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        <OtherCompensationAmt>4640</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL DURR</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>244895</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN GOLDSMITH</PersonNm>
        <TitleTxt>EVP CFO COO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>19.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>575632</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>77523</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BERNARDO LARRALDE</PersonNm>
        <TitleTxt>CHIEF TECHNOLOGY OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24305</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANA KULVIN</PersonNm>
        <TitleTxt>CHIEF BUSINESS STRATEGIST</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>74000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON PINCUS</PersonNm>
        <TitleTxt>VP NURSING HOME ADMINISTRA</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26754</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEAH BRODERICK</PersonNm>
        <TitleTxt>CHIEF SALES &amp; MARKETING OF</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>83678</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARC AGRONIN MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>80712</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHAUN CORBETT</PersonNm>
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        <OtherCompensationAmt>13636</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALISON GREWE</PersonNm>
        <TitleTxt>CDO PRESIDENT &amp; CEO MJHSF</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>40.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>71962</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER RAY</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH SHINI</PersonNm>
        <TitleTxt>AVP CLINICAL SERVICES</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA GUITIERREZ</PersonNm>
        <TitleTxt>VP OF HUMAN RESOURCES</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>10601</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT PURCELL</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SODEXO AMERICA LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 360170</AddressLine1Txt>
            <CityNm>PITTSBURG</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>152516170</ZIPCd>
          </USAddress>
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        <CompensationAmt>3330261</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLIED UNIVERSAL SECURITY SERVICES</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 277469</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303847469</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>POLARIS PHARMACY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2900 NW 60 STREET</AddressLine1Txt>
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            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33309</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACEUTICAL SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AGEPOP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5905 GOLDEN BEAR DRIVE</AddressLine1Txt>
            <CityNm>OVERLAND PARK</CityNm>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADVERTISING</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KLEVER PAINTING INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2974 NW 28 STREET</AddressLine1Txt>
            <CityNm>MIAMI</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33142</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
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      <GovernmentGrantsAmt>726968</GovernmentGrantsAmt>
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      <TotalContributionsAmt>5253357</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>49946951</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>49946951</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>REIMBURSEMENT OF CENTRALIZED COST</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>30427847</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30427847</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>541610</BusinessCd>
