFINANCE THE COST OF ACQUISITION, CONSTRUCTION AND EQUIPPING OF CERTAIN CAPITAL IMPROVEMENTS TO THE HEALTH FACILITIES OF THE OBLIGATED GROUP 2. PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE BOND JULY 2009 BOND: 1. FINANCE OR REFINANCE THE COST OF ACQUISITION, CONSTRUCTION AND EQUIPPING OF CERTAIN CAPITAL IMPROVEMENTS TO THE HEALTH FACILITIES OF THE OBLIGATED GROUP 2. PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE BOND 3. FUND DSR FUND JULY 2010 BOND - REFUNDING THE CAPE CANAVERAL HOSPITAL DISTRICT'S OUTSTANDING REVENUE REFUNDING CERTIFICATES, SERIES 1998</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>AFTER REVIEW AND APPROVAL BY THE CHIEF FINANCIAL OFFICER THE FORM 990 IS SENT TO EACH MEMBER OF THE BOARD OF DIRECTORS ELECTRONICALLY FOR THEIR REVIEW AND APPROVAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL BOD MEMBERS, OFFICERS, MANAGEMENT, AND ASSOCIATES IN WHICH THE CORPORATE COMPLIANCE EDUCATES ANNUALLY ON THE IMPORTANCE OF AND REQUIREMENT TO REPORT POTENTIAL CONFLICT OF INTEREST. IN ADDITION, ALL MANAGEMENT, OFFICERS, AND BOD MEMBERS ON AN ANNUAL BASIS ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST QUESTIONNAIRE PREPARED AND MONITORED BY THE CHIEF COMPLIANCE OFFICER. THE QUESTIONNAIRE REQUIRES AN ATTESTATION IN REGARDS TO STATING THE INDIVIDUAL IS FREE OF CONFLICTS SHOULD THEY NOT REPORT ANYTHING OF CONCERN. THESE FORMS ARE TRACKED AND KEPT ON FILE. SHOULD A CONFLICT ARISE, THE CHIEF COMPLIANCE OFFICER INVESTIGATES THE ISSUE AND DETERMINES A COURSE OF ACTION TO ENSURE ENFORCEMENT OF THE POLICY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>OUR CEO AND THE HEALTH FIRST EXECUTIVES' SALARIES ARE REVIEWED AND RECOMMENDED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND APPROVED IN EXECUTIVE SESSION BY THE FULL BOARD OF HEALTH FIRST. THE COMPENSATION COMMITTEE CONTRACTS ANNUALLY WITH THE HAY GROUP, A HIGHLY RESPECTED NATIONAL CONSULTING FIRM, TO ENSURE THAT OUR EXECUTIVES ARE COMPENSATED FAIRLY AND COMPETITIVELY WHEN COMPARED TO SIMILAR ROLES IN OTHER HEALTHCARE ORGANIZATIONS NATIONALLY. THE COMPENSATION COMMITTEE IS INDEPENDENT FOR INTERNAL REVENUE CODE SECTION 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED. MINUTES ARE KEPT FOR ALL BOARD OF DIRECTORS AND COMPENSATION COMMITTEE MEETINGS. THE PROCESS IS DOCUMENTED CONTEMPORANEOUSLY IN THE BOARD AND COMMITTEE MEETINGS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>FORM 990, PART VI, SECTION C, LINE 19: QUARTERLY AND ANNUALLY CONSOLIDATED FINANCIALS AND CONSOLIDATED STATISTICAL INFORMATION IS FILED ELECTRONICALLY ON WWW.DACBOND.COM AND IS AVAILABLE TO THE PUBLIC. IN ADDITION, ANY REQUESTS MADE TO THE CHIEF FINANCIAL OFFICER FOR THE ABOVE REFERENCED ITEMS ARE PROVIDED UPON REQUEST IN A TIMELY MANNER. A COPY OF THE CONFLICTS OF INTEREST POLICY IS AVAILABLE UPON REQUEST TO THE COMPLIANCE OFFICER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>PART VII, SECTION A, COLUMN B:</ReturnReference>
        <Explanation>AVERAGE HOURS PER WEEK DEVOTED TO POSITIONS WITH RELATED ORGANIZATIONS: KEVIN B. STEELE 1 HOUR CAPE CANAVERAL HOSPITAL, INC &amp; THE HEALTH FIRST FOUNDATION, INC. JUDITH A. GEORGE 1 HOUR CAPE CANAVERAL HOSPITAL, INC &amp; VIERA HOSPITAL, INC. A. THOMAS HOLLINGSWORTH, PHD 1 HOUR CAPE CANAVERAL HOSPITAL, INC &amp; VIERA HOSPITAL, INC. MICHAEL D. MEANS 1 HOUR THE HEALTH FIRST FOUNDATION, INC &amp; HOSPICE OF HEALTH FIRST, INC. JAMES E. CARTER, MD 1 HOUR CAPE CANAVERAL HOSPITAL, INC. TONY HERNANDEZ III, ESQ 1 HOUR CAPE CANAVERAL HOSPITAL, INC. GEORGE W. LEWIS 1 HOUR CAPE CANAVERAL HOSPITAL, INC. NICHOLAS E. PELLGRINO 1 HOUR CAPE CANAVERAL HOSPITAL, INC. JAMES C. SHAW 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC. CATHERINE A. FORD 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC. JUDITH GIZINSKI 40 HOURS HOLMES REGIONAL MEDICAL CENTER, INC. JERRY SENNE 40 HOURS HOLMES REGIONAL MEDICAL CENTER, INC. PAMELA A. GATTO 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC &amp; VIERA HOSPITAL, INC. BRIAN J. BUSSEN 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC &amp; VIERA HOSPITAL, INC. CHRISTOPHER KENNEDY 40 HOURS VIERA HOSPITAL, INC. ROBERT R. WRIGHT 40 HOURS CAPE CANAVERAL HOSPITAL, INC &amp; HOSPICE OF HEALTH FIRST, INC. EUGENE S. CAVALLUCCI 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC LARRY F. GARRISON 1 HOUR HEALTH FIRST FOUNDATION, INC WILLIAM C. POTTER, ESQ 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 5,755,865. OTHER CHANGES IN NET ASSETS -9,404,095. TRANSFER OF NET ASSETS TO A RELATED TAX-EXEMPT -64,663,715. TOTAL TO FORM 990, PART XI, LINE 5: -68,311,945.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, QUESTION 2C, AUDITED FINANCIAL STATEMENTS:</ReturnReference>
