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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIN RANEY</PersonNm>
        <TitleTxt>CHIEF ADMINISTRATIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>342560</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>66810</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK RASNAKE MD</PersonNm>
        <TitleTxt>PROGRAM DIRECTOR, INT. MED</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>341212</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39745</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ILIA ECHEVARRIA RN</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER NNH</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>314783</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37807</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAGALI PALMA</PersonNm>
        <TitleTxt>CHIEF ASSISTANT OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>293882</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48940</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARA HAMMOND</PersonNm>
        <TitleTxt>CHIEF IMPACT OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>292265</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33890</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER HART</PersonNm>
        <TitleTxt>CHIEF CULTURE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>263294</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48019</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMMAR ABU SULB MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>267586</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36632</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KELLY GEIGER</PersonNm>
        <TitleTxt>R.N.</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>238976</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39263</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA YERGER</PersonNm>
        <TitleTxt>R.N.</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>248097</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28585</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREGORY DESROSIERS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>250082</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4665</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL RILEY TERM 1120</PersonNm>
        <TitleTxt>FORMER CHIEF STRATEGY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>158484</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW HEINLE START 1124</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFFICER &amp; GEN COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>72905</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>949</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT LUTGERT</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN BEEBE</PersonNm>
        <TitleTxt>1ST VICE CHAIRMAN/SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL WYNN</PersonNm>
        <TitleTxt>2ND VICE CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KERRY EDWARDS</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAY BAKER</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN EINHORN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER LUTHRINGER MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BLAKE GABLE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE MCNULTY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BILL PEREZ</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURIE COWAN PHILLIPS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMBASSADOR FRANCIS ROONEY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVEY SCOON</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANICE TEAL</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>11850364</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>880467</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>698</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DEANGELIS DIAMOND CONSTRUCTION INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6635 WILLOW PARK DRIVE</AddressLine1Txt>
