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        <Desc>Citrus Memorial maintains offsite external services for the community including family practice, internal medicine and rehab services. These clinics are located conveniently throughout the county. In addition, the offices participate in local health fairs, provide free physicals for various local student organizations and host educational seminars on a variety of healthcare related topics.</Desc>
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        <Desc>The Citrus Memorial Home Health Agency was establised to provide care to those that are homebound or need continuing post-hospital care. Services include skilled nursing, rehabiliation therapy, social and nutritional. This agency provides an alternative to hospitalization or nursing home placement. The home health agency is certified by the Joint Commission on accreditation of healthcare organizations.</Desc>
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        <PersonNm>Farhaad C Golkar MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>363465</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4798</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John D Gelin MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>345051</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42783</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Torr Carmain</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>317507</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8578</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Marc E Fernandez MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>316444</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39087</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3175179</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>279187</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>43</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Cerner Corporation</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO Box 412702</AddressLine1>
            <City>Kansas City</City>
            <State>MO</State>
            <ZIPCode>641412702</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Computer software/hardware company</ServicesDesc>
        <CompensationAmt>13203350</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>AIG Retirement Services Co</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>ARSCO Retirement Manager C/O JP Mo</AddressLine1>
            <City>Houston</City>
            <State>TX</State>
            <ZIPCode>772163629</ZIPCode>
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        <ServicesDesc>Retirement Service</ServicesDesc>
        <CompensationAmt>2063491</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Adex Medical Staffing LLC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>13083 Telecom Parkway North</AddressLine1>
            <City>Temple Terrace</City>
            <State>FL</State>
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        </ContractorAddress>
        <ServicesDesc>Contract Nurses</ServicesDesc>
        <CompensationAmt>1348796</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Associated Radiologists of Inverness</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <City>Chattanooga</City>
            <State>TN</State>
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          </USAddress>
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        <ServicesDesc>Radiology Services</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Sheridan Healthcorp Inc</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO Box 452197</AddressLine1>
            <City>Surise</City>
            <State>FL</State>
            <ZIPCode>333232197</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Anesthiology Services</ServicesDesc>
        <CompensationAmt>1261784</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>37</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>41104</AllOtherContributionsAmt>
      <TotalContributionsAmt>41104</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>146686909</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>146686909</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Citrus County Hospital Board</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2000000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SMP-Florida Medicaid</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1354042</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1354042</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>722210</BusinessCd>
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        <ExclusionAmt>457391</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Miscellaneous</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>168083</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>168283</TotalRevenueColumnAmt>
        <ExclusionAmt>168283</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>248424</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>56936</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>191488</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>191488</TotalRevenueColumnAmt>
        <ExclusionAmt>191488</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1301769</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-87832</TotalRevenueColumnAmt>
        <ExclusionAmt>-87832</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2435810</TotalRevenueColumnAmt>
        <ExclusionAmt>2435810</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Miscellaneous</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>31927</TotalRevenueColumnAmt>
        <ExclusionAmt>31927</ExclusionAmt>
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      <OtherRevenueTotalAmt>2467737</OtherRevenueTotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>-1128891</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3727091</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>2487981</ManagementAndGeneralAmt>
        <FundraisingAmt>263</FundraisingAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>53066</ManagementAndGeneralAmt>
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        <FundraisingAmt>543</FundraisingAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>4620</ProgramServicesAmt>
        <ManagementAndGeneralAmt>674449</ManagementAndGeneralAmt>
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        <FundraisingAmt>1017</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>9438991</TotalAmt>
        <ProgramServicesAmt>9429525</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8429</ManagementAndGeneralAmt>
        <FundraisingAmt>1037</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>8238467</TotalAmt>