        <TotalRevenueColumnAmt>1470000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1470000</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>474257</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>474257</RelatedOrExemptFuncIncomeAmt>
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        <PersonalAmt>0</PersonalAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>586544</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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      <MiscellaneousRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>772392</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>949450</ExclusionAmt>
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        <ProgramServicesAmt>1489831</ProgramServicesAmt>
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        <ProgramServicesAmt>34568794</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>818645</ManagementAndGeneralAmt>
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        <FundraisingAmt>44188</FundraisingAmt>
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        <ManagementAndGeneralAmt>151123</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>264120</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>33268</ManagementAndGeneralAmt>
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        <TotalAmt>1258510</TotalAmt>
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        <ProgramServicesAmt>4688434</ProgramServicesAmt>
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        <ProgramServicesAmt>791</ProgramServicesAmt>
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        <ProgramServicesAmt>89077</ProgramServicesAmt>
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        <ProgramServicesAmt>4911629</ProgramServicesAmt>
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        <ProgramServicesAmt>2428911</ProgramServicesAmt>
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        <ProgramServicesAmt>857394</ProgramServicesAmt>
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        <ProgramServicesAmt>783838</ProgramServicesAmt>
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        <EOYAmt>450115</EOYAmt>
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        <EOYAmt>2014248</EOYAmt>
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        <EOYAmt>449544</EOYAmt>
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        <EOYAmt>96151337</EOYAmt>
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        <TotalExpensePct>0.0</TotalExpensePct>
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      <LeadershipDevelopmentGrp>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
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        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
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        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
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        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
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      </OtherCommuntityBuildingActyGrp>
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        <ActivitiesOrProgramsCnt>0</ActivitiesOrProgramsCnt>
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        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>756132</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>2208154</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>3238289</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-1030135</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>DOUGLAS GARDENS HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>5200 NE 2ND AVENUE</AddressLine1Txt>
          <CityNm>MIAMI</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33137</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.MIAMIJEWISHHEALTH.ORG</WebsiteAddressTxt>
        <StateLicenseNum>3988</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