            <CityNm>NAPLES</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34109</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GENERAL CONTRACTOR</ServicesDesc>
        <CompensationAmt>73286555</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ENSEMBLE RCM LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 639076</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45263</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REVENUE CYCLE SUPPORT</ServicesDesc>
        <CompensationAmt>48482753</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SODEXO INC AND AFFLIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 536922</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303535022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIETARY AND ENVIRONMENTAL SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EPIC SYSTEMS CORPORTATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 88314</AddressLine1Txt>
            <CityNm>MILWAUKEE</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>532880314</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SUPPORT</ServicesDesc>
        <CompensationAmt>10333566</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SODEXO CTM LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 415000</AddressLine1Txt>
            <CityNm>NASHVILLE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>372415000</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EQUIPMENT MAINTENANCE SERVICES</ServicesDesc>
        <CompensationAmt>6500319</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>93</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>797645</FundraisingAmt>
      <AllOtherContributionsAmt>48283850</AllOtherContributionsAmt>
      <NoncashContributionsAmt>6824991</NoncashContributionsAmt>
      <TotalContributionsAmt>49081495</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>859096157</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>859096157</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>859096157</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>4491804</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-177564</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4669368</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>1138654</TotalRevenueColumnAmt>
        <ExclusionAmt>1138654</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>1598181</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>169271</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1428910</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1428910</TotalRevenueColumnAmt>
        <ExclusionAmt>1428910</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>84579725</SecuritiesAmt>
        <OtherAmt>52314</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>83728471</SecuritiesAmt>
        <OtherAmt>119049</OtherAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>851254</SecuritiesAmt>
        <OtherAmt>-66735</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>784519</TotalRevenueColumnAmt>
        <ExclusionAmt>784519</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>1045274</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>797645</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>444498</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>600776</TotalRevenueColumnAmt>
        <ExclusionAmt>600776</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>DIETARY</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>4005016</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4005016</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>WELLNESS CENTER</Desc>
