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      <Description>Citrus Memorial Hospital is a 198-bed, general short-term acute care hospital. The hospital's services include Same Day Surgery, 24-hour Emergency and Lab Services, Diagnostic Imaging, Rehabilitation, Cardiology and Catherization, Critical Care, Ear-Nose-Throat, Endoscopy, General Surgery, Gynecology and Obstetrics, Laparoscopic Surgery, Laser Surgery, Lithotripsy, Neurology, Opthalmology, Orthopedic, Pediatric Pulmonary, Radiation Therapy, Urology, Vascular Services and community education programs. Citrus Memorial Hospital was established as a general short-term acute care hospital in 1957. It is operated by the Citrus Memorial Health Foundation, Inc. The hospital charges each patient for services rendered; however, it is recognized that not all individuals have the ability to pay for these services. A determination is made to identify those persons that qualify for hospital sponsored care. The hospital follows the guidelines established by the State of Florida for qualifying hospital sponsored care. When an individual is qualified for hospital sponsored care, the bill is written off in most cases and partially written off in the remaining cases. When a patient does not have insurance, additional discounts are available. The total amount of uncompensated care absorbed by the hospital in fiscal year 2013 was $56,933,274 including $14,707,104 of charity care, $31,754,258 of bad debt and $10,471,912 of self-pay discounts. The rate of reimbursement for Medicare and Medicaid payments is below the cost of providing such care. Thus, the hospital must recognize these amounts as necessary in meeting its mission.The following statistics show the level of care that was provided by the hospital in fiscal year 2013, thus enhancing the quality of life in its service area: Annual Admissions 10,305Newborn Admissions 614Patient Days 44,245Newborn Days 1,106Operations Performed 5,563ER Visits 39,588Outpatient Registrations 141,060 The hospital has many other activities in keeping with its commitment to serve the healthcare needs of Citrus County:- Distributes a wide variety of literature that educates patients on topics ranging from emergency medical problems to Medicare benefits.- Sponsors a free Share Club for senior citizens to provide health care seminars and screenings, Medicare assistance and other opportunities to its over 8,500 members.- Provides some 200 educational programs annually that are available at no cost to the community, medical workers and physicians.- Operates walk-in and diagnostic imaging centers to provide health care to the residents in the center of the county.- Participates in and hosts health fairs throughout the county, offering health care screenings and information in order to foster health education in the community.- Sponsors various health awareness programs and seminars to educate the general public about various health topics.- Provides speakers for various civic organizations.- Sponsors free 24/7 physician referral service for Citrus and Sumter counties to help increase accessibility to healthcare.- Offers periodic free or low-cost health exams and screenings such as blood pressure, cholesterol, hemoglobin and various cancer screenings, among others. This aids awareness of personal health and detects problems or possible problems.- Sponsors and participates in events such as local parades, safety fairs, Chamber of Commerce events and an annual county baby shower to increase community awareness of our services.- Provides organizational and operational skills and meeting facilities for numerous groups including but not limited to Ostomy Support Group, Diabetes Support Group, American Cancer Society, Mended Hearts, various cancer support groups, Stroke Support Group, American Heart Association and Breast Cancer Support Group.- Provides assistance to educators through our work with student nursing, radiology technologist and phlebotomist programs in the local community colleges and vocational training center. Also participates in local high school career fairs to increase awareness of career opportunities in healthcare.</Description>
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        <Description>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.</Description>
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        <Description>The Citrus Memorial Home Health Agency was established to provide care to those that are homebound or need continuing post-hospital care. Services include skilled nursing, rehabilitation therapy, social services and nutrition. 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.</Description>
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      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>21381051</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>12012385</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9368666</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06130</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>6296869</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>55089799</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>63657544</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-8567745</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>1 Nature Coast Development Group-Crystal River</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Rental</DescriptionEntPrimaryActivity>
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        <PhysicansProfitOrOwnership>0.25000</PhysicansProfitOrOwnership>
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      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>2 Nature Coast Development Group-Meadowcrest</BusinessNameLine1>
        </NameOfEntity>
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      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>3 Citrus County Medical Group</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Rental</DescriptionEntPrimaryActivity>
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      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>4 North Central Florida Health Partners</BusinessNameLine1>