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          <BusinessNameLine1Txt>DOUGLAS GARDENS HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
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        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>25</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.MIAMIJEWISHHEALTH.ORG/RESOURCES/</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.MIAMIJEWISHHEALTH.ORG/RESOURCES/</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.0</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>https://www.miamijewishhealth.org/price-transparency/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>https://www.miamijewishhealth.org/price-transparency/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>https://www.miamijewishhealth.org/price-transparency/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - DOUGLAS GARDENS HOSPITAL:. DOUGLAS GARDENS HOSPITAL (DGH OR THE HOSPITAL) PROVIDES SERVICES TO MORE THAN 10,000 INDIVIDUALS ANNUALLY FROM MIAMI-DADE AND BROWARD COUNTY. FOR PURPOSES OF ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL DEFINED ITS COMMUNITY AS THE COUNTY IN WHICH THE HOSPITAL FACILITY IS LOCATED. IN PARTNERSHIP WITH HOLLERAN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM, DOUGLAS GARDENS HOSPITAL COLLECTED AND INTERPRETED DATA FROM SECONDARY DATA SOURCES AND KEY INFORMANT INTERVIEWS FOR THE PURPOSE OF PRIORITIZING ITS IDENTIFIED COMMUNITY HEALTH NEEDS. AS PART OF ITS EFFORTS TO ENSURE BROAD COMMUNITY-BASED INPUT INTO THE CHNA PROCESS, KEY INFORMANT ONLINE SURVEYS WERE CONDUCTED WITH KEY INFORMANTS IN THE COMMUNITY BY A TOTAL OF 23 KEY INFORMANTS. KEY INFORMANTS WERE DEFINED AS PEOPLE WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THESE KEY INFORMANTS PARTICIPATED IN A SURVEY FOCUSED KEY HEALTH ISSUES, BARRIERS TO ACCESS, RESOURCES AND SERVICES, THE AVAILABILITY OR LACK THEREOF OF SUPPORT AND HEALTHCARE SERVICES, TRANSITION DECISIONS BY OLDER ADULTS AND THE STATUS OF THE AGE-FRIENDLY COMMUNITY IN MIAMI-DADE COUNTY. THE SECONDARY DATA PROFILE USED EXISTING LOCAL-LEVEL DATA WITH STATE AND NATIONAL COMPARISONS OF DEMOGRAPHIC AND HEALTH DATA FOCUSING SPECIFICALLY ON THE OLDER ADULT POPULATION IN MIAMI-DADE COUNTY. THE DATA SOURCES DEPICTED POPULATION AND HOUSEHOLD STATISTICS, EDUCATION AND ECONOMIC MEASURES, MORBIDITY AND MORTALITY RATES, INCIDENCE RATES, AND OTHER HEALTH STATISTICS FOR OLDER ADULTS IN MIAMI-DADE COUNTY. TOGETHER, THE RESULTS OF THIS DATA FACILITATE THE HOSPITAL'S IMPLEMENTATION PLAN AND HELP ALIGN THE COMMUNITY HEALTH NEEDS ASSESSMENT WITH THE NEEDS THAT ARE EXPRESSED BY THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - DOUGLAS GARDENS HOSPITAL:. THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN FISCAL YEAR 2025 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT AND ANY SUCH NEEDS THAT WERE NOT ADDRESSED AND THE REASONS WHY SUCH NEEDS WERE NOT ADDRESSED. AS PART OF ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, DOUGLAS GARDENS HOSPITAL (DGH OR THE HOSPITAL) DEVELOPED A STRATEGY TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH PRIORITIES FROM THE COLLECTION OF DATA FROM SECONDARY DATA SOURCES AND KEY INFORMANT INTERVIEWS. BASED ON FEEDBACK FROM COMMUNITY PARTNERS, INCLUDING HEALTH CARE PROVIDERS, PUBLIC HEALTH EXPERTS, HEALTH AND OTHER COMMUNITY REPRESENTATIVES, THE HOSPITAL PLANS TOFOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS ON THE FOLLOWING FOUR (4) HEALTH ISSUES: - AGING IN PLACE AND ASSOCIATED SUPPORT SERVICES - NAVIGATION OF AND ACCESSIBILITY TO AFFORDABLE HEALTHCARE - CHRONIC DISEASE MANAGEMENT - ALZHEIMER'S DISEASE AND DEMENTIA OBJECTIVES AND OUTCOMES RELATED TO THE FOUR (4) PRIORITIZED NEEDS ARE SUMMARIZED BELOW. THE OVERARCHING GOAL FOR AGING IN PLACE AND ASSOCIATED SUPPORT SERVICES IS TO IMPROVE ACCESS TO QUALITY HEALTHCARE TO QUALITY HEALTHCARE FOR THE ELDERLY AND UNDERSERVED POPULATIONS LIVING IN THE MIAMI JEWISH HEALTH SYSTEMS SERVICE AREA BY EDUCATING AND PROVIDING ACESS TO AFFORDABLE HEALTHCARE AND HOUSING OPTIONS FOR INDIVIDUALS WITHIN THE POPULATION. MEASURED