        <ProgramServicesAmt>8168706</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68309</ManagementAndGeneralAmt>
        <FundraisingAmt>1452</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>149379</TotalAmt>
        <ProgramServicesAmt>119976</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29181</ManagementAndGeneralAmt>
        <FundraisingAmt>222</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>868</TotalAmt>
        <ManagementAndGeneralAmt>868</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>2515405</TotalAmt>
        <ManagementAndGeneralAmt>2515405</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>7217891</TotalAmt>
        <ProgramServicesAmt>7217891</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>10391280</TotalAmt>
        <ManagementAndGeneralAmt>10391280</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Bad Debts</Desc>
        <TotalAmt>10382716</TotalAmt>
        <ProgramServicesAmt>10382716</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Miscellaneous</Desc>
        <TotalAmt>3387437</TotalAmt>
        <ProgramServicesAmt>-93788</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3481225</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Indigent Assessment</Desc>
        <TotalAmt>1248407</TotalAmt>
        <ManagementAndGeneralAmt>1248407</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Education</Desc>
        <TotalAmt>156384</TotalAmt>
        <ProgramServicesAmt>148473</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7911</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>173304974</TotalAmt>
        <ProgramServicesAmt>147405024</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25727238</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>10270552</BOYAmt>
        <EOYAmt>5487343</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>14564162</EOYAmt>
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        <EOYAmt>3820663</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>876634</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>158031346</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>57244145</EOYAmt>
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        <BOYAmt>561007</BOYAmt>
        <EOYAmt>531039</EOYAmt>
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      <IntangibleAssetsGrp>
        <BOYAmt>4901000</BOYAmt>
        <EOYAmt>4901000</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>14783699</BOYAmt>
        <EOYAmt>19139231</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>117900176</BOYAmt>
        <EOYAmt>106564217</EOYAmt>
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        <EOYAmt>31180024</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>44083767</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>984241</BOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>16514872</BOYAmt>
        <EOYAmt>23951269</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>82419319</BOYAmt>
        <EOYAmt>99215060</EOYAmt>
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        <BOYAmt>33031838</BOYAmt>
        <EOYAmt>6881387</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>2449019</BOYAmt>
        <EOYAmt>467770</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>35480857</BOYAmt>
        <EOYAmt>7349157</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>117900176</BOYAmt>
        <EOYAmt>106564217</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-19857769</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-8273931</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <InvestmentCostOrOtherBasisAmt>8660566</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>8660566</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>88532603</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>51386257</DepreciationAmt>
        <BookValueAmt>37146346</BookValueAmt>
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      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>60828395</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>49400944</DepreciationAmt>
        <BookValueAmt>11427451</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>9782</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>9782</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>57244145</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Other Receivables</Desc>
        <BookValueAmt>2318977</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other long term assets</Desc>
        <BookValueAmt>2496533</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Indenture Agreement</Desc>
        <BookValueAmt>3768765</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Deferred Bond Costs, Net</Desc>
        <BookValueAmt>359892</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Assets Limited as to Use</Desc>
        <BookValueAmt>4886249</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Due from Third-Party Payers, Net</Desc>
        <BookValueAmt>33815</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other assets</Desc>
        <BookValueAmt>5275000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>19139231</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Liability for Pension Benefits</Desc>
        <Amt>15380427</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Liabilities</Desc>
        <Amt>3295842</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Professional Liability</Desc>
        <Amt>5275000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>23951269</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>145167802</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>2108562</OtherRevenueAmt>
      <RevenueNotReportedAmt>2108562</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>143059240</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>10387966</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>10387966</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>153447206</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>164800257</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>2108562</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>2108562</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>162691695</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>10613280</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>10613280</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>173304975</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation is exempt from income taxes under Section 501(c)(3) of the IRC. Accordingly, the financial statements do not reflect a provision for income taxes. At September 30, 2014, the Foundation does not have any uncertain tax positions that would require recognition or disclosure in the financial statements. The Foundation is no longer subject to federal or state income tax examinations by tax authorities for the years before 2010.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Net assets released from restrictions 2,051,626. Rental expenses 56,936.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Provision for bad debts 10,382,716. Development fund: donations 5,250.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Net assets released from restrictions 2,051,626. Rental expenses 56,936.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Provision for bad debts 10,382,716. Book/tax difference 225,314. Development fund: donations 5,250.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <OfcrEtcProfitOrOwnershipPct>0.00000</OfcrEtcProfitOrOwnershipPct>
