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        <PersonNm>SHAUN CORBETT</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARC AGRONIN</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANA KULVIN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BERNARDO LARRALDE</PersonNm>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JASON PINCUS</PersonNm>
        <TitleTxt>VP NURSING HOME ADMINISTRA</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEAH BRODERICK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALISON GREWE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH SHINI</PersonNm>
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        <PersonNm>ROBERT PURCELL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER RAY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CLIFF BAUER</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>THW DESIGN</BusinessNameLine1Txt>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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            <BusinessNameLine1Txt>ALLIED UNIVERSAL SECURITY SERVICES</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>POLARIS PHARMACY SERVICES</BusinessNameLine1Txt>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <TotalRevenueGrp>
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        <ProgramServicesAmt>4706400</ProgramServicesAmt>
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        <ProgramServicesAmt>4186</ProgramServicesAmt>
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        <ProgramServicesAmt>64155</ProgramServicesAmt>
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        <ProgramServicesAmt>1898599</ProgramServicesAmt>
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        <ProgramServicesAmt>4888047</ProgramServicesAmt>
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        <ProgramServicesAmt>4846653</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>322887</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1978280</ProgramServicesAmt>
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        <EOYAmt>16691216</EOYAmt>
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        <EOYAmt>665137</EOYAmt>
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        <EOYAmt>180699</EOYAmt>
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        <ExplanationTxt>PART V, SECTION B, LINE 11: THE INFORMATION PROVIDED BELOW EXPLAINS HOW THE HOSPITAL FACILITY ADDRESSED IN FISCAL YEAR 2023 THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2022 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 2022 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 TO FOCUS 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 DEMENTIAOBJECTIVES AND OUTCOMES RELATED TO THE FOUR (4) PRIORITIZED NEEDS ARE SUMMARIZED BELOW. AGING IN PLACE AND ASSOCIATED SUPPORT SERVICESIN ORDER TO INCREASE THE OPPORTUNITIES AND SUPPORT SERVICES AVAILABLE TO PROMOTE THE SAFE AGING IN PLACE OF SENIORS IN THE GREATER MIAMI JEWISH HEALTH SYSTEM'S SERVICE AREA, DOUGLAS GARDENS HOSPITAL WILL USE ITS CASE MANAGEMENT AND SOCIAL WORK RESOURCES IN CONJUNCTION WITH PACE, OUTSIDE HOME CARE AND CASE MANAGEMENT SERVICES, HUD/LOW-INCOME HOUSING, EXISTING NETWORK OF OVER 350 ALFS, AND BEHAVIORAL HEALTH PROGRAMS. THESE RESOURCES WILL ALLOW FOR THE MAINTENANCE AND/OR INCREASE IN THE ACCESSIBILITY TO TRANSPORTATION AND SUPPORT SERVICES THAT ARE AFFORDABLE AND WOULD MAKE IT POSSIBLE FOR SENIORS TO BE ABLE TO SAFELY AGE AT HOME. NAVIGATION OF THE HEALTHCARE SYSTEMTO IMPROVE NAVIGATION AND ACCESS TO QUALITY AND AFFORDABLE HEALTH CARE AS IT RELATES TO AGING FOR INDIVIDUALS LIVING THE COMMUNITY, DOUGLAS GARDENS HOSPITAL WILL USE ITS CASE MANAGEMENT AND SOCIAL WORK RESOURCES IN CONJUNCTION WITH PACE, OUTSIDE HOME CARE AND CASE MANAGEMENT SERVICES, HUD/LOW INCOME HOUSING, EXISTING NETWORK OF OVER 350 ALFS, AND BEHAVIORAL HEALTH PROGRAMS. THESE RESOURCES WILL ASSIST IN MAINTAINING AND/OR INCREASING RESIDENTS' AWARENESS OF AGING HEALTH CARE OPTIONS, INCLUDING BEHAVIORAL HEALTH OPTIONS, AND HELP INDIVIDUALS NAVIGATE THE HEALTHCARE SYSTEM AND ACCESS AFFORDABLE AND APPROPRIATE CARE.CHRONIC DISEASE MANAGEMENTTO ENHANCE CHRONIC DISEASE MANAGEMENT AND PREVALENCE OF CANCER AND RESPIRATORY DISEASE AMONG HOSPITAL AND NURSING HOME RESIDENTS, DOUGLAS GARDENS HOSPITAL WILL OFFER EDUCATION AND COMMUNITY OUTREACH THROUGH OUTREACH EVENTS AND PARTNERSHIPS IN THE COMMUNITY. THE HOSPITAL'S RESOURCES INCLUDE HOSPITAL AND NURSING HOME SERVICES THAT FOCUS ON CHRONIC DISEASE MANAGEMENT AND A GERIATRIC FELLOW OVERSEEING MANY OF THE CHRONIC CARE PATIENTS. IN ADDITION, DOUGLAS GARDENS HOSPITAL PLANS TO OPEN A SUPER SKILLED NURSING FACILITY THAT WILL FOCUS HIGHLY ON CANCER AND RESPIRATORY DISEASE.ALZHEIMER'S DISEASE AND DEMENTIATO IMPROVE OUTREACH AND AWARENESS OF RESEARCH AND EDUCATION PROGRAMS RELATED TO ALZHEIMER'S DISEASE AND DEMENTIA, DOUGLAS GARDENS HOSPITAL WILL INCREASE EDUCATION AND AWARENESS THROUGH HOSPITAL AND NURSING HOME SERVICES THAT FOCUS ON THESE ISSUES. IT WILL PROVIDE EDUCATIONAL PRESENTATIONS AND SPEAKING ENGAGEMENT EVENTS AND CONDUCT CLINICAL RESEARCH TRIALS RELATED TO ALZHEIMER'S DISEASE AND DEMENTIA. THE HOSPITAL'S RESOURCES FOR SUCH INCLUDE SUPPORT NETWORKS AND CAREGIVER GROUPS AS WELL AS A BOARD-CERTIFIED ADULT AND GERIATRIC PSYCHIATRIST WHO IS INVOLVED IN PLANNING AND OVERSEEING MANY OF THE ALZHEIMER'S AND DEMENTIA PATIENTS' CARE.DOUGLAS GARDENS HOSPITAL RECOGNIZES THAT THERE ARE SEVERAL KEY ISSUES AND SEVERE CHRONIC CONDITIONS FACING THE COMMUNITY, INCLUDING, BUT NOT LIMITED TO DIABETES, ARTHRITIS, AND HEART CONDITIONS. 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 AND INCOME</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINE 16A, FAP WEBSITE:</FormAndLineReferenceDesc>
