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      <Description>THE PRIMARY EXEMPT PURPOSE OF HEALTH FIRST, INC. IS TO SUPPORT CAPE CANAVERAL HOSPITAL, INC. (CCH), HOSPICE OF HEALTH FIRST, INC. (HHF), AND HOLMES REGIONAL MEDICAL CENTER, INC. (HRMC). HEALTH FIRST, INC. PROVIDES STRATEGIC PLANNING, MANAGEMENT AND ADMINISTRATIVE SUPPORT SERVICES TO CCH, HHF AND HRMC. MORE SPECIFICALLY, HEALTH FIRST ASSISTS ITS AFFILIATED ORGANIZATIONS WITH:1. COORDINATION OF PATIENT CARE SERVICES ACROSS ALL ITS HOSPITAL PROVIDER LOCATIONS TO REDUCE DUPLICATION OF RESOURCES AND INCREASE THE COST-EFFICIENCY OF PATIENT CARE OFFERED AT ANY HEALTH FIRST ENTITY;2. PROVISION OF ENHANCED CLINICAL, MARKETING, PLANNING, FINANCIAL AND ORGANIZATIONAL SERVICES AND EXPERTISE, AND;3. SERVICE AREA COMMUNITY HEALTH PLANNING TO ENSURE THAT COLLECTIVELY ALL HEALTH FIRST ENTITIES PROVIDE THE HEALTHCARE SERVICES REQUIRED TO MEET THE NEEDS OF RESIDENTS WHO LIVE IN CENTRAL AND SOUTH BREVARD COUNTY. ONE EXAMPLE OF ENHANCED CLINICAL CARE IS A SERVICE INTRODUCED BY HEALTH FIRST, INC. IN 1994 KNOWN AS VITALWATCH, CENTRAL FLORIDA'S ONLY "EICU" - ELECTRONIC INTENSIVE CARE UNIT. COMBINING TELEMEDICINE, SOFTWARE, AND 24/7 ELECTRONIC MONITORING TECHNOLOGY, THIS SERVICE OPERATED BY HEALTH FIRST, INC. PROVIDES INPATIENTS CARED FOR IN ALL CRITICAL CARE BEDS AT CCH AND HRMC AN EXTRA LAYER OF EXPERTISE AND OVERSIGHT. CRITICAL CARE PHYSICIANS AND NURSES AT A CENTRALIZED LOCATION MONITOR REAL-TIME VITAL SIGNS, LABORATORY RESULTS, AND COMPLETE ELECTRONIC MEDICAL RECORDS OF PATIENTS IN ALL INTENSIVE CARE UNITS (ICU) AT NO EXTRA COST TO THE PATIENTS.IF NECESSARY, THE VITALWATCH STAFF CAN ALSO DIRECT A PATIENT'S CARE ON THE SPOT VIA LIVE AUDIO AND VIDEO CONNECTIONS TO THE PATIENT'S ROOM. ALL INFORMATION IS TRANSMITTED OVER PRIVATE DATA LINES TO ENSURE PRIVACY AND SECURITY. BEYOND THE WALLS OF ITS HOSPITALS, HEALTH FIRST, INC. SUPPORTS THE BREVARD HEALTH ALLIANCE, THE ONLY FEDERALLY QUALIFIED HEALTHCARE CLINIC IN BREVARD COUNTY, WITH AN ANNUAL DONATION OF $1.1 MILLION IN CASH AND OVER $300,000 IN IN-KIND DIAGNOSTIC SERVICES. THIS FUNDING ALLOWS AREA RESIDENTS WITHOUT HEALTH INSURANCE TO ESTABLISH A MEDICAL HOME FOR PREVENTIVE AND EMERGENY HEALTHCARE SERVICES. IN ADDITION, HEALTH FIRST, INC. IS IN THE MIDST OF FULFILLING A NINE-YEAR PLEDGE OF DONATING ALMOST $2 MILLION TO BREVARD COMMUNITY COLLEGE TO EXPAND THE NURSING PROGRAM OFFERED TO STUDENTS AT THEIR PALM BAY CAMPUS. THIS FUNDING HAS EXPANDED THE CAPACITY OF THE COLLEGE TO PROVIDE MORE STUDENTS THE OPPORTUNITY TO PURSUE A DEGREE IN NURSING AND FILL JOBS AT HEALTH FIRST, INC., HOSPITALS AS WELL AS AT OTHER AREA HOSPITALS, NURSING FACILITIES AND OTHER HEALTHCARE ORGANIZATIONS.HEALTH FIRST, INC. ALSO PARTNERS WITH OTHER COMMUNITY ORGANIZATIONS IN PROGRAMS PROVIDING HEALTH SERVICES AND PREVENTATIVE CARE TO PATIENTS THAT HAVE LIMITED ACCESS TO PREVENTIVE OR PRIMARY HEALTHCARE SERVICES. ANOTHER FORM OF COMMUNITY SUPPORT IS THE CLINICAL TRAINING AND EDUCATION THAT HEALTH FIRST OFFERS TO PHYSICIANS, NURSING STUDENTS, TECHNICIANS AND OTHER HEALTH PROFESSIONALS.ADDITIONAL ACTIVITIES PROVIDED CCH, HHF AND HRMC BY HEALTH FIRST, INC. INCLUDE ADOPTING OVERALL BUDGETS AND STRATEGIC PLANS, CONTROLLING THE INCURRENCE OF DEBT, DIRECTING CAPITAL ACQUISITION STRATEGIES, DIRECTING MANAGED CARE PURCHASING ARRANGEMENTS AND DIRECTING OR APPROVING MERGERS AND ACQUISITIONS OF ADDITIONAL AFFILIATIONS