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        <ProgramServices>2250</ProgramServices>
        <ManagementAndGeneral>964</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
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        <Total>7832</Total>
        <ProgramServices>5874</ProgramServices>
        <ManagementAndGeneral>1958</ManagementAndGeneral>
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      <Interest>
        <Total>0</Total>
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      <PaymentsToAffiliates>
        <Total>0</Total>
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        <ManagementAndGeneral>21812</ManagementAndGeneral>
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        <Description>Provision for Bad Debt</Description>
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        <ProgramServices>935455</ProgramServices>
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        <Total>-107233</Total>
        <ManagementAndGeneral>-107233</ManagementAndGeneral>
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        <Fundraising>0</Fundraising>
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      <LandBuildingsEquipmentBasis>1406519</LandBuildingsEquipmentBasis>
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        <BOY>67167</BOY>
        <EOY>67167</EOY>
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      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
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      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
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      <Form990ScheduleJPartII>
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        <NamePerson>ANGELO N INCORVAIA</NamePerson>
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        <NamePerson>SAMANTHA E KWON</NamePerson>
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      <Form990ScheduleJPartIII>
        <Identifier>Schedule J</Identifier>
        <ReturnReference>SUPPLEMENTAL INFORMATION</ReturnReference>
        <Explanation>SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS RECEIVED FROM THE PLAN FOR THE FOLLOWING: ROBERT HILL $ 1,443,650 ROGER KIRK $ 252,654 JOANNE AQUILINA $ 5,984 ROBERT BROADWAY $ 471 CONTRIBUTIONS INTO THE PLAN FOR THE FOLLOWING: ROBERT HILL $ 255,358 ROGER KIRK $ 96,452</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
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        <NamePerson>DRANGELO N CORVAIA</NamePerson>
        <PurposeOfLoan>PURCHASE EQUIP</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>64596</OriginalPrincipalAmount>
        <BalanceDue>40862</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>40862</TotalBalanceDue>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF RELATIONSHIPS</Identifier>
        <Explanation>FORM 990, PART VI, QUESTION 2 ROBERT B HILL, ROGER L KIRK, JOANNE AQUILINA, AND ROBERT BROADWAY HAVE A BUSINESS RELATIONSHIP. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 THE ORGANIZATION HAS ONE SOLE MEMBER, BETHESDA HEALTHCARE SYSTEM, INC., A FLORIDA NON-FOR-PROFIT ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A BETHESDA HEALTHCARE SYSTEM INC. APPROVES THE MEMBERS OF THE GOVERNING BODY. CLASSES OF PERSONS, DECISIONS REQUIRING APPR &amp; TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B ANY OF THE FOLLOWING SIGNIFICANT ORGANIZATIONAL OR OPERATIONAL CHANGES WOULD BE SUBJECT TO APPROVAL BY THE SOLE MEMBER OF THE CORPORATION WHICH IS BETHESDA HEALTHCARE SYSTEM, INC.; -1) ADOPTING A PLAN OF DISSOLUTION OF THE CORPORATION; -2) AUTHORIZING THE CORPORATION TO ENGAGE IN, OR ENTER INTO, ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; -3) ADOPTING A PLAN OF REORGANIZATION OR THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY; -4) APPOINTING OR REMOVING THE ATTORNEYS OR INDEPENDENT AUDITORS OF THE CORPORATION; -5) APPOINTING OR REMOVING THE TRUSTEES; -6) ADOPTING OR AMENDING THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; -7) ADOPTING OR PERMITTING ANY CHANGES TO ANY STRATEGIC MASTER PLANS OR POLICIES OF THE CORPORATION; -8) AUTHORIZING THE ACQUISITION, SALE, TRANSFER, OR OTHER DISPOSITION OF ANY ASSETS EXCEPT IN ORDINARY COURSE OF BUSINESS; -9) AUTHORIZING THE FILING OF ANY PETITION IN BANKRUPTCY; -10) ADOPTING MARKETING AND BUSINESS STRATEGIES FOR THE CORPORATION. DESCRIBE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11A THE CHIEF FINANCIAL OFFICER OF THE ORGANIZATION REVIEWS THE FORM 990 AND ALL REQUIRED SUPPORTING SCHEDULES. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF TRUSTEES OF THE ORGANIZATION PRIOR TO FILING WITH THE IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C AS PART OF THE WRITTEN AGENDA OF THE REGULAR MEETINGS OF THE BOARD OF TRUSTEES IS AN ITEM LABELED CONFLICT OF INTEREST DISCLOSURE. THE CHAIRMAN OF THE BOARD, UPON CALLING THE MEETING TO ORDER, REQUESTS THAT ANY BOARD MEMBER WHO HAS A CONFLICT OF INTEREST DISCLOSURE ON ANY ITEM ON THE AGENDA TO DECLARE THE CONFLICT AND LEAVE THE ROOM DURING THE DISCUSSION RELATED TO THAT TOPIC OR ITEM ON THE AGENDA. ADDITIONALLY, DURING THE MEETING, IF ANY ITEM NOT ON THE AGENDA WERE DISCUSSED, ANY BOARD MEMBER WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WOULD BE REQUIRED TO DECLARE SUCH CONFLICT AT THAT TIME AND LEAVE THE ROOM DURING THE DISCUSSION. ANNUALLY, EACH MEMBER OF THE BOARD OF TRUSTEES IS REQUIRED TO FILE A WRITTEN, SIGNED AND DATED CONFLICT OF INTEREST STATEMENT LISTING ANY AND ALL CONFLICTS OF INTEREST. OFFICES &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A ALL OF THE MENTIONED POSITIONS ARE SUBJECT TO BETHESDA HEALTHCARE SYSTEM'S ANNUAL EMPLOYEE REVIEW PROCESS. THE PRESIDENT/CEO OF BETHESDA HEALTHCARE SYSTEM PROVIDES A REVIEW OF PERFORMANCE FOR ALL NOTED POSITIONS EXCEPT HIMSELF. THE PRESIDENT OF THE BETHESDA HEALTHCARE SYSTEM RECOMMENDS TO THE BOARD OF THE BETHESDA HEALTHCARE SYSTEM, INC. COMPENSATION AND BENEFIT LEVELS TO BE PROVIDED FOR THE NOTED POSITIONS. THE BOARD OF TRUSTEES OF BETHESDA HEALTHCARE SYSTEM ANNUALLY APPOINTS THE PRESIDENT/CEO OF BETHESDA HEALTHCARE SYSTEM TO A ONE-YEAR TERM AND ESTABLISHES AND APPROVES THE COMPENSATION OF THE PRESIDENT/CEO. THE BOARD OF TRUSTEES OF BETHESDA HEALTHCARE SYSTEM PERIODICALLY ENGAGES AN INDEPENDENT OUTSIDE PROFESSIONAL COMPENSATION FIRM TO REVIEW COMPENSATION AND BENEFIT LEVELS OF THE PRESIDENT, EXECUTIVE VICE-PRESIDENT/COO AND CHIEF FINANCIAL OFFICER OF THE BETHESDA HEALTHCARE SYSTEM. THE CONSULTING FIRM WORKS INDEPENDENTLY OF MANAGEMENT AND REPORTS THE INFORMATION DIRECTLY TO THE TRUSTEES OF BETHESDA HEALTHCARE SYSTEM. THE CONSULTING FIRM PROVIDES DETAILED COMPENSATION AND BENEFIT DATA FOR COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A REGIONAL AND NATIONAL BASIS. BASED ON THE COMPENSATION PHILOSOPHY OF THE BOARD OF TRUSTEES OF THE BETHESDA HEALTHCARE SYSTEM AS IT RELATES TO THE MARKET IN GENERAL AND ON SPECIFIC COMPENSATION LEVELS NOTED AS THE RESULT OF THE CONSULTING ENGAGEMENT, THE BOARD OF TRUSTEES OF BETHESDA HEALTHCARE SYSTEM SETS THE COMPENSATION AND BENEFITS OF THE POSITIONS NOTED ABOVE. THE PROCESS WAS UNDERTAKEN FOR THE CURRENT YEAR. OFFICES &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15B ALL OF THE MENTIONED POSITIONS ARE SUBJECT TO BETHESDA HEALTHCARE SYSTEMS ANNUAL EMPLOYEE REVIEW PROCESS. THE VICE PRESIDENT OF HUMAN RESOURCES RECOMMENDS TO THE PRESIDENT/CEO AND EXECUTIVE VICE PRESIDENT/COO OF THE BETHESDA HEALTHCARE SYSTEM, INC. COMPENSATION AND BENEFIT LEVELS TO BE PROVIDED FOR THE NOTED POSITIONS. THE VICE PRESIDENT OF HUMAN RESOURCES PERIODICALLY ENGAGES AN INDEPENDENT OUTSIDE PROFESSIONAL COMPENSATION FIRM TO REVIEW COMPENSATION AND BENEFIT LEVELS OF THESE AND OTHER MANAGEMENT LEVEL POSITIONS. THE CONSULTING FIRM WORKS INDEPENDENTLY OF MANAGEMENT AND PROVIDES DETAILED COMPENSATION AND BENEFIT DATA FOR COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A REGIONAL AND NATIONAL BASIS. BASED ON THE COMPENSATION PHILOSOPHY OF THE BOARD OF TRUSTEES OF THE BETHESDA HEALTHCARE SYSTEM AS IT RELATES TO THE MARKET IN GENERAL AND ON SPECIFIC COMPENSATION LEVELS NOTED AS THE RESULT OF THE CONSULTING ENGAGEMENT, THE PRESIDENT/CEO AND EXECUTIVE VICE PRESIDENT/COO OF BETHESDA HEALTHCARE SYSTEM SETS THE COMPENSATION AND BENEFITS OF THE POSITIONS NOTED ABOVE. THE PROCESS WAS UNDERTAKEN FOR THE CURRENT YEAR. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, &amp; FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE GOVERNING DOCUMENTS OF THE ORGANIZATION, ITS CONFLICT OF INTEREST POLICY AND ITS FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. DEPENDING ON THE QUANTITY OF THE REQUEST, A MINIMAL FEE MAY APPLY. HOURS WORKED FOR RELATED ORGANIZATION FORM 990, PART VII, SECTION A, COLUMN B ESTIMATED HOURS WORKED BY OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AT RELATED ENTITIES: BETHESDA MEMORIAL HOSPITAL ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA HEALTHCARE SYSTEM, INC. ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURS BETHESDA HEALTH CITY ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURS BETHESDA HOSPITAL FOUNDATION ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURS BETHESDA MEMORIAL SELF INSURANCE MALPRACTICE ROBERT B. HILL - 2 HOURS BETHESDA MEMORIAL SELF INSURANCE WORKMAN'S COMP ROBERT B. HILL - 2 HOURS BETHESDA PAYROLL SERVICES ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURS WOMEN'S DIAGNOTIC CENTER OF BETHESDA ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURS</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>Bethesda Healthcare System Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2815 S Seacrest Blvd</AddressLine1>