        </NameOfEntity>
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      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
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          <BusinessNameLine1>Citrus Memorial Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>502 W Highland Blvd</AddressLine1>
          <City>Inverness</City>
          <State>FL</State>
          <ZIPCode>34452</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
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        <StateRegulation>X</StateRegulation>
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        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
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      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>24</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Inverness Diagnostic Imaging Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>131 S Citrus Avenue</AddressLine1>
            <City>Inverness</City>
            <State>FL</State>
            <ZIPCode>34452</ZIPCode>
          </Address>
          <FacilityType>diagnostic imaging ctr</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Citrus Orthopedic &amp; Joint Institute</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>951 N Avalon Way</AddressLine1>
            <City>Lecanto</City>
            <State>FL</State>
            <ZIPCode>34461</ZIPCode>
          </Address>
          <FacilityType>rehabilitation clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Inverness Surgical Associates</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>403 W Highland Blvd</AddressLine1>
            <City>Inverness</City>
            <State>FL</State>
            <ZIPCode>34452</ZIPCode>
          </Address>
          <FacilityType>outpatient surgical clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Gulf Coast Aquatic &amp; Rehab</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6043 W Nordling Loop</AddressLine1>
            <City>Crystal River</City>
            <State>FL</State>
            <ZIPCode>34429</ZIPCode>
          </Address>
          <FacilityType>rehabilitation clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Gulf Coast Aquatic &amp; Rehab</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>819 Medical Court East</AddressLine1>
            <City>Inverness</City>
            <State>FL</State>
            <ZIPCode>34452</ZIPCode>
          </Address>
          <FacilityType>rehabilitation clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Citrus Memorial Home Health Agency</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>502 W Highland Blvd</AddressLine1>
            <City>Inverness</City>
            <State>FL</State>
            <ZIPCode>34452</ZIPCode>
          </Address>
          <FacilityType>home healthcare</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Allen Ridge Diagnostic Imaging Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>520 N Lecanto Hwy</AddressLine1>
            <City>Lecanto</City>
            <State>FL</State>
            <ZIPCode>34461</ZIPCode>
          </Address>
          <FacilityType>diagnostic imaging center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Citrus Springs Rehabilitation Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>10489 N Florida Avenue Suite F</AddressLine1>
            <City>Citrus Springs</City>
            <State>FL</State>
            <ZIPCode>34434</ZIPCode>
          </Address>
          <FacilityType>rehabilitation clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Citrus Primary Care - Beverly Hills</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>450 W Roosevelt Blvd</AddressLine1>
            <City>Beverly Hills</City>
            <State>FL</State>
            <ZIPCode>34465</ZIPCode>
          </Address>
          <FacilityType>outpatient physician clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Citrus Primary Care - Floral City</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7648 S Florida Avenue</AddressLine1>
            <City>Floral City</City>
            <State>FL</State>
            <ZIPCode>34436</ZIPCode>
          </Address>
          <FacilityType>outpatient physician clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Sugarmill Woods Diagnostic Imaging Ctr</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7945 S Suncoast Blvd</AddressLine1>
            <City>Homosassa</City>
            <State>FL</State>
            <ZIPCode>34446</ZIPCode>
          </Address>
          <FacilityType>diagnostic imaging center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Allen Ridge Family Care Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>540 N Lecanto Hwy</AddressLine1>
            <City>Lecanto</City>
            <State>FL</State>
            <ZIPCode>34461</ZIPCode>
          </Address>
          <FacilityType>outpatient physician clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Citrus Primary Care - Homosassa</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7945 S Suncoast Blvd</AddressLine1>
            <City>Homosassa</City>
            <State>FL</State>
            <ZIPCode>34446</ZIPCode>
          </Address>
          <FacilityType>outpatient physician clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Citrus Primary Care - Inverness</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>131 S Citrus Avenue</AddressLine1>
            <City>Inverness</City>
            <State>FL</State>
            <ZIPCode>34452</ZIPCode>
          </Address>
          <FacilityType>outpatient physician clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Citrus Primary Care - Crystal River</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>700 SE 5th Terrace Suite 7</AddressLine1>
            <City>Crystal River</City>
            <State>FL</State>
            <ZIPCode>34429</ZIPCode>
          </Address>
          <FacilityType>outpatient physician clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Citrus Primary Care - Citrus Springs</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>10334 N Citrus Springs Blvd</AddressLine1>
