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      <Desc>THE PRIMARY EXEMPT PURPOSE OF HEALTH FIRST SHARED SERVICES, INC. (HFSS) IS TO PROVIDE SUPPORT AND SERVICES THAT ENABLE THE INFRASTRUCTURE TO PROVIDE EXCEPTIONAL PATIENT CARE AT HEALTH FIRST'S CAPE CANAVERAL HOSPITAL, HEALTH FIRST'S HOLMES REGIONAL MEDICAL CENTER, HEALTH FIRST'S PALM BAY HOSPITAL, HEALTH FIRST'S VIERA HOSPITAL AND HOSPICE OF HEALTH FIRST, INC. THE SERVICES PROVIDED BY HFSS INCLUDE, BUT ARE NOT LIMITED TO: STRATEGIC PLANNING, MANAGEMENT, ADMINISTRATIVE SUPPORT SERVICES, AND INTEGRAL SERVICES IN IT AND FINANCE.MORE SPECIFICALLY, HFSS SUPPORTS ITS AFFILIATED ORGANIZATIONS WITH:1. COORDINATION OF PATIENT CARE SERVICES TO REDUCE THE DUPLICATION OF RESOURCES AND INCREASE THE COST-EFFICIENCY OF PATIENT CARE OFFERED AT ANY HEALTH FIRST ENTITY;2. PROVISION OF ENHANCED CLINICAL, MARKETING, PLANNING, FINANCIAL AND ORGANIZATIONAL SERVICES AND EXPERTISE, AND;3. SERVICE AREA COMMUNITY HEALTH PLANNING TO ENSURE THAT COLLECTIVELY ALL HEALTH FIRST ENTITIES PROVIDE THE HEALTHCARE SERVICES REQUIRED TO MEET THE NEEDS OF RESIDENTS WHO RESIDE IN BREVARD COUNTY.SOME EXAMPLES OF ENHANCED CLINICAL CARE INCLUDE VIRTUAL VISITS, ATHENAHEALTH, EPIC, AND KYRUUS. THESE ADVANCEMENTS ENSURE THERE IS ACCESS TO CARE WITH EASE AND CONVENIENCE. VIRTUAL VISITS ARE A WAY FOR PHYSICIANS TO OFFER HEALTHCARE TO THOUSANDS OF PEOPLE FROM THE COMFORT OF THEIR OWN HOMES. HEALTH FIRST HAS INVESTED DEEPLY IN THIS TECHNOLOGY TO HELP KEEP OUR COMMUNITY SAFE.THE VIRTUAL VISIT TOOLS WE EFFECTIVELY AND IMMEDIATELY IMPLEMENTED DURING THE FIRST WAVE OF COVID-19 MADE A HUGE IMPACT AS HEALTH FIRST CONTINUED TO PROVIDE QUALITY CARE TO OUR PATIENTS.WITH THE COVID-19 PANDEMIC, THE FUTURE OF VIRTUAL VISITS WAS NO LONGER A "NICE TO HAVE" BUT INSTEAD, A "MUST HAVE," BASED ON THE RESPONSE HEALTH FIRST EXPERIENCED FROM PATIENTS.THE HEALTH FIRST NETWORK HAS EXPANDED THESE SERVICES TO INCLUDE WELL CARE VISITS, CHRONIC DISEASE MANAGEMENT, ACUTE VISITS, AND SPECIALIST CARE. IN 2024, THERE WERE 10,323 VIRTUAL VISIT PATIENTS THAT WERE SEEN BY HEALTH FIRST PROVIDERS.HEALTH FIRST PARTNERED WITH ATHENAHEALTH TO MODERNIZE OUR PATIENT INTAKE PROCESS.ATHENAHEALTH'S ELECTRONIC MEDICAL RECORD (EMR) SYSTEM ENHANCES THE PATIENT EXPERIENCE WITH A STREAMLINED, USER-FRIENDLY PORTAL. PATIENTS CAN CONVENIENTLY CHECK IN ONLINE BEFORE THEIR APPOINTMENT OR USE SELF-SERVICE TOOLS IN THE OFFICE FOR FASTER REGISTRATION. THE SYSTEM ALLOWS SECURE ONLINE PAYMENTS, REAL-TIME UPDATES, AND MESSAGING, SO PATIENTS CAN STAY INFORMED AND WAIT IN THEIR VEHICLES UNTIL THEY ARE NOTIFIED. WITH INTEGRATED TOOLS FOR ACCURATE RECORDKEEPING, ATHENA IMPROVES COMMUNICATION BETWEEN PATIENTS AND THEIR CARE TEAMS. HEALTH FIRST HAS ANNOUNCED THE INVESTMENT OF MORE THAN $160 MILLION AS PART OF A TWO-YEAR TRANSFORMATIVE PLAN TO MODERNIZE AND TRANSFORM BREVARD COUNTY'S HEALTHCARE EXPERIENCE FOR PATIENTS, HEALTH PLANS MEMBERS, PROVIDERS, AND CARE TEAMS.HEALTH FIRST IS PARTNERING WITH HEALTHCARE SOFTWARE VENDOR EPIC TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. EPIC'S ELECTRONIC HEALTH RECORD (EHR) SYSTEM PROVIDES A MODERN, INTUITIVE PLATFORM TO ENHANCE THE PATIENT EXPERIENCE. WITH EPIC'S MYCHART, PATIENTS CAN EASILY CHECK IN ONLINE BEFORE THEIR APPOINTMENT OR USE CONVENIENT SELF-SERVICE OPTIONS IN THE OFFICE FOR FASTER REGISTRATION. THE SYSTEM OFFERS SECURE ONLINE BILL PAYMENTS, REAL-TIME APPOINTMENT UPDATES, AND MESSAGING, ALLOWING PATIENTS TO WAIT IN THEIR VEHICLES UNTIL NOTIFIED IT'S TIME TO ENTER. EPIC'S COMPREHENSIVE TOOLS STREAMLINE COMMUNICATION BETWEEN PATIENTS AND THEIR CARE TEAMS, ENSURING ACCURATE RECORDS AND SEAMLESS CARE COORDINATION.HEALTH FIRST OFFERS AN ENTERPRISE-WIDE PLATFORM FOR OUR ONLINE PROVIDER DIRECTORY NAMED KYRUUS. THE ENHANCED DIRECTORY STREAMLINES OUR ONLINE MEDICAL STAFF PROVIDER DIRECTORY. THE IMPROVEMENT WILL INCORPORATE SEARCH FILTER CRITERIA, MOBILE OPTIMIZATION AND MORE. THIS NOT ONLY INCREASED EASE OF ACCESS TO OUR NETWORK BUT ALSO BOOSTED THE CUSTOMER EXPERIENCE. WITH THE HEALTH FIRST DIRECTORY, CUSTOMERS CAN SEARCH USING KEY WORDS AND ACRONYMS, SUCH AS "PCP" INSTEAD OF "PRIMARY CARE PROVIDER, AND EVEN ABBREVIATIONS, SUCH AS "AFIB" INSTEAD OF "ATRIAL FIBRILLATION." THE SEARCH WILL ALSO INCORPORATE FILTERS SO CUSTOMERS CAN MATCH THEMSELVES WITH THE MOST APPROPRIATE PROVIDER FOR THEIR NEEDS.AS A NOT-FOR-PROFIT HEALTHCARE NETWORK, HEALTH FIRST IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY AND PROVIDING SERVICES REGARDLESS OF A PERSON'S ABILITY TO PAY. HEALTH FIRST'S DEDICATION TO HIGH-QUALITY, PATIENT-CENTERED HEALTHCARE IS REFLECTED IN OUR MISSION-DRIVEN COMMUNITY BENEFITS, WHICH IN 2024 TOTALED OVER $30.9 MILLION. THIS INCLUDED OVER $15 MILLION IN CHARITY CARE, PROVIDED AS A "SAFETY NET" FOR THOSE WHO WERE UNINSURED OR UNABLE TO PAY FOR HEALTHCARE SERVICES AND WEREN'T ELIGIBLE FOR PUBLIC/ GOVERNMENT PROGRAMS. EVERY THREE YEARS, HEALTH FIRST CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT. BASED ON THE MOST RECENT REPORT IN 2024, RECOMMENDATIONS WERE MADE BY HEALTH FIRST LEADERSHIP AND APPROVED BY THE HEALTH FIRST BOARD OF TRUSTEES TO ADDRESS THE FOLLOWING HEALTH DISPARITIES IN BREVARD COUNTY: 1- NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT 2- ACCESS TO HEALTHCARE FOR A COPY OF OUR HEALTH FIRST SHARED SERVICES, INC. COMMUNITY BENEFIT REPORT, VISIT: HTTPS://HF.ORG/GIVING-BACK</Desc>