RELATED OUTCOMES INCLUDE: - NUMBER OF PATIENTS/CUSTOMTERS RECEIVING DIALYSIS INCREASED 5% - NUMBER OF RESIDENTS REFERRED FROM LOCAL INCREASED 55% - NUMBER OF REFERRALS MADE TO ALFS THROUGH MIAMI JEWISH HEALTH OR PACE INCREASED 300% - NUMBER OF ONE-WAY TRIPS PER DAY AND ANNUALLY INCREASED 300% THE OVERARHCHING GOAL FOR NAVIGATION OF AND ACCESSIBILITY TO AFFORDABLE HEALTHCARE IS TO IMPROVE MARKETING, EDUCATION AND OUTREACH EFFORTS TO ASSIST IN NAVIGATION OF THE HEALTHCARE SYSTEM AND INCREASE PROGRAM AWARENESS AND PARTICIPATION IN THE MIAMI-DADE AREA. MEASURED RELATED OUTCOMES INCLUDE: - NUMBER OF OUTREACH EVENTS BY MIAMI JEWISH HEALTH CLINICIANS AND TEAM MEMBERS INCREASED OVER 300% - PROMOTED LOCAL MARKETING EFFORTS THROUGH PAID DIGITAL MEDIA CAMPAIGNS THROUGH FACEBOOK, LINKEDIN, GOOGLE, BING, STACKADAPT, OUTREACH/NETWORKING EVENTS, BROADCAST, PRINT MEDIA, DIRECT MAIL, SOCIAL MEDIA, AND BILLBOARD ADVERTISING. THE OVERARHCHING GOAL FOR CHRONIC DISEASE MANAGEMENT IS TO PROVIDE ACCESS, EDUCATION AND HEALTH SERVICES OR REFERRALS TO SUCH IN THE AREAS OF CHRONIC DISEASE MANAGEMENT (SUCH AS CANCER AND RESPIRATORY DISEASES) TO THE SENIOR POPULAITON. MEASURED RELATED OUTCOMES INCLUDE: - NUMBER OF REFERRALS MADE TO ALFS THROUGH MIAMI JEWISH HEALTH OR PACE INCREASED 300% - NUMBER OF CANCER PATIENTS INCREASED OVER 170% - NUMBER OF CANCER PATIENTS INCREASED OVER 80% - NEW SERVICES FOR PATIENTS WITH CHRONIC HEART FAILURE (819 PATIENTS THROUGH 2022 - 2024), DIABETES (1,302 PATIENTS THROUGH 2022 - 2024), AND CHRONIC KIDNEY DISEASE (1,119 PATIENTS THROUGH 2022 - 2024) WERE OFFERED. THE OVERARHCHING GOAL FOR MENTAL/BEHAVIORAL HEALTH (FOCUS ON ALZHEIMER'S DISEASE AND DEMENTIA) IS TO IMPROVE OUTREACH AND AWARENESS OF RESEARCH AND EDUCATION PROGRAMS AVAILABLE BY PARTICIPATION WITHIN CLINICAL TRIALS, EDUCATION, AND PROVIDE INCREASED CARE IN THIS AREA. MEASURED RELATED OUTCOMES INCLUDE: - NUMBER OF RESEARCH PROGRAMS - CLINICAL TRIAL PARTICIPANTS INCREASED OVER 150% - NUMBER OF EDUCATIONAL PRESENTATIONS AND SPEAKING ENGAGEMENT EVENTS INCREASED 540% - TOTAL NUMBER OF PATIENTS IN THE NURSING HOME WERE 1,072 THORUGH 2022 - 2024 - TOTAL NUMBER OF PATIENTS IN THE PACE PROGRAM WERE 741 THORUGH 2022 - 2024 - TOTAL NUMBER OF PATIENTS IN THE ASSITED LIVING FACILITY AND INDEPENDENT LIVING FACILITY PROGRAMS WERE 99 THORUGH 2022 - 2024 - TOTAL NUMBER OF PATIENTS IN OTHER OUTPATIENT SERVICE PROGRAMS WERE 926 THORUGH 2022 - 2024 THE FOLLOWING COMMUNITY HEALTH ISSUES WERE IDENTIFIED, BUT THE HOSPITAL DID NOT CHOOSE THEM AS A PRIORITY DUE TO LIMITED RESOURCES AND WILL CONTINUE TO MONITOR THE TREATMENT AND ADJUST ITS PROGRAMMING AND SERVICES ACCORDINGLY: - AFFORDABLE HOUSING</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MIAMI JEWISH HEALTH CARE INC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5200 NE 2ND AVENUE</AddressLine1Txt>
            <CityNm>MIAMI</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33137</ZIPCd>
          </USAddress>
          <FacilityTxt>462-BED SKILLED NURSING FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HAZEL CYPEN TOWER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5200 NE 2ND AVENUE</AddressLine1Txt>
            <CityNm>MIAMI</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33137</ZIPCd>
          </USAddress>
          <FacilityTxt>132-BED ASSISTED LIVING FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS REPORTED IN THE TABLE IN LINE 7 OF PART I OF SCHEDULE H WERE DETERMINED BY UTILIZING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, CONTAINED IN THE SCHEDULE H INSTRUCTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RECOGNIZES REVENUE AS PERFORMANCE OBLIGATIONS ARE SATISFIED. MJHS DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH MJHS'S POLICY, OR IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. MJHS DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. MJHS DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. AGREEMENTS WITH THIRD-PARTY PAYORS PROVIDE FOR PAYMENTS AT AMOUNTS LESS THAN ESTABLISHED CHARGES. SUBSEQUENT MATERIAL EVENTS THAT ALTER THE PAYOR'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE IS REPORTED AT TOTAL BAD DEBT EXPENSE PER THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>IN THE CURRENT YEAR, THE APPLICABLE FOOTNOTE FROM THE ATTACHED CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ADDRESSES BAD DEBT EXPENSE CAN BE FOUND ON PAGE 14 AND 15.