        <Explanation>THE AUDIT COMMITTEE OF HEALTH FIRST REVIEWS AND APPROVES THE ANNUAL AUDIT AND COMPLIANCE AUDIT PLANS THEN MAKES ITS REPORT TO THE HEALTH FIRST BOARD OF DIRECTORS. THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT AUDITORS. THERE WAS NO CHANGE FROM PRIOR YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART IV, QUESTION 24A, BONDS ISSUED AFTER DECEMBER 31, 2002:</ReturnReference>
        <Explanation>THE FILING ORGANIZATION IS PART OF AN OBLIGATED GROUP THAT HAD MORE THAN $100,000 IN BONDS ISSUED AFTER DECEMBER 31, 2002 THAT WERE OUTSTANDING ON THE LAST DAY OF ITS TAX YEAR. THE FILING ORGANIZATION'S SHARE OF THESE OBLIGATIONS IS REPORTED ON PART X, LINE 20 OF HEALTH FIRST, INC. THE PARENT OF THE OBLIGATED GROUP, IS FILING SCHEDULE K ON BEHALF OF ITSELF AND ALL MEMBERS OF THE OBLIGATED GROUP.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOLMES REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>590624371</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOSPICE OF HEALTH FIRST INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>591911574</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HEALTH FIRST FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>593528774</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CAPE CANAVERAL HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>592477479</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VIERA HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>264019868</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CAPE HEALTH PROPERTIES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>593086711</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CAPE CANAVERAL HOSPITAL INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTH FIRST MEDICAL MANAGEMENT INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>593348252</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>HEALTH FIRST HOLDING CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTH FIRST PHYSICIANS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>593346397</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>HEALTH FIRST HOLDING CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HOLMES REGIONAL ENTERPRISES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>592109953</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>HEALTH FIRST HOLDING CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTH FIRST HEALTH PLANS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>593315064</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>HEALTH FIRST HOLDING CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTH FIRST INSURANCE INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>453131932</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>HEALTH FIRST HOLDING CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTH FIRST HOLDING COMPANY &amp; SUBS</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>593509709</EIN>
        <PrimaryActivity>HOLDING CORP.</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>HEALTH FIRST INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEALTH FIRST FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>1154054</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>HEALTH FIRST FOUNDATION INC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>HOSPICE OF HEALTH FIRST INC</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>1713669</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>CAPE CANAVERAL HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>4566862</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOLMES REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>22303319</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEALTH FIRST PHYSICIANS INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>225326</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>CAPE CANAVERAL HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>259342</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOLMES REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>2528369</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>HEALTH FIRST HEALTH PLANS INC</BusinessNameLine1>
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        <TransactionType>J</TransactionType>
        <AmountInvolved>343444</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPE HEALTH PROPERTIES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