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        <PersonNm>JOSEPH GURRI MD</PersonNm>
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        <PersonNm>DANA S KILBORNE</PersonNm>
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        <PersonNm>SCOTT T MIKUEN</PersonNm>
        <TitleTxt>CHAIR BEG 10/2024 FORMER SECRETARY</TitleTxt>
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        <PersonNm>DUANE R DAVIS</PersonNm>
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        <PersonNm>RANDALL L HAFFNER</PersonNm>
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        <PersonNm>TODD GOODMAN</PersonNm>
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        <PersonNm>AUDREY GREGORY</PersonNm>
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        <PersonNm>PAULA B JUST</PersonNm>
        <TitleTxt>CHIEF EXPERIENCE OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTEN M PULIO</PersonNm>
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        <PersonNm>NICHOLAS W ROMANELLO ESQ</PersonNm>
        <TitleTxt>SR VP/CORP COUNSEL</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW F GERRELL</PersonNm>
        <TitleTxt>SR VP HEALTH PLANS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL W CARR</PersonNm>
        <TitleTxt>SR. VP CIO</TitleTxt>
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        <PersonNm>CHEYANA D FISCHER</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER CNO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL E MULLOWNEY</PersonNm>
        <TitleTxt>PRESIDENT HOSPITAL DIVISION BEG 10/24</TitleTxt>
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        <PersonNm>MARY JANE BRECKLIN</PersonNm>
        <TitleTxt>SYSTEM VP HUMAN RESOURCES</TitleTxt>
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        <PersonNm>BRIAN R BOGGS</PersonNm>
        <TitleTxt>SYS VP CHIEF ACCOUNTING OFFICER</TitleTxt>
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        <PersonNm>DOUGLAS B MCKEE</PersonNm>
        <TitleTxt>VP CHIEF MED INFORMATICS</TitleTxt>
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        <PersonNm>ARTHUR C SPRINGER II</PersonNm>
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        <PersonNm>ANDREW FINK</PersonNm>
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        <PersonNm>STEVEN P JOHNSON</PersonNm>
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        <PersonNm>MARTIN W ISENMAN MD</PersonNm>
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        <PersonNm>BRETT A ESROCK</PersonNm>
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        <PersonNm>DREW A RECTOR</PersonNm>
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        <TitleTxt>FORMER TRUSTEE</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>20512</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>20512</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN F BREITFELLER</PersonNm>
        <TitleTxt>FORMER VICE CHAIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>14866</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>14866</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAMELA A GATTO</PersonNm>
        <TitleTxt>FORMER TRUSTEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>14369</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>14369</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAID FOR TEMPORARY HOUSING FOR ONE TRUSTEE/OFFICER. HOUSING ALLOWANCE FOR A BOARD OF TRUSTEE/OFFICER IS NOT CUSTOMARY FOR THE ORGANIZATION. ALSO, A BOARD OF TRUSTEE/OFFICER HAD A SPOUSE ACCOMPANY THEM DURING TRAVEL. ALL HOUSING PAYMENTS AND TRAVEL FOR COMPANIONS WERE REPORTED IN BOX 1 OF FORM 1099-NEC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS PAID BY HEALTH FIRST SHARED SERVICES, INC. AS THE REPORTING AGENT AND REIMBURSED BY SUBSIDIARY TAX-EXEMPT ENTITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING SEVERANCE PAYMENTS ARE INCLUDED IN TAXABLE COMPENSATION REPORTED ON 2024 FORM W-2: STEVEN P. JOHNSON - $269,931 DREW A. RECTOR - $320,421 MICHAEL A. SCIALDONE - $466,095 BRETT A. ESROCK - $397,041 PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATE IN CAP-EX (A SPLIT DOLLAR LIFE INSURANCE AGREEMENT IN PLACE OF A TRADITIONAL SERP) AND HAVE ESTABLISHED A PREMIUM DEPOSIT ACCOUNT. THE ACCOUNT IS CONNECTED TO THE INSURANCE POLICY AND WILL BE USED TO PAY FUTRE PREMIUMS ON THE POLICY. THE INDIVIDUALS ARE TAXED ON ANY EARNINGS GENERATED BY THIS ACCOUNT. DURING THE TAX YEAR, THE FOLLOWING INDIVIDUALS RECEIVED TAX WITHDRAWAL AMOUNTS TO COVER THEIR TAX LIABILITY. STEVEN P. JOHNSON $0 PAULA B. JUST $6,949 BRETT A. ESROCK $4,589 MICHAEL A. SCIALDONE $0 JEFFREY C. STALNAKER $0 SEE SCHEDULE L, PART V, FOR A BROADER DESCRIPTION OF THE ARRANGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>BREVARD COUNTY HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>592444629</BondIssuerEIN>