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          <City>Inverness</City>
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          <ZIPCode>34452</ZIPCode>
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        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
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        <InformationGapsInd>X</InformationGapsInd>
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        <RptAvailableUponRequestInd>X</RptAvailableUponRequestInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
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        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
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        <AssetLevelInd>X</AssetLevelInd>
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        <MedicaidMedicareInd>X</MedicaidMedicareInd>
        <StateRegulationInd>X</StateRegulationInd>
        <OtherFactorsInd>X</OtherFactorsInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <PostedOnWebsiteInd>X</PostedOnWebsiteInd>
        <AvailableOnRequestInd>X</AvailableOnRequestInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
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        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
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        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Citrus Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 3: The assessment data was prepared by WellFlorida Council, Inc., using a diverse list of sources including the Office of Vital Statistics, the U.S. Census Bureau, the Florida Geographic Library, and a variety of health and county ranking sites from respected institutions across the United States and Florida.The WellFlorida Council Contributing staff, identified in the assessment report, included individuals with post-graduate degrees in Public Health and Healthcare Management.Other assessment contributors included Citrus County Hospital Board members, Needs Assessment Steering Committee members, focus group participants and provider survey participants.WellFlorida Council staff conducted seven focus groups to better understand the perspective of community members living and/or working in the Citrus County Hospital Board Taxing Authority Service Area. The Citrus County Hospital Board worked with the WellFlorida Council to formulate a provider survey that would touch upon some of the same topic addressed during the focus groups.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Citrus Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 5d: The CHNA report is available for download on the Citrus County Hospital Board website at www.citruscountyhospitalboard.com/.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Citrus Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 7: The hospital is being sold to HCA. The hospital does not have sufficient resources to meet any needs in the community. Tax funds have been withheld from the hospital which may have allowed the hospital to meet some needs in the community.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Citrus Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 14g: The policy is available on the Citrus Memorial Health System website and also at registration points at all of our facilities. In addition, the policy reminds patients to call our registration department to inquire about financial assistance options.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Citrus Memorial Hospital</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 20d: Patients are charged the same regardless of eligibility. Self-pay patients are given a 30% discount automatically.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>23</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Inverness Diagnostic Imaging Center</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>131 S Citrus Avenue</AddressLine1>
            <City>Inverness</City>
            <State>FL</State>
            <ZIPCode>34452</ZIPCode>
          </USAddress>
          <FacilityTxt>diagnostic imaging ctr</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Citrus Orthopedic &amp; Joint Institute</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>951 N Avalon Way</AddressLine1>
            <City>Lecanto</City>
            <State>FL</State>
            <ZIPCode>34461</ZIPCode>
          </USAddress>
          <FacilityTxt>rehabilitation clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Gulf Coast Aquatic &amp; Rehab</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>6043 W Nordling Loop</AddressLine1>
            <City>Crystal River</City>
            <State>FL</State>
            <ZIPCode>34429</ZIPCode>
          </USAddress>
          <FacilityTxt>rehabilitation clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Gulf Coast Aquatic &amp; Rehab</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>819 Medical Court East</AddressLine1>
            <City>Inverness</City>
            <State>FL</State>
            <ZIPCode>34452</ZIPCode>
          </USAddress>
          <FacilityTxt>rehabilitation clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Citrus Memorial Home Health Agency</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>402 Grace Street</AddressLine1>
            <City>Inverness</City>
            <State>FL</State>
            <ZIPCode>34452</ZIPCode>
          </USAddress>
          <FacilityTxt>home healthcare</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Allen Ridge Diagnostic Imaging Center</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>520 N Lecanto Hwy</AddressLine1>
            <City>Lecanto</City>
            <State>FL</State>
            <ZIPCode>34461</ZIPCode>
          </USAddress>