            <City>Citrus Springs</City>
            <State>FL</State>
            <ZIPCode>34434</ZIPCode>
          </Address>
          <FacilityType>outpatient physician clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Sugarmill Woods Family Care Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7945 S Suncoast Blvd</AddressLine1>
            <City>Homosassa</City>
            <State>FL</State>
            <ZIPCode>34446</ZIPCode>
          </Address>
          <FacilityType>outpatient physician clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Citrus Primary Care - Bushnell</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>417 Market Street 7</AddressLine1>
            <City>Bushnell</City>
            <State>FL</State>
            <ZIPCode>33513</ZIPCode>
          </Address>
          <FacilityType>outpatient physician clinic</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Beverly Hills Lab Collection Ctr</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>8 Regina Blvd</AddressLine1>
            <City>Beverly Hills</City>
            <State>FL</State>
            <ZIPCode>34465</ZIPCode>
          </Address>
          <FacilityType>laboratory draw station</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Citrus Hills Lab Collection Ctr</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1978 N Prospect Avenue</AddressLine1>
            <City>Lecanto</City>
            <State>FL</State>
            <ZIPCode>34461</ZIPCode>
          </Address>
          <FacilityType>laboratory draw station</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Dunnellon Lab Collection Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>11352 N Williams Street</AddressLine1>
            <City>Dunnellon</City>
            <State>FL</State>
            <ZIPCode>34432</ZIPCode>
          </Address>
          <FacilityType>laboratory draw station</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HomosassaSugarmill Woods Lab Col Ctr</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7945 S Suncoast Blvd</AddressLine1>
            <City>Homosassa</City>
            <State>FL</State>
            <ZIPCode>34446</ZIPCode>
          </Address>
          <FacilityType>laboratory draw station</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Inverness Laboratory Collection Ctr</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>131 S Citrus Avenue</AddressLine1>
            <City>Inverness</City>
            <State>FL</State>
            <ZIPCode>34452</ZIPCode>
          </Address>
          <FacilityType>laboratory</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Sugarmill Woods Rehabilitation Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7945 S Suncoast Blvd</AddressLine1>
            <City>Homosassa</City>
            <State>FL</State>
            <ZIPCode>34446</ZIPCode>
          </Address>
          <FacilityType>rehabilitation clinic</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, L7 Col(f): Bad debt expense at cost was determined by multiplying charges written off by the cost-to-charge ratio calculated using the methodology in Worksheet 2 of the instructions to this form. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Citrus Memorial Hospital</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Citrus Memorial Hospital</Identifier>
        <Explanation>Part V, Section B, Line 5c: The CHNA report is available for download on the Citrus County Hospital Board website at www.citruscountyhospitalboard.com/.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Citrus Memorial Hospital</Identifier>
        <Explanation>Part V, Section B, Line 7: The hospital is being sold to a for-profit entity. Tax funds have been withheld from the hospital, therefore, the hospital does not have sufficient resources to meet the needs of the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Citrus Memorial Hospital</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Citrus Memorial Hospital</Identifier>
        <Explanation>Part V, Section B, Line 20d: Patients are charged the same regardless of eligibility. Self-pay patients are given a 30% discount automatically.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: Citrus Memorial Health System ("CMHS") personnel is actively involved with the community and strives to "feel the pulse" of the county's needs. CMHS 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 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 for patients at no cost - otherwise they would have received no care. 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 discuss 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.CMHS 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 3: 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. We provided information on our sponsorship program and provide information on Medicaid to the needy in the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: 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, 32% of residents are older than 65 - Florida's average is 17.3% 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 $23,195 with the Florida average being $26,451. Citrus County residents have fewer years of education with only 16.35% of the population holding a bachelor's degree or higher with the Florida average being 26.16%. Citrus County has 139,271 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 5: 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 providing care 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 OP therapy. In addition, we also provide office space free of charge to the American Cancer Society ("ACS"). This office space on our campus enables the ACS to provide cancer patients with prosthesis and prosthetic fittings as well as wigs, hats and education materials. Please see schedule O for a more comprehensive list of our services.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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        <NamePerson>Mark A Willams</NamePerson>
        <Title>CFO</Title>
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        <NamePerson>Linda M McCarthy</NamePerson>
