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        <ProgramServices>109008</ProgramServices>
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      <TravelEntrtnmntPublicOfficials>
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        <ManagementAndGeneral>-723570</ManagementAndGeneral>
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        <Explanation>PART I, QUESTION 1A ROBERT HILL, ROGER KIRK AND ROBERT BROADWAY ARE REIMBURSED FOR GOLF CLUB MEMBERSHIP THAT ARE GROSS-UP PAYMENTS SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS RECEIVED FROM THE PLAN FOR THE FOLLOWING: ROBERT HILL $ 1,443,650 ROGER KIRK $ 252,654 JOANNE AQUILINA $ 5,984 ROBERT BROADWAY $ 471 CONTRIBUTIONS INTO THE PLAN FOR THE FOLLOWING: ROBERT HILL $ 255,358 ROGER KIRK $ 96,452</Explanation>
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          <BusinessNameLine1>Palm Beach County Health Facilities Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521297506</IssuerEIN>
        <CUSIPNumber>69650QAM2</CUSIPNumber>
        <DateIssued>2010-04-22</DateIssued>
        <IssuePrice>128183549</IssuePrice>
        <DescriptionOfPurpose>See Schedule O - Series 2010A</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Palm Beach County Health Facilities Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521297506</IssuerEIN>
        <DateIssued>2010-04-23</DateIssued>
        <IssuePrice>85000000</IssuePrice>
        <DescriptionOfPurpose>See Schedule O - Series 2010B</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>128559279</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <AmountDefeased>0</AmountDefeased>
        <AmountUnspent>0</AmountUnspent>
        <IssuanceCostsFromProceeds>4961328</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>5377149</CapitalExpenditures>
        <YearOfSubstCompletion>2013</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>85000000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <AmountDefeased>0</AmountDefeased>
        <AmountUnspent>0</AmountUnspent>
        <IssuanceCostsFromProceeds>941186</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>2845119</CapitalExpenditures>
        <YearOfSubstCompletion>2013</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
      </Form990ScheduleKPartII>
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        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00179</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00179</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>See Schedule O</NamePerson>
        </NameOfInterestedPerson>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990, SUPPLEMENTAL INFORMATION</Identifier>
        <Explanation>Form 990, Part VI, Question 2 Robert B Hill, Roger L Kirk, Joanne Aquilina, and Robert Broadway have a business relationship. Form 990, Part VI, Question 11A The Chief Financial Officer of the organization reviews the form 990 and all required supporting schedules. The form 990 is then provided to the Board of trustees of the Organization prior to filing with the IRS. Form 990, Part VI, Question 12c As part of the written agenda of the regular meetings of the Board of Trustees is an item labeled Conflict of Interest Disclosure. The Chairman of the Board upon calling the meeting to order requests that any Board member who has a conflict of interest disclosure on any item on the agenda to declare the conflict and leave the room during the discussion related to that topic or item on the agenda. Additionally, during the meeting, if any item not on the agenda were discussed, any Board member with an actual or potential conflict of interest would be required to declare such conflict at that time and leave the room during the discussion. Annually, each member of the Board of Trustees is required to file a written, signed and dated conflict of interest statement listing any and all conflicts of interest. Form 990, Part VI, Question 15a The CEO and Executive Directors positions are subject to Bethesda Healthcare System's annual employee review process. The President/CEO of Bethesda Healthcare System provides a review of performance for all noted positions except himself. The President of the Bethesda Healthcare System recommends to the Board of the Bethesda Healthcare System, Inc. compensation and benefit levels to be provided for the noted positions. The Board of Trustees of Bethesda Healthcare System annually appoints the President/CEO of Bethesda Healthcare System to a one-year term and establishes and approves the compensation of the President/CEO. The Board of Trustees of Bethesda Healthcare System periodically engages an independent outside professional compensation firm to review compensation and benefit levels of the President, Executive Vice-President/COO and Chief Financial Officer of the Bethesda Healthcare System. The consulting firm works independently of management and reports the information directly to the Trustees of Bethesda Healthcare System. The consulting firm provides detailed compensation and benefit data for comparably sized healthcare organizations on a regional and national basis. Based on the compensation philosophy of the Board of Trustees of the Bethesda Healthcare System as it relates to the market in general and on specific compensation levels noted as the result of the consulting engagement, the Board of Trustees of Bethesda Healthcare System sets the compensation and benefits of the positions noted above. Form 990, Part VI, Question 15b All of the mentioned positions are subject to Bethesda Healthcare Systems annual employee review process. The Vice President of Human Resources recommends to the President/CEO and Executive Vice President/COO of the Bethesda Healthcare System, Inc. compensation and benefit levels to be provided for the noted positions. The Vice President of Human Resources periodically engages an independent outside professional compensation firm to review compensation and benefit levels of these and other management level positions. The consulting firm works independently of management and provides detailed compensation and benefit data for comparably sized healthcare organizations on a regional and national basis. Based on the compensation philosophy of the Board of Trustees of the Bethesda Healthcare System as it relates to the market in general and on specific compensations levels noted as the result of the consulting engagement, the President/CEO and Executive Vice President/COO of Bethesda Healthcare System sets the compensation and benefits of the positions noted above. Form 990, Part VI, Question 19 The governing documents of the organization, its conflict of interest policy, its financial statements are available on request. Depending on the quantity of the request a minimal fee may apply. HOURS WORKED FOR RELATED ORGANIZATION FORM 990, PART VII, SECTION A, COLUMN B ESTIMATED HOURS WORKED BY OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AT RELATED ENTITIES: BETHESDA MEMORIAL HOSPITAL ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA HEALTH CITY ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURS BETHESDA HOSPITAL FOUNDATION ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURS BETHESDA MEMORIAL SELF INSURANCE MALPRACTICE ROBERT B. HILL - 2 HOURS BETHESDA MEMORIAL SELF INSURANCE WORKMAN'S COMP ROBERT B. HILL - 2 HOURS BETHESDA PAYROLL SERVICES ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURS WOMEN'S DIAGNOTIC CENTER OF BETHESDA ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURS BETHESDA MEDICAL ASSOCIATES ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURS Schedule K, Part II, Column A, Line 5 Issuance Costs - $1,804,473 Credit Enhancement Fees - $3,156,855 Schedule L, Part IV Robert B. Hill, Roger L. Kirk, Joanne Aquilina and Robert Broadway serve on the board of Bethesda Holding Company, Inc. Bethesda Healthcare System, Inc. received reimbursement of expenses in the amount of $514,786 from Palm Beach Credit Adjustors, Inc., a subsidiary of Bethesda Holding Company, Inc.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Schedule K - Supplemental Information</Identifier>
        <ReturnReference>Part I, Column (f) Description of Purpose</ReturnReference>
        <Explanation>Palm Beach County Health Facilities Authority Health Facilities Revenue Bonds - Series 2010A Issued (a) to refund 3 bonds issues issued on 12/20/2001, 8/14/2003, and 3/23/2006 (b) to finance the construction of a new hospital. Palm Beach County Health Facilities Authority Health Facilities Revenue Bonds - Series 2010B Issued to finance the construction of a new hospital.</Explanation>
      </GeneralExplanation>
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          <City>Boynton Beach</City>
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          <City>Boynton Beach</City>
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