          <FacilityTxt>diagnostic imaging center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Citrus Springs Rehabilitation Center</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>10489 N Florida Avenue Suite F</AddressLine1>
            <City>Citrus Springs</City>
            <State>FL</State>
            <ZIPCode>34434</ZIPCode>
          </USAddress>
          <FacilityTxt>rehabilitation clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Citrus Primary Care - Beverly Hills</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>450 W Roosevelt Blvd</AddressLine1>
            <City>Beverly Hills</City>
            <State>FL</State>
            <ZIPCode>34465</ZIPCode>
          </USAddress>
          <FacilityTxt>outpatient physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Citrus Primary Care - Floral City</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>7648 S Florida Avenue</AddressLine1>
            <City>Floral City</City>
            <State>FL</State>
            <ZIPCode>34436</ZIPCode>
          </USAddress>
          <FacilityTxt>outpatient physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Sugarmill Woods Diagnostic Imaging Ctr</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>7945 S Suncoast Blvd</AddressLine1>
            <City>Homosassa</City>
            <State>FL</State>
            <ZIPCode>34446</ZIPCode>
          </USAddress>
          <FacilityTxt>diagnostic imaging center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Allen Ridge Family Care Center</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>540 N Lecanto Hwy</AddressLine1>
            <City>Lecanto</City>
            <State>FL</State>
            <ZIPCode>34461</ZIPCode>
          </USAddress>
          <FacilityTxt>outpatient physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Citrus Primary Care - Homosassa</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>7945 S Suncoast Blvd</AddressLine1>
            <City>Homosassa</City>
            <State>FL</State>
            <ZIPCode>34446</ZIPCode>
          </USAddress>
          <FacilityTxt>outpatient physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Citrus Primary Care - Inverness</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>131 S Citrus Avenue</AddressLine1>
            <City>Inverness</City>
            <State>FL</State>
            <ZIPCode>34452</ZIPCode>
          </USAddress>
          <FacilityTxt>outpatient physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Citrus Primary Care - Crystal River</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>700 SE 5th Terrace Suite 7</AddressLine1>
            <City>Crystal River</City>
            <State>FL</State>
            <ZIPCode>34429</ZIPCode>
          </USAddress>
          <FacilityTxt>outpatient physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Citrus Primary Care - Citrus Springs</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>10334 N Citrus Springs Blvd</AddressLine1>
            <City>Citrus Springs</City>
            <State>FL</State>
            <ZIPCode>34434</ZIPCode>
          </USAddress>
          <FacilityTxt>outpatient physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Sugarmill Woods Family Care Center</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>7945 S Suncoast Blvd</AddressLine1>
            <City>Homosassa</City>
            <State>FL</State>
            <ZIPCode>34446</ZIPCode>
          </USAddress>
          <FacilityTxt>outpatient physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Citrus Primary Care - Bushnell</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>417 Market Street 7</AddressLine1>
            <City>Bushnell</City>
            <State>FL</State>
            <ZIPCode>33513</ZIPCode>
          </USAddress>
          <FacilityTxt>outpatient physician clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Beverly Hills Lab Collection Ctr</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>8 Regina Blvd</AddressLine1>
            <City>Beverly Hills</City>
            <State>FL</State>
            <ZIPCode>34465</ZIPCode>
          </USAddress>
          <FacilityTxt>laboratory draw station</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Citrus Hills Lab Collection Ctr</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>1978 N Prospect Avenue</AddressLine1>
            <City>Lecanto</City>
            <State>FL</State>
            <ZIPCode>34461</ZIPCode>
          </USAddress>
          <FacilityTxt>laboratory draw station</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Dunnellon Lab Collection Center</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>11352 N Williams Street</AddressLine1>
            <City>Dunnellon</City>
            <State>FL</State>
            <ZIPCode>34432</ZIPCode>
          </USAddress>
          <FacilityTxt>laboratory draw station</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>HomosassaSugarmill Woods Lab Col Ctr</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>7945 S Suncoast Blvd</AddressLine1>
            <City>Homosassa</City>
            <State>FL</State>
            <ZIPCode>34446</ZIPCode>
          </USAddress>
          <FacilityTxt>laboratory draw station</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Inverness Laboratory Collection Ctr</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>131 S Citrus Avenue</AddressLine1>
            <City>Inverness</City>
            <State>FL</State>
            <ZIPCode>34452</ZIPCode>
          </USAddress>
          <FacilityTxt>laboratory</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Sugarmill Woods Rehabilitation Center</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>7945 S Suncoast Blvd</AddressLine1>
            <City>Homosassa</City>
            <State>FL</State>
            <ZIPCode>34446</ZIPCode>
          </USAddress>
          <FacilityTxt>rehabilitation clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6a:</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Community Building Activities:</FormAndLineReferenceDesc>