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USED THE MEDICARE COST REPORT TO DETERMINE THE TOTAL REVENUE RECEIVED FROM MEDICARE AND ALLOWABLES COSTS. MIAMI JEWISH HEALTH SYSTEMS (MJHS) ACCEPTS ALL MEDICARE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS AND OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. MJHS BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE MEDICARE DOES NOT FULLY COMPENSATE HOSPITALS FOR THE COST OF PROVIDING HOSPITAL CARE TO MEDICARE BENEFICIARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE MAY, FOR A VARIETY OF REASONS, NOT BE PAID ON A TIMELY BASIS. IT IS THE POLICY OF MIAMI JEWISH HEALTH SYSTEMS, INC. NOT TO ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) UNTIL ALL REASONABLE EFFORTS ARE MADE TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IF A PERSON IS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, THE ORGANIZATION IMMEDIATELY STOPS ALL COLLECTION EFFORTS. ADDITIONALLY, CERTAIN PROCEDURES MUST BE FOLLOWED IN COLLECTION EFFORTS TO ENSURE THAT ALL PATIENTS ARE TREATED IN A PROFESSIONAL MANNER AND THE SAME PROCESS IS BEING FOLLOWED FOR ALL PAYORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- DOUGLAS GARDENS HOSPITAL: Line 16a URL: https://www.miamijewishhealth.org/price-transparency/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- DOUGLAS GARDENS HOSPITAL: Line 16b URL: https://www.miamijewishhealth.org/price-transparency/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- DOUGLAS GARDENS HOSPITAL: Line 16c URL: https://www.miamijewishhealth.org/price-transparency/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO THE COMMUNITY NEEDS HEALTH ASSESSMENT DISCUSSED IN PART V OF SCHEDULE H, MIAMI JEWISH HEALTH SYSTEMS EMPLOYS MULTIPLE PATHS TO IDENTIFY THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES: 1. FREQUENT, OPEN, DIRECT COMMUNICATION WITH OUR REFERRAL PARTNERS, PARTICULARLY WITH THE HOSPITALS WHO PROVIDE OUR CORE REFERRAL BASE. 2. PARTICIPATION IN COMMUNITY-WIDE HEALTH CARE ORGANIZATIONS SUCH AS THE LEADING AGE, ALLIANCE FOR AGING, SOUTH FLORIDA HOSPITAL &amp; HEALTHCARE ASSOCIATION, THE CHAMBER OF COMMERCE, AND ALZHEIMER'S ASSOCIATION TO IDENTIFY BROAD COMMUNITY HEALTH NEEDS. 3. ANALYSIS OF ADMISSIONS AND DISCHARGES TO MIAMI JEWISH HEALTH SYSTEMS PROGRAMS. IDENTIFY TRENDS IN THE DIAGNOSES, LENGTH OF STAY, AND OUTCOME PERFORMANCE. FOR EXAMPLE, ONE SUCH ANALYSIS LED TO THE DEVELOPMENT OF A SPECIALIZED WOUND CARE PROGRAM. TODAY, MIAMI JEWISH HEALTH SYSTEMS CURES MORE WOUNDS THAN ANY OTHER NURSING HOME IN MIAMI-DADE COUNTY. 4. ANALYSIS OF FALLS STATISTICS TO IDENTIFY TRENDS IN THE INCIDENCE AND CONTRIBUTING FACTORS. SUCH ANALYSIS LED TO THE DEVELOPMENT OF A SPECIALIZED FALL-PREVENTION PROGRAM. TODAY, MIAMI JEWISH HEALTH SYSTEMS HAS A FALL INCIDENT RATE BETTER THAN LOCAL AND NATIONAL AVERAGES. 5. MIAMI JEWISH HEALTH SYSTEMS CONDUCTS, THROUGH INDEPENDENT THIRD PARTIES, CUSTOMER SATISFACTION TRACKING. THESE SURVEYS ARE CONDUCTED SEVERAL TIMES PER YEAR. RESULTS FROM THE CUSTOMER SATISFACTION TRACKING ARE SHARED THROUGHOUT THE ORGANIZATION FROM THE FRONT LINE OPERATORS TO THE BOARD OF DIRECTORS. RESULTS FROM THE CUSTOMER SATISFACTION PROGRAM HAVE CHANGED ELEMENTS OF THE SERVICE PROTOCOL IN A NUMBER OF PROGRAMS THAT WE OFFER TO IMPROVE SERVICE DELIVERY. 