WITHIN THE GROUP. FOR A COPY OF OUR HEALTH FIRST, INC. COMMUNITY BENEFIT REPORT SEE:HTTP://HFWWW1.HEALTH-FIRST.ORG/ABOUT_US/COMMUNITY_REPORT_2011/FILES/COMMUNITY_REPORT_2011.PDF</Description>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>226167</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>COMPENSATION IS PAID BY HEALTH FIRST, INC. AND REIMBURSED BY SUBSIDIARY TAX-EXEMPT ENTITIES. BECAUSE COMPENSATION IS REPORTED ON A CALENDAR YEAR BASIS AND HEALTH FIRST, INC.'S YEAR END IS SEPTEMBER 30, 2010, A PORTION OF THE COMPENSATION REPORT IN COLUMNS (B) WAS REPORTED IN THE PRIOR YEAR. SEE CORE 990, PART VI, SECTION B, NUMBER 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. AMOUNTS REPORTED IN COLUMN F REPRESENT DEFERRED COMPENSATION PREVIOUSLY REPORTED ON PRIOR YEARS' FORM 990.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>BREVARD COUNTY HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>592444629</IssuerEIN>
        <CUSIPNumber>10741LBP0</CUSIPNumber>
        <DateIssued>2005-12-14</DateIssued>
        <IssuePrice>173754107</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>BREVARD COUNTY HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>592444629</IssuerEIN>
        <DateIssued>2009-06-04</DateIssued>
        <IssuePrice>70000000</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>BREVARD COUNTY HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>592444629</IssuerEIN>
        <CUSIPNumber>10741LBX3</CUSIPNumber>
        <DateIssued>2009-07-01</DateIssued>
        <IssuePrice>84829591</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>BREVARD COUNTY HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>592444629</IssuerEIN>
        <DateIssued>2010-07-16</DateIssued>
        <IssuePrice>21835000</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>173754107</TotalProceeds>
        <IssuanceCostsFromProceeds>1363425</IssuanceCostsFromProceeds>
        <CapitalExpenditures>172390682</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>70000000</TotalProceeds>
        <IssuanceCostsFromProceeds>120000</IssuanceCostsFromProceeds>
        <CapitalExpenditures>69880000</CapitalExpenditures>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>0</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>84829591</TotalProceeds>
        <AmountInReserveFund>8585000</AmountInReserveFund>
        <IssuanceCostsFromProceeds>1224591</IssuanceCostsFromProceeds>
        <CapitalExpenditures>75000000</CapitalExpenditures>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>0</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>21835000</TotalProceeds>
        <IssuanceCostsFromProceeds>139921</IssuanceCostsFromProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.01520</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.01520</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>COMPASS BANK</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>7.000000000000</TermOfHedge>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 2</Identifier>