        <ExplanationTxt>Citrus Memorial Health System provides critical services to the citizens of Citrus County. Not only do we provide acute care hospital services, but also home health and primary care - all of which are available to the indigent. We receive many indigent referrals from the other for-profit health establishments in the community including diagnostic imaging, infusion therapy, endoscopy, lab testing, and outpatient therapy. In addition, we also provide office space free of charge to the American Cancer Society. This office space on our campus enables the ACS to provide cancer patients with prosthesis and prothesis fittings as well as wigs, hats and education materials. Please see Schedule O for a more comprehensive list of our services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt expense at cost was pulled from the organization's financial statements after audit adjustments. Although there is a significant dollar amount associated with the bad debt expense that could be considered charity, we are unable to make that determination. It has been estimated in the past to be 40% of bad debt expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient accounts receivable are reported net of both an estimated allowance for uncollectible accounts and an estimated allowance for contractual adjustments. The contractual allowance represents the difference between established billing rates and estimated reimbursement from Medicare, Medicaid and other third-party payment programs. Current operations include a provision for bad debts in the statements of operations estimated based upon the age of the patient accounts receivable, historical write-offs and recoveries and any unusual circumstances (such as local, regional or national economic conditions) which affect the collectability of receivables, including management's assumptions about conditions it expects to exist and courses of action it expects to take. Additions to the allowance for uncollectible accounts result from the provision for bad debts. Patient accounts written off as uncollectible are deducted from the allowance for uncollectible accounts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>Although we were not able to determine a dollar amount, we believe a portion of the Medicare shortfall could be considered community benefit since Medicare is such a predominant payor in our facility. Typically commercial or managed care providers make up the deficit of the governmental payors; unfortunately we do not have the better paying population to make up for these deficits. Our tax exempt status allows CMHS to provide care at a level that would be impossible without this determination. Since we are the largest provider of care in the community, residents would need to travel a significant distance for healthcare service. The organization provides a vital service to the community for the insured as well as the uninsured alike.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>The collection policy describes the criteria for those who qualify for hospital-sponsored care and states that the account balance will be forgiven. The policy also describes the criteria for the reduction of an account balance based on income level and assets.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Citrus Memorial Health System personnel is actively involved with the community and strives to "feel the pulse" of the county's needs. CMH hosted a round table discussion with members of the community who represent the underserved including clergy, social workers, and the local food bank. An advisory group was then formed to brainstorm ideas to reach out to those in need. As a result, CMHS welcomes patients at our clinics for check-ups and treatment at no cost. Lifesaving surgeries and diagnostic testing have been performed to patients at no cost otherwise they would have received no care. One patient told us that he had not seen a doctor since Vietnam! At our clinics, we turn away no patients based on their ability to pay. Many of these patients were referred to us by "for profit" physician practices. Our hospital also has an "Advisory Committee" where representatives from throughout the community discus the best use of donated funds from our philanthropy endeavors. An education center among other things is being planned resulting from the discussions that ensued from those meetings.Citrus Memorial also develops a strategic plan based on the needs of the community. Consultants and community experts are utilized to determine the underserved programs and patients in our community. We then determine a "roadmap" to direct our activities in the best possible manner.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>Citrus Memorial's financial counselors are well schooled in the area of financial assistance. Upon registration and once a need is determined, our patients are informed of possible Medicaid eligibility and charity care sponsorship. We are affiliated with a company that qualifies patients for Medicaid and we also have a Medicaid service center to which community members can come and complete paperwork to become eligible for this service. We have even partnered with other community agencies and conducted "healthcare fairs" to provide screenings and financial direction to patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Citrus County is a rural area with a significant elderly and indigent population Citrus County is the second oldest population in the state. According to the latest census, 34.5% of residents are older than 65 Florida average is 18.7% aged greater than 65. There is virtually no industry in the area, and most jobs are related to the "service industry". The per capita income in the county is $23,148 with the Florida average being $26,236. Citrus county residents have fewer years of education with only 16.6% of the population with a bachelors degree or higher with the Florida average being 26.4%. Citrus County has 139,134 residents with Citrus Memorial being the primary provider of hospital care in the county. There is a smaller for-profit hospital on the other side of the county that does not offer the array of services of CMHS and does not have the capacity to serve the volume of patients CMHS serves.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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        <PersonNm>Ryan D Beaty</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <TitleTxt>CHRO</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <PersonNm>Charles L Nutinsky DO</PersonNm>
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        <PersonNm>Jerrald W DeLoach</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <PersonNm>Michael P Brown DO</PersonNm>
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        <PersonNm>Farhaad C Golkar MD</PersonNm>
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        <PersonNm>Marc E Fernandez MD</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1b</FormAndLineReferenceDesc>
        <ExplanationTxt>Amounts are paid in accordance with the employment contracts. There is no written policy regarding payment or provision of the benefits described above.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Farhaad Golkar - Physician received severance pay of $78,711 which was inlucded in his W2 for 2013. This amount is included in Part (B) (iii) compensation.</ExplanationTxt>