        <CUSIPNum>10741LDL7</CUSIPNum>
        <BondIssuedDt>2014-12-17</BondIssuedDt>
        <IssuePriceAmt>278143907</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>BREVARD COUNTY HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>592444629</BondIssuerEIN>
        <CUSIPNum>107416QN2</CUSIPNum>
        <BondIssuedDt>2022-04-13</BondIssuedDt>
        <IssuePriceAmt>431703749</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>BREVARD COUNTY HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>592444629</BondIssuerEIN>
        <CUSIPNum>107416RB7</CUSIPNum>
        <BondIssuedDt>2023-02-08</BondIssuedDt>
        <IssuePriceAmt>52044343</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>BREVARD COUNTY HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>592444629</BondIssuerEIN>
        <CUSIPNum>107416QH5</CUSIPNum>
        <BondIssuedDt>2024-02-07</BondIssuedDt>
        <IssuePriceAmt>170884829</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>215443907</RetiredAmt>
        <TotalProceedsAmt>278143906</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>2129622</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>276014284</OtherSpentProceedsAmt>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>460337725</TotalProceedsAmt>
        <CapitalExpendituresAmt>208451408</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>31694373</OtherSpentProceedsAmt>
        <UnspentAmt>220191944</UnspentAmt>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceedsAmt>52044343</TotalProceedsAmt>
        <OtherSpentProceedsAmt>52044343</OtherSpentProceedsAmt>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <TotalProceedsAmt>170884829</TotalProceedsAmt>
        <OtherSpentProceedsAmt>170884829</OtherSpentProceedsAmt>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <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>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</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>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</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>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</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>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, DESCRIPTION OF PURPOSE</FormAndLineReferenceDesc>
        <ExplanationTxt>DECEMBER 17, 2014 BOND, SERIES 2014: 1. USE OF THE PROCEEDS SOLELY TO REFINANCE THE SERIES 2009B, ISSUED JULY 1, 2009, AND PARTIAL REFUNDING OF THE SERIES 2005, ISSUED DECEMBER 14, 2005, AND PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE SERIES 2014 BONDS. APRIL 13, 2022 BOND, SERIES 2022A: 1. USE OF THE PROCEEDS TO FINANCE AND REIMBURSE CORPORATION AND OTHER MEMBERS OF THE OBLIGATED GROUP FOR THE PAYMENT OF ALL OR A PORTION OF THE COSTS OF CONSTRUCTION, RENOVATING AND EQUIPPING THEIR RESPECTIVE HEALTH CARE FACILITIES, INCLUDING BUT NOT LIMITED TO THE CONSTRUCTING AND EQUIPPING OF A NEW REPLACEMENT HOSPITAL. 2. REFUND THE REMAINING $30M OF THE BREVARD COUNTY HEALTH FACILITIES REVENUE BONDS, SERIES 2009A WHICH WERE ISSUED ON JUNE 4, 2009, AND REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 30, 2012. 3. PAY CERTAIN COSTS RELATING TO AN INTEREST RATE HEDGE TERMINATION PAYMENT RELATING TO THE SERIES 2009A (S2012B) BONDS. FEBRUARY 8, 2023 BOND SERIES 2023A: 1. USE THE PROCEEDS TO REFUND ALL OF THE OUTSTANDING REFUNDING BONDS, SERIES 2013A. FEBRUARY 7, 2024 BOND SERIES 2024A: 1. USE OF THE PROCEEDS FOR A PARTIAL REFUNDING OF SERIES 2014 ISSUED DECEMBER 17, 2014.