        <Explanation>DUE TO OVERLAP OF BOARD MEMBERSHIP AND/OR EMPLOYMENT ON RELATED ENTITIES, THE FOLLOWING INDIVIDUALS HAVE/HAS A BUSINESS RELATIONSHIP: A. THOMAS HOLLINGSWORTH NICHOLAS E. PELLEGRINO JAMES C. SHAW KEVIN S. PRUETT BRIAN J. BUSSEN LARRY F. GARRISON JUDITH A. GEORGE WILLIAM C. POTTER ROBERT C. GALLOWAY R. ROY WRIGHT</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND ONCE APPROVED IT IS DISTRIBUTED TO ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL BOD MEMBERS, OFFICERS, MANAGEMENT, AND ASSOCIATES IN WHICH THEY REVIEW AND SIGN THAT THEY HAVE AGREED TO THE TERMS NOTED IN THE POLICY ON AN ANNUAL BASIS. IN ADDITION, ALL MANAGEMENT, OFFICERS, AND BOD MEMBERS ON AN ANNUAL BASIS ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST QUESTIONNAIRE PREPARED AND MONITORED BY THE CHIEF COMPLIANCE OFFICER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>OUR CEO AND THE HEALTH FIRST EXECUTIVES' SALARIES ARE REVIEWED AND RECOMMENDED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND APPROVED IN EXECUTIVE SESSION BY THE FULL BOARD OF HEALTH FIRST. THE COMPENSATION COMMITTEE CONTRACTS ANNUALLY WITH AN INDEPENDENT CONSULTANT TO ENSURE THAT OUR EXECUTIVES ARE COMPENSATED FAIRLY AND COMPETITIVELY WHEN COMPARED TO SIMILAR ROLES IN OTHER HEALTHCARE ORGANIZATIONS NATIONALLY. THE COMPENSATION COMMITTEE IS INDEPENDENT FOR INTERNAL REVENUE CODE SECTION 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>QUARTERLY AND ANNUALLY CONSOLIDATED FINANCIALS AND CONSOLIDATED STATISTICAL INFORMATION IS FILED ELECTRONICALLY ON WWW.DACBOND.COM AND IS AVAILABLE TO THE PUBLIC. IN ADDITION, ANY REQUESTS MADE TO THE CHIEF FINANCIAL OFFICER FOR THE ABOVE REFERENCED ITEMS ARE PROVIDED UPON REQUEST IN A TIMELY MANNER. A COPY OF THE CONFLICTS OF INTEREST POLICY AND GOVERNING DOCUMENTS IS AVAILABLE UPON REQUEST TO THE COMPLIANCE OFFICER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VII, SECTION A</Identifier>
        <Explanation>COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILTIES AS BOARD MEMBERS, ADMINISTRATORS, AND/OR PHYSICIANS OF A RELATED ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VII, SECTION A, COLUMN B</Identifier>
        <Explanation>AVERAGE HOURS PER WEEK DEVOTED TO POSITIONS WITH RELATED ORGANIZATIONS: JERRY SENNE 40 HOURS JUDY GIZINSKI 40 HOURS R. ROY WRIGHT 40 HOURS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART XI, QUESTION 2B</Identifier>
        <ReturnReference>AUDITED FINANCIAL STATEMENTS</ReturnReference>
        <Explanation>HEALTH FIRST, INC.'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM AS PART OF THE CONSOLIDATED AUDIT OF HEALTH FIRST, INC. AND SUBSIDIARIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART XI, QUESTION 2C</Identifier>
        <ReturnReference>AUDITED FINANCIAL STATEMENTS</ReturnReference>
        <Explanation>THE AUDIT COMMITTEE OF HEALTH FIRST REVIEWS AND APPROVES THE ANNUAL AUDIT AND COMPLIANCE AUDIT PLANS THEN MAKES ITS REPORT TO THE HEALTH FIRST BOARD OF DIRECTORS. THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT AUDITORS. THERE WAS NO CHANGE FROM PRIOR YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART IV, QUESTION 24A</Identifier>
        <ReturnReference>BONDS ISSUED AFTER DECEMBER 31, 2002</ReturnReference>
        <Explanation>THE FILING ORGANIZATION IS PART OF AN OBLIGATED GROUP THAT HAD MORE THAN $100,000 IN BONDS ISSUED AFTER DECEMBER 31, 2002 OUTSTANDING ON THE LAST DAY OF ITS TAX YEAR. THE FILING ORGANIZATION'S AS THE PARENT OF THE OBLIGATED GROUP, IS FILING SCHEDULE K ON BEHALF OF ITSELF AND ALL MEMBERS OF THE OBLIGATED GROUP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, SCHEDULE K, PART I</Identifier>
        <ReturnReference>DESCRIPTION OF BOND ISSUE PURPOSE</ReturnReference>