        <BusinessCd>713940</BusinessCd>
        <TotalRevenueColumnAmt>4003088</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4003088</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MEDICAL STAFF</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>264447</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>264447</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NAPLES COMMUNITY HOSPITAL, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: CHNA TAKING INTO ACCOUNT INPUT FROM THE COMMUNITYTHE NCH LEADERSHIP TEAM IS ACTIVELY INVOLVED AND PARTICIPATES IN MANY COMMUNITY RELATED ORGANIZATIONS AND GROUPS THAT ARE CONTINUALLY ASSESSING UNMET NEEDS WITHIN COLLIER COUNTY. NCH HAS HISTORICALLY WORKED WITH OUR BOARD OF TRUSTEES, COLLIER COUNTY CHILDREN'S ALLIANCE, COLLIER COUNTY PUBLIC SCHOOLS, BLUE ZONES PROJECT OF SWFL AND OTHER AGENCIES THROUGHOUT THE COMMUNITY IN ASSESSING AND COLLABORATING IN EFFORTS TO IMPROVE THE HEALTH OF OUR COMMUNITY.NCH WORKS COLLABORATIVELY WITH THE FLORIDA DEPARTMENT OF HEALTH IN COLLIER COUNTY, THE COUNTY AND CITY GOVERNMENT, THE NAPLES AREA CHAMBER OF COMMERCE AND SEVERAL OTHER COMMUNITY GROUPS TO FORM THE COMMUNITY ASSESSMENT DESIGN GROUP. THE PURPOSE IS TO ASSESS THE COMMUNITY'S STRENGTHS AND OPPORTUNITIES. A NEW COMMUNITY HEALTH ASSESSMENT WAS COMPLETED IN 2022. THE 2024-2028 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) PRIORITIES WERE ESTABLISHED BY THE HEALTHY COLLIER EXECUTIVE COMMITTEE BASED ON THE RESULTS FROM THE 2022 CHA. DOH-COLLIER FACILITATED THE CHIP PROCESS BY USING THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) STRATEGIC PLANNING MODEL. USING THE MOBILIZING FOR ACTION THROUGH THE PLANNING AND PARTNERSHIP (MAPP) FRAMEWORK, THE LEADERSHIP FOR COMMUNITY HEALTH IMPROVEMENT PLANNING (LCHIP) COMMITTEE REVIEWED THE 2022 COMMUNITY HEALTH ASSESSMENT (CHA) AND HELD DISCUSSIONS REGARDING GROUP PRIORITIES AND OBJECTIVES GOING FORWARD. THE COMMITTEE AGREED THAT THE RESULTS STRONGLY CORROBORATED THE RESULTS OF OTHER RECENT COMMUNITY ASSESSMENTS AND ACCURATELY REFLECT THE NEEDS OF COLLIER COUNTY.THE CHIP WAS THEN SHAPED USING THE FIVE HIGHEST RANKED HEALTH PRIORITY AREAS FROM THE CHA RESULTS. THEY INCLUDE MENTAL HEALTH, ACCESS TO CARE, CHRONIC DISEASES, HEALTH OF OLDER ADULTS, AND ALCOHOL AND DRUG USE. MENTAL HEALTH AND ALCOHOL &amp; DRUG USE WERE COMBINED INTO THE MENTAL HEALTH &amp; SUBSTANCE ABUSE WORKGROUP. THE WORKGROUPS HOLD QUARTERLY MEETINGS TO REVIEW CURRENT PUBLIC HEALTH DATA, TRACK THE STATUS OF IMPLEMENTATION EFFORTS, AND IDENTIFY OBSTACLES AND NEEDS FOR ADDITIONAL INFORMATION. THE WORKGROUPS ADDITIONALLY CONDUCT ANNUAL REVIEWS OF HEALTH INDICATORS AND INFORMATION RELEVANT TO THEIR HEALTH PRIORITY AREA.HEALTH PRIORITY: MENTAL HEALTH AND SUBSTANCE ABUSEGOAL: IMPROVE IDENTIFICATION AND TREATMENT OF BEHAVIORAL HEALTH CONCERNS AND SUBSTANCE USE DISORDERS.OBJECTIVES:1. INCREASE THE COMBINED (HCN AND DLC) PERCENTAGE OF REFERRAL STATUS UPDATES GIVEN TO MEDICAL PROVIDERS WHO REFERRED PATIENTS FOR MENTAL HEALTH SERVICES FROM 87% IN 2024 TO 90% BY JUNE 30, 2028. PROGRESS: AT THE END OF 2025, THE PERCENTAGE DECREASED TO 75%.2. INCREASE THE NUMBER OF INDIVIDUALS TRAINED PER YEAR IN YOUTH AND ADULT MENTAL HEALTH FIRST AID FROM 2,937 IN 2022 TO 3,000 BY DECEMBER 31, 2025. PROGRESS: THE NUMBER OF INDIVIDUALS TRAINED IN 2025 WERE 559.3. INCREASE THE NUMBER OF RESOURCE LISTS FROM 0 TO 1 AND UPDATE INFORMATION QUARTERLY THROUGH JUNE 30, 2028. PROGRESS: AT THE END OF 2025, 1 RESOURCE LIST WAS COMPLETED.4. INCREASE THE NUMBER OF NEW HCN PCAT PATIENTS BY 15% FROM 35 IN 2024, BY SEPTEMBER 2026. PROGRESS: AT THE END OF 2025, THE PERCENTAGE INCREASED TO 41%.5. INCREASE THE ANNUAL NUMBER OF PARTICIPANTS IN THE AGING GRACEFULLY