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 1, COL A:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNT OF BOND RETIRED (REFUNDED) $25,970,000 PAID AS OF 9/30/2023 $10,367,992 BOND PREMIUM AMORTIZED $12,390,915 BOND PREMIUM WRITTEN OFF $166,715,000 REMAINING S2014 LTD TO REFUND $215,443,907 (62,700,000) REMAINING LTD OF S2014</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 3, COLUMN B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE S2022 TOTAL PROCEEDS OF ISSUE ON LINE 3, COLUMN B, IS HIGHER THAN THE ISSUE PRICE DUE TO THE ADDITION OF INTEREST INCOME EARNED FROM THE PROJECT FUND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>ARBITRAGE REPORTS COMPLETED AS OF 12/2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, PROCEDURES TO UNDERTAKE CORRECTION ACTION:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS NO WRITTEN CORPORATE POLICY RELATING TO A CORRECTIVE PLAN; HOWEVER, TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TRULY IDENTIFIED AS PART OF A MONTHLY AND QUARTERLY WORK-FLOW, COMPLIANCE WITH APPLICABLE REGULATIONS FOR TAX-EXEMPT BONDS ARE REVIEWED. ALSO, THERE IS ADDITIONAL OVERSIGHT THROUGH BOND COUNSEL AND DEBT ADVISORS. IF ANY INSTANCE OF NON-COMPLIANCE WAS IDENTIFIED, AN ATTEMPT TO CORRECT THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM WOULD BE PURSUED, IF SELF REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JOSEPH G FELKNER</PersonNm>
        <RelationshipWithOrgTxt>FORMER EVP/CFO</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>2940053</OriginalPrincipalAmt>
        <BalanceDueAmt>3940504</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>STEVEN P JOHNSON</PersonNm>
        <RelationshipWithOrgTxt>PRESIDENT/CEO HF INC</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>9111939</OriginalPrincipalAmt>
        <BalanceDueAmt>12582901</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JAMES S MITCHELL III</PersonNm>
        <RelationshipWithOrgTxt>FORMER EXEC VP/COO HF INC</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>4360057</OriginalPrincipalAmt>
        <BalanceDueAmt>6157299</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JEFFREY C STALNAKER</PersonNm>
        <RelationshipWithOrgTxt>SR VP HF CHIEF CLINICAL OFFICER</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>1698862</OriginalPrincipalAmt>
        <BalanceDueAmt>2323737</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>FRANK S LETHERBY</PersonNm>
        <RelationshipWithOrgTxt>SR VP CEO COMMUNITY HEALTH SVC.</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>2110939</OriginalPrincipalAmt>
        <BalanceDueAmt>2253135</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>BRETT A ESROCK</PersonNm>
        <RelationshipWithOrgTxt>EXEC VP CFO/FORMER CEO HOSPITAL SVCS</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>4033123</OriginalPrincipalAmt>
        <BalanceDueAmt>3752683</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>PAULA B JUST</PersonNm>
        <RelationshipWithOrgTxt>CHIEF EXPERIENCE OFFICER</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>3332943</OriginalPrincipalAmt>
        <BalanceDueAmt>3511176</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>MICHAEL A SCIALDONE</PersonNm>
        <RelationshipWithOrgTxt>EXEC VP/CHIEF FINANCIAL OFFICER</RelationshipWithOrgTxt>
        <LoanPurposeTxt>FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>5269846</OriginalPrincipalAmt>
        <BalanceDueAmt>5048632</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>39570067</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ACTS AS THE PAYROLL AND BENEFIT AGENT FOR ITS RELATED ORGANIZATIONS TO PROVIDE SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "COLLATERAL ASSIGNMENT SPLIT DOLLAR" (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, CASD IS NOT AN ACTUAL LOAN. NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS, THE ORGANIZATION RECOVERS ALL OF ITS OUTLAYS PLUS INTEREST. THE RECOVERY RIGHT IS A KEY ADVANTAGE OF CASD FOR THE ORGANIZATION. RATHER THAN PAYING RETIREMENT BENEFITS TO THE EXECUTIVE THAT WOULD NEVER BE RECOVERED, UNDER CASD THE ORGANIZATION RECOVERS NOT ONLY ITS OUTLAYS, BUT ALSO CONSIDERATION FOR THE TIME VALUE OF MONEY. THIS ALLOWS THE ORGANIZATION TO PERPETUATE ITS COMMUNITY MISSION.CASD WORKS AS FOLLOWS. THE EO DEPOSITS FUNDS INTO CASH VALUE LIFE INSURANCE POLICIES ON THE EXECUTIVE'S LIFE. DURING LIFE, TO THE EXTENT THE EXECUTIVE FULFILLS SERVICE AND VESTING REQUIREMENTS, THE EXECUTIVE CAN BORROW AGAINST THE CASH SURRENDER VALUE TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE EXECUTIVE'S BORROWING RIGHTS ARE REDUCED TO PROTECT THE EO'S RECOVERY RIGHTS.AT THE EXECUTIVE'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY THE EO ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE EXECUTIVE'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING THE EXECUTIVE DID NOT ACCESS DURING LIFE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LOANS TO AND FROM INTERESTED PERSONS:</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) NAME OF PERSON: JOSEPH G. FELKNER(B) RELATIONSHIP WITH ORGANIZATION: FORMER EVP/CFO(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: STEVEN P. JOHNSON(B) RELATIONSHIP WITH ORGANIZATION: FORMER PRESIDENT/CEO HF INC(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: JAMES S. MITCHELL III(B) RELATIONSHIP WITH ORGANIZATION: FORMER EXEC VP COO HF INC(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: JEFFREY C. STALNAKER(B) RELATIONSHIP WITH ORGANIZATION: FORMER SR VP HF CHIEF CLINICAL OFFICER(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: FRANK S. LETHERBY(B) RELATIONSHIP WITH ORGANIZATION: FORMER SR VP CEO COMMUNITY HEALTH SVC.