        <Explanation>NOVEMBER 2005 BOND: 1. FINANCE OR REFINANCE THE COST OF ACQUISITION, CONSTRUCTION AND EQUIPPING OF CERTAIN CAPITAL IMPROVEMENTS TO THE HEALTH FACILITIES OF THE OBLIGATED GROUP 2. PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE BOND JUNE 2009 BOND: 1. FINANCE OR REFINANCE THE COST OF ACQUISITION, CONSTRUCTION AND EQUIPPING OF CERTAIN CAPITAL IMPROVEMENTS TO THE HEALTH FACILITIES OF THE OBLIGATED GROUP 2. PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE BOND JULY 2009 BOND: 1. FINANCE OR REFINANCE THE COST OF ACQUISITION, CONSTRUCTION AND EQUIPPING OF CERTAIN CAPITAL IMPROVEMENTS TO THE HEALTH FACILITIES OF THE OBLIGATED GROUP 2. PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE BOND 3. FUND DSR FUND JULY 2010 BOND - REFUNDING THE CAPE CANAVERAL HOSPITAL DISTRICT'S OUTSTANDING REVENUE REFUNDING CERTIFICATES, SERIES 1998</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, SCHEDULE R, PART V</Identifier>
        <ReturnReference>SCHEDULE R DISCLOSURES</ReturnReference>
        <Explanation>ALL TRANSACTIONS REPORTED IN THIS SECTION ARE BASED UPON CORPORATE BOOKS AND RECORDS WHICH ARE KEPT ACCORDING TO GENERALLY ACCEPTED ACCOUNTING STANDARDS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOLMES REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>590624371</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOSPICE OF HEALTH FIRST INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>591911574</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HEALTH FIRST FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>593528774</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CAPE CANAVERAL HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>592477479</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HICKORY ASSISTED LIVING LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <PrimaryActivity>RENTAL ACTIVITY</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CAPE HEALTH PROPERTIES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>593086711</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTH FIRST HOLDING COMPANY &amp; SUBS</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>593509709</EIN>
        <PrimaryActivity>HOLDING CORP.</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTH FIRST ASSISTED LIVING INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3300 FISKE BLVD</AddressLine1>
          <City>ROCKLEDGE</City>
          <State>FL</State>
          <ZIPCode>32955</ZIPCode>
        </AddressUS>
        <EIN>593453779</EIN>
        <PrimaryActivity>MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEALTH FIRST FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>1468952</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEALTH FIRST FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>164624</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPICE OF HEALTH FIRST INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1558555</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPE CANAVERAL HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>4002159</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOLMES REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>15177071</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HEALTH FIRST PHYSICIANS INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>115129</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPE CANAVERAL HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>