        <ExplanationTxt>WWW.MIAMIJEWISHHEALTH.ORG/RESOURCES/PART V, LINE 16B, FAP APPLICATION WEBSITE:WWW.MIAMIJEWISHHEALTH.ORG/RESOURCES/PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:WWW.MIAMIJEWISHHEALTH.ORG/RESOURCES/</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - 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>2 - 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>PART I, LINE 7:</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>PART III, LINE 2:</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>PART III, LINE 3:</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>PART III, LINE 4:</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 15.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</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>PART III, LINE 9B:</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>PART VI, LINE 2:</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>PART VI, LINE 3:</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>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRIMARY SERVICE AREA OF THE HOSPITAL FACILITY INCLUDES MIAMI-DADE, FLORIDA. IN 2019, MIAMI-DADE COUNTY HAD A POPULATION OF 2,699,428 RENDERING IT THE MOST POPULATED COUNTY IN FLORIDA. THE COUNTY EXPERIENCED A POPULATION INCREASE OF 4% BETWEEN 2010 AND 2019. THE OVERALL POPULATION OF FLORIDA HAS GROWN FASTER BETWEEN 2010 AND 2019 (3.1%) THAN THE OVERALL POPULATION IN THE ENTIRE NATION (1.2%). 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 74.2; WHEREAS STATE RESIDENTS HAD A MEDIAN AGE OF 73.8 AND 73.1 ACROSS THE NATION. THE OLDER POPULATION TENDS TO HAVE A HIGHER SHARE OF FEMALES IN THE POPULATION IN MIAMI-DADE COUNTY (58.4%) WHEN COMPARED TO FLORIDA (54.9%) AND THE NATION (55.7%). IN ADDITION, THE OLDER ADULT POPULATION AGED 65 YEARS AND OVER ARE PREDOMINANTLY WHITE (80.8%), NEARLY TWO-THIRDS OF THE OVERALL POPULATION IN MIAMI-DADE COUNTY. (69.8%) IS HISPANIC OR LATINO. THIS PERCENTAGE IS MUCH HIGHER THAN BOTH FLORIDA (15%) AND THE NATION (8.2%). THE RACIAL BREAKDOWN DOES PROVIDE A FOUNDATION FOR PRIMARY LANGUAGE STATISTICS. ALMOST THREE QUARTERS OF MIAMI-DADE COUNTY RESIDENTS AGED 65 YEARS AND OVER (74.9%) SPEAK A LANGUAGE OTHER THAN ENGLISH AS THEIR PRIMARY LANGUAGE AT HOME COMPARED TO 29.4% IN FLORIDA AND 21.6% IN THE UNITED STATES. OF THOSE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME IN MIAMI-DADE COUNTY, 47.8% SPEAK ENGLISH LESS THAN VERY WELL, WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE AND THE NATION. 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. LASTLY, IN MIAMI-DADE COUNTY, ABOUT 55% OF OLDER ADULTS LIVE WITHOUT A SPOUSE AND 9.9% LIVE ENTIRELY ALONE, WHICH IS EQUIVALENT TO NEARLY 42,660 OLDER ADULTS. LIVING ALONE GENERALLY ENTAILS A HIGHER RISK FOR SOCIAL ISOLATION AND THIS FIGURE MAY WARRANT ATTENTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</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>
      </SupplementalInformationDetail>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANA KULVIN</PersonNm>
        <TitleTxt>CHIEF BUSINESS STRATEGIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>358715</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>12153</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13200</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>384068</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BERNARDO LARRALDE</PersonNm>
        <TitleTxt>CHIEF TECHNOLOGY OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>246220</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9074</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10231</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17665</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>283190</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASON PINCUS</PersonNm>
        <TitleTxt>VP NURSING HOME ADMINISTRA</TitleTxt>
        <BaseCompensationFilingOrgAmt>235741</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9502</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11333</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19165</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>275741</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALISON GREWE</PersonNm>
        <TitleTxt>CDO PRESIDENT &amp; CEO MJHSF</TitleTxt>
        <BaseCompensationFilingOrgAmt>235446</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9461</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9418</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>254325</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH SHINI</PersonNm>