6. IN CONJUNCTION WITH NATIONAL AND INTERNATIONAL PHARMACEUTICAL COMPANIES AND RESEARCH FACILITIES, MIAMI JEWISH HEALTH SYSTEMS PARTICIPATES IN MULTIPLE CLINICAL TRIALS TO TEST THE EFFICACY OF NEW DRUGS FOR THE TREATMENT OF ALZHEIMER'S, DEMENTIA, AND OTHER AILMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>MIAMI JEWISH HEALTH SYSTEMS, INC. COMPLIES WITH SECTION 501(R) OF THE INTERNAL REVENUE CODE WHICH REQUIRES HOSPITAL ORGANIZATIONS TO ESTABLISH A WRITTEN FINANCIAL ASSISTANCE POLICY (FAP). UPON ADMISSION, ALL PATIENTS RECEIVE A FINANCIAL SCREENING AND ARE NOTIFIED OF PROGRAMS UNDER WHICH THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE. IN ADDITION, FINANCIAL ASSISTANCE OPTIONS ARE PUBLICIZED WITHIN THE HOSPITAL AND ON THE ORGANIZATION'S WEBSITE. THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE UPON REQUEST AND THE PLAIN LANGUAGE SUMMARY IS MADE AVAILABLE ONLINE AND IN-PERSON AND IS DISTRIBUTED TO ALL PATIENTS OF THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRIMARY SERVICE AREA OF THE HOSPITAL FACILITY INCLUDES MIAMI-DADE, FLORIDA. IN 2022, MIAMI-DADE COUNTY HAD A POPULATION OF 2,688,237 RENDERING IT THE MOST POPULATED COUNTY IN FLORIDA. THE COUNTY EXPERIENCED A POPULATION DECREASE OF ALMOST 1% SINCE THE 2020 CENSUS. THE OVERALL POPULATION OF FLORIDA HAS DECLINED FASTER BETWEEN 2020 AND 2022 (-2.7%) THAN THE OVERALL POPULATION IN THE ENTIRE NATION (-0.66%). IN ADDITION, THE POPULATION IN MIAMI-DADE COUNTY IS NOTABLY OLDER WHEN COMPARED TO THE STATE AND THE NATION. ACCORDING TO THE U.S. CENSUS BUREAU, THE MEDIAN AGE OF RESIDENTS AGED 65 YEARS AND OVER IN MIAMI-DADE COUNTY WAS 74.1; WHEREAS STATE RESIDENTS HAD A MEDIAN AGE OF 73.9 AND 73.1 ACROSS THE NATION. THE OLDER POPULATION TENDS TO HAVE A HIGHER SHARE OF FEMALES IN THE POPULATION IN MIAMI-DADE COUNTY (58.3%) WHEN COMPARED TO FLORIDA (54.9%) AND THE NATION (55.3%). IN ADDITION, A HIGH MAJORITY OF INDIVIDUALS ARE WHITE IN MIAMI-DADE COUNTY (46.8%), NEARLY HALF OF THE OVERALL POPULATION IN MIAMI-DADE COUNTY. (68.8%) IS HISPANIC OR LATINO. THIS PERCENTAGE IS MUCH HIGHER THAN BOTH FLORIDA (26.5%) AND THE NATION (18.7%). THE RACIAL BREAKDOWN PROVIDES A FOUNDATION FOR PRIMARY LANGUAGE STATISTICS. THREE QUARTERS OF MIAMI-DADE COUNTY RESIDENTS AGED 65 YEARS AND OVER (75.1%) SPEAK A LANGUAGE OTHER THAN ENGLISH AS THEIR PRIMARY LANGUAGE AT HOME COMPARED TO 29.9% IN FLORIDA AND 21.7% IN THE UNITED STATES. OF THOSE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME IN MIAMI-DADE COUNTY, 46.9% SPEAK ENGLISH LESS THAN VERY WELL, WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE (41.8%) AND THE NATION (39.0%). AS MIAMI-DADE COUNTY CONTINUES TO GROW IN DIVERSITY, IT WILL BE INCREASING IMPORTANT TO ADDRESS THE LANGUAGE NEEDS AND HEALTH BARRIER THAT EXISTS FOR INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY AND FOR WHOM ENGLISH IS NOT THEIR PRIMARY LANGUAGE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>MIAMI JEWISH HEALTH SYSTEMS, INC. IS DEDICATED TO PROMOTING THE HEALTH AND WELFARE OF THE SOUTH FLORIDA COMMUNITY OF WHICH THEY HAVE BEEN A PART OF FOR MORE THAN 75 YEARS. SOME OF THE WAYS IN WHICH THE HEALTH OF THE COMMUNITY IS PROMOTED IS AS FOLLOWS: - COMMUNITY BOARDS: MJHS HAS AN INDEPENDENT COMMUNITY BOARD STAFFED BY HEALTH CARE PROFESSIONALS AND COMMUNITY ACTIVISTS AND MEMBERS. - MEDICAL STAFF: QUALIFIED PHYSICIANS AND PRACTITIONERS FROM ACROSS THE COMMUNITY CAN BE CREDENTIALED TO PRACTICE AT MIAMI JEWISH HEALTH SYSTEMS. - EMPLOYEE WELLNESS, HEALTH, AND SAFETY: MJHS IS THE LARGEST EMPLOYER IN THE HAITIAN COMMUNITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>MIAMI JEWISH HEALTH SYSTEMS, INC. HAS MANY AFFILIATED ENTITIES THAT PROVIDE AN ARRAY OF PROGRAMS SUCH AS ASSISTED LIVING, OUTPATIENT PROGRAMS, AND COMMUNITY-BASED PROGRAMS. THE ORGANIZATION AND ITS AFFILIATES INCLUDE: A 462-BED SKILLED NURSING FACILITY, A MEDICARE CERTIFIED HOSPITAL UNIT WITH 32 ACUTE CARE BEDS, SEVERAL INDEPENDENT AND ASSISTED LIVING FACILITIES, AN AMBULATORY HEALTH CENTER, A REHABILITATION CENTER, A PROGRAM FOR THE ALL-INCLUSIVE CARE OF THE ELDERLY (PACE), AND IN ADDITION, THE ORGANIZATION OPERATES A NURSE REGISTRY PROGRAM, A PROGRAM TO PROVIDE MANAGEMENT SERVICES TO SENIOR HOUSING PROVIDERS, AND TWO FOUNDATIONS.</ExplanationTxt>