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          <BusinessNameLine1>HOLMES REGIONAL ENTERPRISES INC</BusinessNameLine1>
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        <AmountInvolved>387492</AmountInvolved>
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          <BusinessNameLine1>HEALTH FIRST PHYSICIANS INC</BusinessNameLine1>
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        <AmountInvolved>3020796</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>HEALTH FIRST FOUNDATION INC</BusinessNameLine1>
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        <TransactionType>K</TransactionType>
        <AmountInvolved>352500</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPICE OF HEALTH FIRST INC</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>765876</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEALTH FIRST MEDICAL MANAGEMENT INC</BusinessNameLine1>
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        <AmountInvolved>4138032</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>HEALTH FIRST HEALTH PLANS INC</BusinessNameLine1>
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        <AmountInvolved>8202852</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>CAPE CANAVERAL HOSPITAL INC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>HOLMES REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
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          <BusinessNameLine1>HEALTH FIRST HEALTH PLANS INC</BusinessNameLine1>
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        <AmountInvolved>222996</AmountInvolved>
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          <BusinessNameLine1>HEALTH FIRST FOUNDATION INC</BusinessNameLine1>
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        <TransactionType>P</TransactionType>
        <AmountInvolved>906511</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEALTH FIRST MEDICAL MANAGEMENT INC</BusinessNameLine1>
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        <TransactionType>P</TransactionType>
        <AmountInvolved>1379171</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOLMES REGIONAL ENTERPRISES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>2432940</AmountInvolved>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPICE OF HEALTH FIRST INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>5406315</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEALTH FIRST HEALTH PLANS INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>33457973</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEALTH FIRST PHYSICIANS INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>63452267</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPE CANAVERAL HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>HOLMES REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>360550654</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEALTH FIRST HEALTH PLANS INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>7906470</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEALTH FIRST HOLDING CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>64703</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VIERA HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>179787</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEALTH FIRST HOLDING CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>60924</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VIERA HOSPITAL INC</BusinessNameLine1>
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        <TransactionType>K</TransactionType>
        <AmountInvolved>4429296</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEALTH FIRST HOLDING CORP</BusinessNameLine1>
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        <TransactionType>P</TransactionType>
        <AmountInvolved>4761208</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VIERA HOSPITAL INC</BusinessNameLine1>
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        <TransactionType>P</TransactionType>
        <AmountInvolved>17247663</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <ReturnReference>FORM 990, SCHEDULE R, PART V, SCHEDULE R DISCLOSURES:</ReturnReference>
        <Explanation>ALL TRANSACTIONS REPORTED IN THIS SECTION ARE BASED UPON CORPORATE BOOKS AND RECORDS WHICH ARE KEPT ACCORDING TO GENERALLY ACCEPTED ACCOUNTING STANDARDS.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>