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        <PurposeDesc>See Part V</PurposeDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line B, Column F, Description of Purpose:</FormAndLineReferenceDesc>
        <ExplanationTxt>(1) Renovation of the emergency department located at Citrus Memorial Health System, including renovation of the existing space and 5,400 new square feet, an increase of 12 patient beds and an ability to improve patient flow. (2) Sugarmill Woods Diagnostic, Rehabilitation and Clinic facility, an approximately 21,400 square foot single store outpatient facility. (3) Renovations to patient elevators. (4) Paying certain costs of issuance.</ExplanationTxt>
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        <NameOfInterested>
          <PersonNm>Joseph SBrannen</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Board member</RelationshipDescriptionTxt>
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        <TransactionDesc>BankingJ Brannen's family business is Brannen Banks that provide services to Citrus Memorial Health Foundation.</TransactionDesc>
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      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Vengopala Reddy MD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Board member</RelationshipDescriptionTxt>
        <TransactionAmt>23879</TransactionAmt>
        <TransactionDesc>Property rentalDr Reddy's partnership rents a medical office building to Citrus Memorial Health Foundation.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Robert Collins</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Board member</RelationshipDescriptionTxt>
        <TransactionAmt>2917</TransactionAmt>
        <TransactionDesc>Promotional productsMr Collin's son's business supplies Citrus Memorial Health Foundation with products.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of volunteers was obtained through the Volunteer Works System which is used on a daily basis. The main purpose of the system is to maintain a personal profile on each volunteer and to be able to track volunteer service hours and assignments. It is also used for recognition awards and various reports that are needed throughout the year. The types of positions/services provided by the volunteers are as follows: Transporters; Couriers/Information Desk; Patient Care Partners (PCPs); ER Greeters/PCPs; Assistants to Cardiac Rehab, Chart Room, EVS, General Stores, Nutritional Services, Pharmacy and office assistants in various other departments; Gift Shop Buyers/Clerks; Lab Host/Hostess; Medical Records Messengers; newspaper delivery to the floors/departments; OB PCPs; Pre-Admit Host/Hostess and Stamping; Shuttle Drivers, Share Club Visitors, Surgery Host/Hostess and Wheelchair Repair.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation has no committees with the authority to act on behalf of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of the Form 990 is provided to the Board of Directors prior to filing the return. Any questions or concerns are addressed as quickly as possible. In addition, the accounting staff review each section of the return upon receipt of the draft. The staff ensure that the statements contained in the Form 990 are accurate and the figures are true to the audited financial statements. The CFO also reviews the return to ensure it is complete and accurate.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest policy covers all members of the Board of Directors as well as all officers of the organization. Board members are required to abstain from voting on matters where a conflict of interest may exist.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A national human resources firm was used to provide information regarding compensation for the following positions: Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Chief Nursing Officer and Chief Human Resources Officer. The firm used a combination of national and regional data to provide their comparisons. The results of the study, including recommended compensation, were approved by the Compensation Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy and financial statements are all made available to the public upon request. The financial statements are also made available on our website (unaudited are posted monthly and the audited financials are posted upon receipt).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Contributions in Net Assets 70,377. Net Assets Released from Restrictions -2,051,626. Pension Plan Adjustments -6,551,263. Change in unrealized gains and losses on securities 33,267. Difference between book and tax income 225,314.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Citrus County Hospital Board</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>PO Box 1030</AddressLine1>
          <City>Inverness</City>
          <State>FL</State>
          <ZIPCode>34451</ZIPCode>
        </USAddress>
        <EIN>596017150</EIN>
        <PrimaryActivitiesTxt>Special District</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(1)</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Citrus Memorial Hospital Auxiliary</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>502 W Highland Blvd</AddressLine1>
          <City>Inverness</City>
          <State>FL</State>
          <ZIPCode>34452</ZIPCode>
        </USAddress>
        <EIN>592774537</EIN>
        <PrimaryActivitiesTxt>Volunteer Organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>Citrus Memorial Health Foundation Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Nature Coast Development Group-Crystal River</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>502 Highland Blvd</AddressLine1>
          <City>Inverness</City>
          <State>FL</State>
          <ZIPCode>34452</ZIPCode>
        </USAddress>
        <EIN>550907519</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>Citrus Memorial Health Foundation Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>excluded</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>13464</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>266078</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>Nature Coast Development Group-Meadowcrest</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>502 Highland Blvd</AddressLine1>
          <City>Inverness</City>
          <State>FL</State>
          <ZIPCode>34452</ZIPCode>
        </USAddress>
        <EIN>203938808</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>Citrus Memorial Health Foundation Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>excluded</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-11945</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>208454</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>