          <City>Boynton Beach</City>
          <State>FL</State>
          <ZIPCode>33435</ZIPCode>
        </AddressUS>
        <EIN>592447553</EIN>
        <PrimaryActivities>Support Org</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BETHESDA MEMORIAL HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2815 S SEACREST BLVD</AddressLine1>
          <City>BOYNTON BEACH</City>
          <State>FL</State>
          <ZIPCode>33435</ZIPCode>
        </AddressUS>
        <EIN>592447554</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BETHESDA HEALTH CITY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2815 S SEACREST BLVD</AddressLine1>
          <City>BOYNTON BEACH</City>
          <State>FL</State>
          <ZIPCode>33435</ZIPCode>
        </AddressUS>
        <EIN>650561263</EIN>
        <PrimaryActivities>O/P MED SVCS</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WOMEN'S DIAGNOSTIC CENTER BETHESDA INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2815 S SEACREST BLVD</AddressLine1>
          <City>BOYNTON BEACH</City>
          <State>FL</State>
          <ZIPCode>33435</ZIPCode>
        </AddressUS>
        <EIN>592771779</EIN>
        <PrimaryActivities>O/P MED SVCS</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BETHESDA HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2815 S SEACREST BLVD</AddressLine1>
          <City>BOYNTON BEACH</City>
          <State>FL</State>
          <ZIPCode>33435</ZIPCode>
        </AddressUS>
        <EIN>596137805</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BETHESDA SELF-INSURANCE TRUST - WC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2815 S SEACREST BLVD</AddressLine1>
          <City>BOYNTON BEACH</City>
          <State>FL</State>
          <ZIPCode>33435</ZIPCode>
        </AddressUS>
        <EIN>656232797</EIN>
        <PrimaryActivities>SELF INS TRST</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BETHESDA SELF-INSURANCE TRUST - GEN LIAB</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2815 S SEACREST BLVD</AddressLine1>
          <City>BOYNTON BEACH</City>
          <State>FL</State>
          <ZIPCode>33435</ZIPCode>
        </AddressUS>
        <EIN>592447554</EIN>
        <PrimaryActivities>SELF INS TRST</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BETHESDA SELF-INS TRUST - MALPRACTICE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2815 S SEACREST BLVD</AddressLine1>
          <City>BOYNTON BEACH</City>
          <State>FL</State>
          <ZIPCode>33435</ZIPCode>
        </AddressUS>
        <EIN>656232796</EIN>
        <PrimaryActivities>SELF INS TRST</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BETHESDA PAYROLL SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2815 S SEACREST BLVD</AddressLine1>
          <City>BOYNTON BEACH</City>
          <State>FL</State>
          <ZIPCode>33435</ZIPCode>
        </AddressUS>
        <EIN>650523164</EIN>
        <PrimaryActivities>PAYROLL SUPP</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Care Services of Bethesda</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2500 Quantum Lakes Dr</AddressLine1>
          <City>Boynton Beach</City>
          <State>FL</State>
          <ZIPCode>33426</ZIPCode>
        </AddressUS>
        <EIN>201745631</EIN>
        <PrimaryActivity>MEDICRE HOME HLTH</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Bethesda Holding Company Inc and Subs</BusinessNameLine1>
        </NameOfRelatedOrg>
        <EIN>592663767</EIN>
        <PrimaryActivity>Inv in PBC</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Bethesda Health City Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>j</TransactionType>
        <AmountInvolved>168568</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Bethesda Memorial Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>1748182</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Bethesda Memorial Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>114783</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Bethesda Payroll Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>4766869</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>