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        <ExplanationTxt>DURING THE YEAR, THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS PURSUANT TO MIAMI JEWISH HEALTH SYSTEMS, INC.'S POLICIES AND PROCEDURES FOLLOWING AN INVOLUNTARY SEPARATION FROM EMPLOYMENT: - MICHAEL DURR - $180,500</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>MIAMI JEWISH HEALTH SYSTEMS, INC. MAINTAINS A NON-QUALIFIED EMPLOYEE DEFERRED COMPENSATION PLAN OPEN TO CERTAIN KEY EMPLOYEES UNDER INTERNAL REVENUE CODE 457(F) (THE 457 PLAN). THE 457 PLAN PROVIDES, AMONG OTHER THINGS, FOR VOLUNTARY CONTRIBUTIONS TO BE MADE BY ELIGIBLE PARTICIPANTS. THESE FUNDS REMAIN THE PROPERTY OF MIAMI JEWISH HEALTH SYSTEMS, INC. AND ITS SUBSIDIARIES. MIAMI JEWISH HEALTH SYSTEMS, INC. AND ITS SUBSIDIARIES HAVE A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. THE FOLLOWING LISTED EMPLOYEE(S) THAT PARTICIPATED IN THE DEFERRED COMPENSATION PLAN UNDER IRC. SEC. 457(F) ARE LISTED BELOW. NO AMOUNTS HAVE BEEN PAID FOR THE 2024 CALENDAR YEAR: - MARC AGRONIN - LEAH BRODERICK - ALAN GOLDSMITH - ALISON GREWE - DANA KULVIN JEFFREY FREIMARK PARTICIPATES IN A SUPPLEMENTAL NON-QUALFIED SPLIT-DOLLAR LIFE INSURANCE PLAN THAT IS TREATED AS A LOAN AND REPORTED ON SCHEDULE L.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CITY OF MIAMI FLORIDA HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
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        <BondIssuerEIN>596000375</BondIssuerEIN>
        <CUSIPNum>593416CM0</CUSIPNum>
        <BondIssuedDt>2017-01-01</BondIssuedDt>
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        <PurposeDesc>SEE SUPPLMENTAL INFORMATION</PurposeDesc>
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      <TaxExemptBondsProceedsGrp>
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        <TotalProceedsAmt>46331227</TotalProceedsAmt>
        <InReserveFundAmt>3062988</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
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        <CapitalExpendituresAmt>17439573</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>2197720</OtherSpentProceedsAmt>
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        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
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        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
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        <BondReferenceCd>A</BondReferenceCd>
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        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
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        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
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        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column (f) LINE 1A - DESCRIPTION OF PURPOSE</FormAndLineReferenceDesc>
        <ExplanationTxt>ON JANUARY 1, 2017, MJHS COMPLETED THE REFUNDING OF THE SERIES 2005, CITY OF MIAMI, FLORIDA HEALTH FACILITIES AUTHORITY REVENUE BONDS (THE "2005 BONDS") WITH THE ISSUANCE OF THE SERIES 2017, CITY OF MIAMI, FLORIDA HEALTH FACILITIES AUTHORITY REVENUE BONDS (THE "2017 BONDS") IN THE AMOUNT OF $44,035,000, WITH AN ORIGINAL ISSUE PREMIUM OF $2,296,227 ALSO BEING RECEIVED. THE PROCEEDS OF THE 2017 BONDS WERE USED TO PAY OFF THE 2005 BONDS, OTHER PREVIOUSLY HELD DEBT OBLIGATIONS, AND TO FINANCE CERTAIN CAPITAL IMPROVEMENTS OF MJHS'S OPERATING FACILITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 3 COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL PROCEEDS OF ISSUE INCLUDES AN ORIGINAL ISSUE PREMIUM OF $2,296,227.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
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      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JEFFEREY FREIMARK</BusinessNameLine1Txt>
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        <RelationshipWithOrgTxt>OFFICER</RelationshipWithOrgTxt>
        <LoanPurposeTxt>SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
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        <OriginalPrincipalAmt>5400000</OriginalPrincipalAmt>