(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: BRETT A. ESROCK(B) RELATIONSHIP WITH ORGANIZATION: FORMER VP EXEC/CFO (FOMER CEO HF INC HOSPITAL SERVICES)(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: PAULA B. JUST(B) RELATIONSHIP WITH ORGANIZATION: CHIEF EXPERIENCE OFFICER (C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: MICHAEL A. SCIALDONE(B) RELATIONSHIP WITH ORGANIZATION: FORMER EXEC VP CHIEF FINANCIAL OFFICER (C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SECTION A, TAX YEAR:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACCOUNTING PERIOD FOR CALENDAR YEAR 2024 IS A SHORT-TERM CALENDAR YEAR FILING. THE ACCOUNTING PERIOD CHANGED FROM FISCAL YEAR (OCTOBER 1ST - SEPTEMBER 30TH) TO CALENDAR YEAR (JANUARY - DECEMBER). FOR CALENDAR YEAR 2024 FILING THE PERIOD IS COVERING OCTOBER 1, 2024 - DECEMBER 31, 2024. THIS CHANGE WAS NECESSARY TO SIMPLY OPERATIONS AND ENHANCE COMPARIBILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTH FIRST SHARED SERVICES, INC. (HFSS) HAS TWO MEMBERS AND TWO RESPECTIVE CLASSES: 1) HEALTH FIRST, INC. [CLASS A] AND 2) ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION [CLASS B].</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CLASS A MEMBER IS ENTITLED TO APPOINT 73 PERCENT OF THE TOTAL NUMBER OF TRUSTEES ROUNDED TO THE CLOSEST WHOLE NUMBER, EXCLUDING THE EX OFFICIO TRUSTEE, AND THE CLASS B MEMBER IS ENTITLED TO APPOINT 27 PERCENT OF THE TOTAL NUMBER OF TRUSTEES ROUNDED TO THE CLOSEST WHOLE NUMBER, EXCLUDING THE EX OFFICIO TRUSTEE. EACH MEMBER SHALL ADVISE THE OTHER MEMBER OF THE APPOINTMENT OF ANY OF ITS TRUSTEES AT THE ANNUAL MEETING OF THE MEMBERS. THOSE TRUSTEES APPOINTED BY THE CLASS A MEMBER SHALL BE REFERRED TO AS THE CLASS A TRUSTEES AND THOSE TRUSTEES APPOINTED BY THE CLASS B MEMBER SHALL BE REFERRED TO AS THE CLASS B TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACTIONS ENUMERATED BELOW MUST BE APPROVED BY BOTH THE CLASS A MEMBER AND THE CLASS B MEMBER: 1 - THE ISSUANCE OF NEW MEMBERSHIP INTERESTS, OR OF ANY OTHER INTEREST IN HFSS, TO ANY INDIVIDUAL OR ENTITY INCLUDING BUT NOT LIMITED TO THE CURRENT MEMBERS OF THE HFSS; 2 - ANY MERGER OR CONSOLIDATION OF HFSS WITH OR INTO ANY OTHER ENTITY, OR OF ANY OTHER ENTITY WITH OR INTO HFSS; 3 - ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR THE BYLAWS OF HFSS; 4 - THE FORMATION OF ANY NEW DIRECT OR INDIRECT SUBSIDIARY OF HFSS IF ANY PORTION OF THE EQUITY OF SUCH NEW SUBSIDIARY WILL BE OWNED BY (I) AN ENTITY THAT HOLDS AN ACUTE CARE HOSPITAL LICENSE OR (II) ANY AFFILIATE OF AN ENTITY THAT HOLDS AN ACUTE CARE HOSPITAL LICENSE; 5 - APPROVE THE ONE-TIME BORROWING OF MONEY OR OTHERWISE THE ONE-TIME COMMITMENT OF THE CREDIT OF HFSS OR ANY HFSS AFFILIATE AND/OR THE VOLUNTARY PREPAYMENT OR EXTENSION OF DEBT IN EXCESS OF TWO HUNDRED MILLION AND NO/100 DOLLARS ($200,000,000.00); 6 - ANY CHANGE IN RESPECT TO THE CHOICE OF ENTITY FOR EITHER HFSS OR ANY HFSS AFFILIATE IF SUCH CHANGE WOULD OR COULD REASONABLY BE EXPECTED TO HAVE AN ADVERSE EFFECT ON THE TAX STATUS OF HFSS OR WOULD HAVE A DILUTIVE EFFECT ON EITHER MEMBER'S MEMBERSHIP INTEREST PERCENTAGE IN HFSS; 7 - APPROVE THE SALE, LEASE, TRANSFER, OR MERGER (WHETHER BY OPERATION OF LAW OR OTHERWISE AND REGARDLESS OF THE IDENTITY OF THE SURVIVING ENTITY UNDER SUCH MERGER) OF ANY INTEREST IN AN HFSS AFFILIATE OR ANY TANGIBLE OR INTANGIBLE ASSETS OWNED BY HFSS (EACH A "PROTECTED ASSET") IF THE FAIR MARKET VALUE OF THE PROTECTED ASSET IS GREATER THAN TWENTY PERCENT (20%) OF HFSS'S ENTERPRISE WIDE FAIR MARKET VALUE (FOR PURPOSES OF THIS PROVISION HFSS'S ENTERPRISE FAIR MARKET VALUE WILL BE DETERMINED IN ACCORDANCE WITH THE RELATED PROVISIONS SET FORTH IN THE MEMBERSHIP AGREEMENT); 8 - AUTHORIZE ANY ONE-TIME CAPITAL EXPENDITURE IN EXCESS OF TWO HUNDRED MILLION AND NO/100 DOLLARS ($200,000,000.00); 9 - ANY OF HFSS'S AFFILIATES THAT HOLD A LICENSE UNDER CHAPTER 395 OF THE FLORIDA STATUTES, AS CURRENTLY ENACTED OR AS MAY BE HEREAFTER AMENDED, AS A HOSPITAL ENTERING INTO A TURNKEY MANAGEMENT AGREEMENT WITH ANY THIRD PARTY; AND 10 - THE DISSOLUTION OR LIQUIDATION OF HFSS (EXCLUDING A PARTIAL LIQUIDATION AS AND TO THE EXTENT PERMITTED IN HFSS'S ARTICLES OF INCORPORATION).