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        <NamePerson>Lee A Glotzback</NamePerson>
        <Title>CHRO</Title>
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        <NamePerson>Jerrald W DeLoach</NamePerson>
        <Title>COO</Title>
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        <NamePerson>Michael P Brown DO</NamePerson>
        <Title>Physician</Title>
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        <NamePerson>Farhaad C Golkar MD</NamePerson>
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        <NamePerson>John D Gelin MD</NamePerson>
        <Title>Physician</Title>
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        <NamePerson>Quehuong Pham Mast MD</NamePerson>
        <Title>Physician</Title>
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        <NamePerson>Marc E Fernandez MD</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>328195</BaseCompensationFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1b</ReturnReference>
        <Explanation>These amounts are paid in accordance with the employment contracts. There is no written policy regarding payment or provision of the benefits described above.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>Citrus County Hospital Board</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>596017150</IssuerEIN>
        <CUSIPNumber>NoneAvail</CUSIPNumber>
        <DateIssued>2008-09-01</DateIssued>
        <IssuePrice>10000000</IssuePrice>
        <DescriptionOfPurpose>See Part V</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
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        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceeds>10000000</TotalProceeds>
        <IssuanceCostsFromProceeds>55189</IssuanceCostsFromProceeds>
        <CapitalExpenditures>9944811</CapitalExpenditures>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
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        <BondReferenceCd>A</BondReferenceCd>
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        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
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        <NonQualifiedBondRemedProcdrs>0</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
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        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
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        <VariableRateIssue>1</VariableRateIssue>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
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      <Form990ScheduleKPartVI>
        <Identifier>Part I, Line B, Column F, Description of Purpose:</Identifier>
        <Explanation>(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.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Part I, Line 6:</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 8b</ReturnReference>
        <Explanation>The Foundation has no committees with the authority to act on behalf of the governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>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).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Fees</Identifier>
        <ReturnReference>Form 990, Part IX, line 11g</ReturnReference>
        <Explanation>Other Services: Program service expenses 17,430,691. Management and general expenses 2,837,929. Fundraising expenses 2,896. Total expenses 20,271,516.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 9:</ReturnReference>
        <Explanation>Contributions in Net Assets 163,822. Net Assets Released from Restrictions -36,028. Pension Plan Adjustments 18,417,800. Capital Contribution 393,736. Fundraising Activity not included on books -93,791.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Citrus County Hospital Board</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 1030</AddressLine1>
          <City>Inverness</City>
          <State>FL</State>
          <ZIPCode>34451</ZIPCode>
        </AddressUS>
        <EIN>596017150</EIN>
        <PrimaryActivities>Governmental Unit</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(1)</ExemptCodeSection>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Citrus Memorial Hospital Auxiliary</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>502 W Highland Blvd</AddressLine1>
          <City>Inverness</City>
          <State>FL</State>
          <ZIPCode>34452</ZIPCode>
        </AddressUS>
        <EIN>592774537</EIN>
        <PrimaryActivities>Support of Hospital</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Citrus Memorial Health Foundation Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Nature Coast Development Group-Crystal River</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>502 Highland Blvd</AddressLine1>
          <City>Inverness</City>
          <State>FL</State>
          <ZIPCode>34452</ZIPCode>
        </AddressUS>
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        <PrimaryActivity>Real Estate</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Citrus Memorial Health Foundation Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>excluded</PredominantIncomeType>
        <ShareOfTotalIncome>15623</ShareOfTotalIncome>
        <ShareOfEOYAssets>252592</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
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      </Form990ScheduleRPartIII>
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          <BusinessNameLine1>Nature Coast Development Group-Meadowcrest</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>502 Highland Blvd</AddressLine1>
          <City>Inverness</City>
          <State>FL</State>
          <ZIPCode>34452</ZIPCode>
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          <BusinessNameLine1>Citrus Memorial Health Foundation Inc</BusinessNameLine1>
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      <ExchangeOfAssets>0</ExchangeOfAssets>
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      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
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      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>