        <BalanceDueAmt>7006501</BalanceDueAmt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHCARE - MIAMI JEWISH HEATH SYSTEMS, INC. IS A 494-BED FACILITY PROVIDING A FULL RANGE OF HEALTHCARE SERVICES TO THE ELDERLY. THESE INCLUDE ITS 462-BED NURSING HOME, WHICH PROVIDES LONG-TERM RESIDENTIAL CARE AND SKILLED NURSING CARE FOR OLDER ADULTS WITH CHRONIC ILLNESSES. THE FACILITY ALSO PROVIDES SHORT-TERM REHABILITATION SERVIES FOR MEDICARE BENEFICIARIES RECOVERING FROM SURGERY, STROKE, ETC. AND A 32-BED GERIATRIC MEDICAL SPECIALTY HOSPITAL, WHICH PROVIDES ACUTE CARE FOR THE ELDERLY. IN ADDITION, THE FACILITY'S AMBULATORY HEALTH CENTERS PROVIDE OUTPATIENT HEALTH SERVICES AND SUB-SPECIALTY SERVICES DELIVERED BY PHYSICIANS AND HEALTH PRACTITIONERS SPECIALIZING IN GERIATRIC HEALTHCARE, MENTAL HEALTH, PAIN MANAGEMENT, AND PSYCHIATRY. RESIDENTIAL CARE - MIAMI JEWISH HEALTH SYSTEMS, INC. PROVIDES TWO LEVELS OF ADULT LIVING FACILITIES THE FIRST IS A LICENSED 98-APARTMENT ADULT CONGREGATE LIVING FACILITY, WHICH PROVIDES MODERATE HOUSING DESIGNED FOR THE FRAIL, BUT INDEPENDENT ELDERLY. ITS TENANTS ARE OFFERED TRANSPORTATION AND CULTURAL/SOCIAL AMENITIES. THE OTHER FACILITY IS A LICENSED 92-APARTMENT ASSISTED LIVING FACILITY, WHICH PROVIDES PHYSICAL, MENTAL, AND SOCIAL ACTIVITIES, AS WELL AS DIRECT CARE ASSISTANCE AND NURSING SUPERVISION. CASE MANAGEMENT/DAY CARE - MIAMI JEWISH HEALTH SYSTEMS, INC. OPERATES A STATE SPONSORED PROGRAM IN WHICH CASE MANAGERS COORDINATE IN-HOME ASSISTANCE SUCH AS PERSONAL CARE, MEALS, ADULT DAY CARE, AND MEDICAL SUPPLIES. THE PROGRAM SERVES PEOPLE LIVING IN MIAMI-DADE OR BROWARD COUNTIES, AGE 60 OR OLDER, WHO ARE ELIGIBLE FOR CARE IN A NURSING HOME AS REQUIRED BY MEDICAID. MIAMI JEWISH HEALTH SYSTEMS OPERATES THE PROJECT ON BEHALF OF THE STATE OF FLORIDA'S AGENCY FOR HEALTHCARE ADMINISTRATION AND THE DEPARTMENT OF ELDER AFFAIRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO REPORTS DIRECTLY TO THE BOARD OF DIRECTORS AND A COMPENSATION COMMITTEE OF THE BOARD IS RESPONSIBLE FOR APPROVING COMPENSATION ADJUSTMENTS TO THE CEO. THE COMPENSATION COMMITTEE REVIEWS AND APPROVIES ANY CHANGES IN BASE COMPENSATION AS WELL AS BONUSES AND OTHER COMPONENTS ON AN ANNUAL BASIS. FORMAL COMPENSATION STUDIES ARE REQUESTED AND CONDUCTED AS NEEDED. THE MINUTES OF THE COMPENSATION COMMITTEE DOCUMENT THE DECISIONS AND DELIBERATIONS OF THE COMMITTEE. COMPENSATION OF ALL OTHER OFFICERS AND KEY EMPLOYEES IS ESTABLISHED BY THE CEO AND IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. FORMAL COMPENSATION STUDIES ARE REQUESTED AND CONDUCTED AS NEEDED. THE MINUTES OF THE COMPENSATION COMMITTEE DOCUMENT THE DECISIONS AND DELIBERATIONS OF THE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF FINANCIAL OFFICER AND CONTROLLER OF MIAMI JEWISH HEALTH SYSTEMS, INC. CONDUCT A COMPREHENSIVE REVIEW OF THE FORM 990 PRIOR TO FILING A COPY OF THE RETURN. THE DRAFT RETURN IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS, PHYSICIANS ON STAFF, AND KEY EMPLOYEES, EACH OF WHOM IS REQUIRED TO COMPLETE AND SUBMIT A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE CHIEF COMPLIANCE OFFICER MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY AND REVIEWS ACTUAL CONFLICTS IDENTIFIED BY THE ANNUAL DISCLOSURE PROCESS. OFFICERS AND DIRECTORS ARE PROHIBITED FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS OF INTEREST EXIST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT SERVICES - Total Expense: 6883695, Program Service Expense: 5613267, Management and General Expenses: 1168281, Fundraising Expenses: 102147; PROFESSIONAL FEES - Total Expense: 1211692, Program Service Expense: 1211692, Management and General Expenses: , Fundraising Expenses: ; PAYROLL PROCESSING FEES - Total Expense: 186630, Program Service Expense: , Management and General Expenses: 186630, Fundraising Expenses: ; PURCHASED MEDICAL SERVICES - Total Expense: 6228855, Program Service Expense: 6228855, Management and General Expenses: , Fundraising Expenses: ; STATE ASSESSMENT FEES - Total Expense: 454268, Program Service Expense: 454268, Management and General Expenses: , Fundraising Expenses: ; CENTRALIZED SERVICES - Total Expense: 13859417, Program Service Expense: 7308597, Management and General Expenses: 5896040, Fundraising Expenses: 654780;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGE IN NET ASSETS - -234958; REVENUE FROM PARTNERSHIPS - -772392; Total - -1007350;</ExplanationTxt>
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