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PREPARED BY HEALTH FIRST'S TAX DEPARTMENT AND THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. AFTER REVIEW AND APPROVAL BY THE EXECUTIVE VP/CFO, THE FORM 990 IS SENT TO EACH MEMBER OF THE BOARD OF TRUSTEES ELECTRONICALLY FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL ASSOCIATES, INCLUDING MANAGEMENT, UPON NEW HIRE ORIENTATION AND THEREAFTER AS PART OF THE ANNUAL ELEARNING REQUIRED FOR ALL ASSOCIATES. ALL INDIVIDUALS MUST REVIEW AND ELECTRONICALLY ATTEST THAT THEY HAVE AGREED TO THE TERMS NOTED IN THE POLICY ON AN ANNUAL BASIS. IN ADDITION, SENIOR LEADERSHIP AND BOARD OF TRUSTEES MEMBERS ON AN ANNUAL BASIS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PREPARED AND MONITORED BY THE CHIEF COMPLIANCE OFFICER. THE QUESTIONNAIRE REQUIRES AN ATTESTATION STATING THAT THE INDIVIDUAL IS FREE OF CONFLICTS SHOULD THEY NOT REPORT ANYTHING OF CONCERN. THESE FORMS ARE TRACKED AND KEPT ON FILE. SHOULD A CONFLICT ARISE, THE CHIEF COMPLIANCE OFFICER INVESTIGATES THE ISSUE AND DETERMINES A COURSE OF ACTION TO ENSURE ENFORCEMENT OF THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SALARIES OF OUR CEO AND OTHER HFSS EXECUTIVES ARE REVIEWED AND RECOMMENDED ANNUALLY TO THE BOARD OF TRUSTEES AND APPROVED IN EXECUTIVE SESSION BY THE FULL BOARD OF HFSS. HFSS CONTRACTS ANNUALLY WITH A HIGHLY RESPECTED NATIONAL CONSULTING FIRM TO PROVIDE THESE RECOMMENDATIONS TO ENSURE THAT OUR EXECUTIVES ARE COMPENSATED FAIRLY AND COMPETITIVELY WHEN COMPARED WITH SIMILAR ROLES IN OTHER HEALTHCARE ORGANIZATIONS NATIONALLY. THE COMPENSATION COMMITTEE IS INDEPENDENT FOR INTERNAL REVENUE CODE SECTION 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED. MINUTES ARE KEPT FOR ALL BOARD OF TRUSTEES AND COMPENSATION COMMITTEE MEETINGS. THE PROCESS IS DOCUMENTED CONTEMPORANEOUSLY IN THE BOARD AND COMMITTEE MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>QUARTERLY AND ANNUALLY CONSOLIDATED FINANCIALS AND CONSOLIDATED STATISTICAL INFORMATION ARE FILED ELECTRONICALLY ON WWW.DACBOND.COM AND ARE AVAILABLE TO THE PUBLIC. IN ADDITION, ANY REQUESTS MADE TO THE CHIEF FINANCIAL OFFICER FOR THE ABOVE REFERENCED ITEMS ARE PROVIDED UPON REQUEST IN A TIMELY MANNER. A COPY OF THE GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST TO THE COMPLIANCE OFFICER. DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF DISCLOSURE AS PROVIDED IN SECTION 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VII, SECTION A:</FormAndLineReferenceDesc>
        <ExplanationTxt>TAYLOR K. SMITH: CHAIR (INTERIM PRESIDENT AND CEO TERM 8/2024) SECRETARY 10/2024 FORMER CHAIR JEFFREY C. STALNAKER: FORMER SR VP CCO/INTERIM CEO HOSPITAL DIVISION END 07/31/2024 MIKE E. MULLOWNEY: PRESIDENT HOSPITAL DIVISION BEG. 10/2024 ANDREW FINK: SENIOR VP COMMUNITY HEALTH SERVICE BEG 8/5/2024 DOUGLAS B. MCKEE: VP CHIEF MEDICAL INFORMATICS OFFICER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER OF NET ASSETS FROM RELATED TAX-EXEMPT 65,501,267.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C, AUDITED FINANCIAL STATEMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT COMMITTEE OF HEALTH FIRST SHARED SERVICES REVIEWS AND APPROVES THE ANNUAL AUDIT AND COMPLIANCE AUDIT PLANS THEN MAKES ITS REPORT TO THE HEALTH FIRST SHARED SERVICES BOARD OF TRUSTEES. THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT AUDITORS. THERE WAS NO CHANGE FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IV, LINE 24A, BONDS ISSUED AFTER DECEMBER 31, 2002:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS PART OF AN OBLIGATED GROUP THAT HAD MORE THAN $100,000 IN BONDS ISSUED AFTER DECEMBER 31, 2002 THAT WERE OUTSTANDING ON THE LAST DAY OF ITS TAX YEAR. THE FILING ORGANIZATION'S SHARE OF THESE OBLIGATIONS IS REPORTED ON PART X, LINE 20 OF HEALTH FIRST SHARED SERVICES, INC. THE PARENT OF THE OBLIGATED GROUP IS FILING SCHEDULE K ON BEHALF OF ITSELF AND ALL MEMBERS OF THE OBLIGATED GROUP.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CAPE CANAVERAL HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>592477479</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>HEALTH FIRST SHARED SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>843851693</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST SHARED SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>593528774</EIN>
        <PrimaryActivitiesTxt>SUPPORT ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOLMES REGIONAL MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>590624371</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST SHARED SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPICE OF HEALTH FIRST INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>591911574</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST SHARED SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VIERA HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>264019868</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST SHARED SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST ADMINISTRATIVE PLANS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>821851221</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(4)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST SHARED SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST COMMERCIAL PLANS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>821866443</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(4)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST SHARED SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST HEALTH PLANS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>472736029</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(4)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST SHARED SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DOCTORS GI PARTNERSHIP LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>593758988</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BREVARD DISTRIBUTION LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>7195 WAELTI DRIVE SUITE 101</AddressLine1Txt>
          <CityNm>MELBOURNE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32940</ZIPCd>
        </USAddress>
        <EIN>200050166</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST SHARED SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>14966</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1461273</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST PRIVIA MEDICAL GROUP LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6450 US HIGHWAY 1</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>320602652</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST MEDICAL GROUP LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CAPE HEALTH PROPERTIES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>593086711</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DOCTOR'S SURGICAL PARTNERSHIP LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>593348252</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST HOLDING CORP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-140225</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>8852400</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST HOLDING CORP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>593509709</EIN>
        <PrimaryActivitiesTxt>HOLDING CORP.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST SHARED SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>903230</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>23613029</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST MEDICAL MANAGEMENT INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>593348252</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST HOLDING CORP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>2996560</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>-700334</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST PHYSICIAN SPECIALTIES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>263094596</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST PHYSICIANS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>593346397</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST HOLDING CORP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>124793677</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>275316066</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HOLMES REGIONAL ENTERPRISES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>592109953</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST HOLDING CORP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>1122842</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>7170112</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PHYSICIANS GI PARTNERSHIP INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3300 FISKE BLVD</AddressLine1Txt>
          <CityNm>ROCKLEDGE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32955</ZIPCd>
        </USAddress>
        <EIN>593756961</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SPACE COAST INDEMNITY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 1051</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-1102</ForeignPostalCd>
        </ForeignAddress>
        <EIN>981612801</EIN>
        <PrimaryActivitiesTxt>SELF-INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH FIRST SHARED SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>3333214</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>75262077</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>1</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>1</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VIERA HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>291508</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST ADMINISTRATIVE PLANS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>93394</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOLMES REGIONAL MEDICAL CENTER INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>397213</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOLMES REGIONAL ENTERPRISES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>55818</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CAPE CANAVERAL HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>6148</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST PHYSICIANS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>67788</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST HOLDING CORP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>68879</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPICE OF HEALTH FIRST INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>31676</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BREVARD DISTRIBUTION LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>358056</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>156923</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST COMMERICAL PLANS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>F</TransactionTypeTxt>
        <InvolvedAmt>17816824</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST HEALTH PLANS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>F</TransactionTypeTxt>
        <InvolvedAmt>30138509</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST ADMINISTRATIVE PLANS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>F</TransactionTypeTxt>
        <InvolvedAmt>8088505</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST MEDICAL MANAGEMENT INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>8031282</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CAPE CANAVERAL HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>7848233</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPICE OF HEALTH FIRST INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>433185</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VIERA HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>6632728</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST PHYSICIANS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>234943</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOLMES REGIONAL MEDICAL CENTER INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>35961455</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST ADMINISTRATIVE PLANS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>3708974</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST HOLDING CORP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>124128</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CAPE CANAVERAL HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>55058579</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST PHYSICIANS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>74944777</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST ADMINISTRATIVE PLANS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>85629874</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>DOCTORS GI PARTNERSHIP LTD</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>161853</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOLMES REGIONAL MEDICAL CENTER INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>435584822</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VIERA HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>6630379</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPICE OF HEALTH FIRST INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>6280001</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOLMES REGIONAL ENTERPRISES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>372765</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>178351</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST MEDICAL MANAGEMENT INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>177926</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH FIRST FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>1429887</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CAPE CANAVERAL HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>7520511</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOSPICE OF HEALTH FIRST INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>1714653</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VIERA HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>14593652</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOLMES REGIONAL MEDICAL CENTER INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>43259260</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SEE PART VII</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE R, PART V, DISCLOSURES:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL TRANSACTIONS REPORTED IN THIS SECTION ARE BASED UPON CORPORATE BOOKS AND RECORDS WHICH ARE KEPT ACCORDING TO GENERALLY ACCEPTED ACCOUNTING PRINCIPLES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>