        <TitleTxt>AVP CLINICAL SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>195319</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9352</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8195</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17665</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>230531</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEAH BRODERICK</PersonNm>
        <TitleTxt>CHIEF SALES &amp; MARKETING OF</TitleTxt>
        <BaseCompensationFilingOrgAmt>192920</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9743</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8139</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18665</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>229467</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT PURCELL</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>185465</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>378</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2833</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7098</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>195774</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER RAY</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>159928</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>202</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2571</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1459</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>184160</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLIFF BAUER</PersonNm>
        <TitleTxt>VP GOVERNMENT RELATIONS AND JOINT VE</TitleTxt>
        <BaseCompensationFilingOrgAmt>160768</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7742</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>168510</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <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: - CLIFF BAUER - $35,769 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 2023 CALENDAR YEAR: - ALAN GOLDSMITH - DANA KULVIN - DR. MARC AGRONIN - ALISON GREWE - LEAH BRODERICK</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CITY OF MIAMI FLORIDA HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>596000375</BondIssuerEIN>
        <CUSIPNum>593416CM0</CUSIPNum>
        <BondIssuedDt>2017-01-01</BondIssuedDt>
        <IssuePriceAmt>44035000</IssuePriceAmt>
        <PurposeDesc>SEE SUPPLEMENTAL INFORMATION.</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>7400000</RetiredAmt>
        <TotalProceedsAmt>46331227</TotalProceedsAmt>
        <InReserveFundAmt>3062988</InReserveFundAmt>
        <RefundingEscrowAmt>23630946</RefundingEscrowAmt>
        <CapitalExpendituresAmt>17439573</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>2197720</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, LINE A(F)</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</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL PROCEEDS OF ISSUE INCLUDES AN ORIGINAL ISSUE PREMIUM OF $2,296,227.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JEFFREY FREIMARK</PersonNm>
        <RelationshipWithOrgTxt>OFFICER</RelationshipWithOrgTxt>
        <LoanPurposeTxt>SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>5400000</OriginalPrincipalAmt>
        <BalanceDueAmt>5545729</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>5545729</TotalBalanceDueAmt>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</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, SECTION B, LINE 12C</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, SECTION B, LINE 15</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, SECTION C, LINE 19</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</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,776,446. MANAGEMENT AND GENERAL EXPENSES 4,353,375. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,129,821. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,558,164. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,558,164. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 133,876. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 133,876. PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 6,052,245. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,052,245. STATE ASSESSMENT FEES: PROGRAM SERVICE EXPENSES 501,236. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 501,236. CENTRALIZED SERVICES: PROGRAM SERVICE EXPENSES 14,285,273. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,285,273.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER OF NET ASSETS -26,939. UBI INCOME FROM PARTNERSHIPS -528,250.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DGN INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5200 NE 2ND AVENUE</AddressLine1Txt>
          <CityNm>MIAMI</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33137</ZIPCd>
        </USAddress>
        <EIN>113672256</EIN>
        <PrimaryActivitiesTxt>LOW INCOME HOUSING FOR THE ELDERLY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MIAMI JEWISH HEALTH SYSTEMS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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</Return>