CLASS FROM 114 IN 2024 TO 150 BY DECEMBER 31, 2025. PROGRESS: THE NUMBER OF PARTICIPANTS WERE 110 AT THE END OF 2025.6. INCREASE THE NUMBER OF COMPLETED CORE CHECKLIST ITEMS FROM 11 IN 2023 TO 22 BY THE END OF 2028. PROGRESS: AT THE END OF 2025, THE ITEMS INCREASED TO 14.7. INCREASE COMMUNITY ENGAGEMENT OF AT-RISK POPULATIONS FROM 9 ANNUAL OUTREACH EVENTS IN 2023 TO 20 BY JUNE 30, 2028. PROGRESS: BY THE END OF 2025, THE NUMBER OF EVENTS TOTALED 26.8. MAINTAIN THE NUMBER OF HUMAN TRAFFICKING EDUCATION PRESENTATIONS DELIVERED TO COMMUNITY SERVICE ORGANIZATIONS IN COLLIER COUNTY FROM 15 TO 30 COMMPLETED ANNUALLY THROUGH JUNE 30, 2028. PROGRESS: AT THE END OF 2025, THE NUMBER OF PRESENTATIONS TOTALED 21.HEALTH PRIORITY: ACCESS TO CAREGOAL: IMPROVE ACCESS TO HEALTH RESOURCES FOR EVERYONE IN COLLIER COUNTY.OBJECTIVE:1. INCREASE THE NUMBER OF UNINSURED RESIDENTS PER YEAR IN COLLIER COUNTY WHO RECEIVED A BLOOD PRESSURE SCREENING FROM 15,709 IN 2024 TO 16,000 BY DECEMBER 31, 2025. PROGRESS: AT THE END OF 2025, 20,933 UNINSURED RESIDENTS RECEIVED BLOOD PRESSURE SCREENINGS.2. INCREASE THE AVERAGE NUMBER OF DAILY ACTIVE USERS ON THE COLLIER CARES APP FROM 12 IN 2022 TO 20 BY DECEMBER 31, 2025. PROGRESS: AT THE END OF 2025, THE DATA WAS UNAVAILABLE.3. MAINTAIN THE PROPORTION OF ADOLESCENTS AND ADULTS AGED 13 YEARS AND OLDER WITH NEWLY DIAGNOSED HIV LINKED TO HIV MEDICAL CARE WITHIN ONE MONTH AT 85% OR HIGHER THROUGH DECEMBER 31, 2027. PROGRESS: THE DATA WAS UNAVAILABLE AT THE END OF 2025.4. INCREASE THE ANNUAL NUMBER OF SERVICES PROVIDED TO CALLERS OF THE PROJECT HELP CERTIFIED SEXUAL ASSAULT CRISIS HELP LINE FROM 3,678 TO 6,598 BY DECEMBER 31, 2026. PROGRESS: AT THE END OF 2025, THE NUMBER OF SERVICES WAS 2,189.5. INCREASE ANNUAL ENROLLMENT OF NEW PATIENTS INTO THE HIGH-RISH MATERNITY CARE PROGRAM FROM 0 IN 2022 TO 177 BY DECEMBER 31, 2026. PROGRESS: BY THE END OF 2025, THE NUMBER OF NEW PATIENTS TOTALED 553.HEALTH PRIORITY: CHRONIC DISEASESGOAL: INCREASE THE IMPACT OF EVIDENCE-BASED PROGRAMS THAT PROMOTE HEALTHY CHOICES AND REDUCE CHRONIC DISEASE RISK FACTORS.OBJECTIVES:1. INCREASE THE NUMBER OF ORGANIZATIONS USING THE HUNGER VITAL SIGN SCREENING TOOL AS A STANDARD PRACTICE FROM 0 IN 2023 TO 2 BY DECEMBER 31, 2025. PROGRESS: THE NUMBER OF ORGANIZATIONS TOTALED 1 AT THE END OF 2025.2. INCREASE THE ANNUAL NUMBER OF YOUTH REFERRALS TO THE TOGETHERHOOD INITIATIVE FROM 447 IN 2022 TO 550 BY THE END OF 2025. PROGRESS: AT THE END OF 2025, THE NUMBER OF REFERRALS WAS NOT AVAILABLE.3. INCREASE THE NUMBER OF MUNICIPALITIES IN COLLIER COUNTY WITH TOBACCO-FREE PARKS AND BEACHES POLICIES FROM 1 IN 2023 TO 3 BY THE END OF 2028. PROGRESS: FOR 2025, THERE WERE NO ADDITIONAL PARTICPANTS IN THIS PROGRAM.HEALTH PRIORITY: HEALTH OF OLDER ADULTSGOAL: INCREASE CAPACITY FOR OLDER ADULTS (AGE 60+) TO COMFORTABLY AND SAFELY AGE IN PLACE WITH APPROPRIATE RESOURCES IN A LIVABLE COMMUNITY.OBJECTIVES:1. INCREASE THE PERCENTAGE OF AGE-FRIENDLY COLLIER ACTION ITEMS WITH A CURRENT QUARTERLY UPDATE FROM 75% IN 2022 TO 85% BY DECEMBER 2026. PROGRESS: AS OF THE END OF 2025, THE PERCENTAGE INCREASED TO 85%.2. COMPLETE 100% OF THE STEPS REQUIRED TO DEVELOP AND HOST THE DEMENTIA CARE AND CURE (DCCI) CAREGIVER CONFERENCE ANNUALLY. PROGRESS: AT THE END OF 2025, 100% OF THE STEPS WERE COMPLETED. THE CHIP SERVES AS A ROADMAP FOR CONTINUOUS IMPROVEMENT. THE CHIP WILL CONTINUE TO EVALUATE THE NEEDS OF THE COMMUNITY AND BY WORKING TOGETHER, WE CAN HAVE A SIGNIFICANT IMPACT ON COLLIER COUNTY'S HEALTH AND WELL-BEING AWARENESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NAPLES COMMUNITY HOSPITAL, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: CHNA CONDUCTED WITH ONE OR MORE HOSPITAL FACILITIESAS PART OF AN INTEGRATED HEALTHCARE SYSTEM, THE CHNA FOR NAPLES COMMUNITY HOSPITAL AND MARCO ISLAND HOSPITAL WAS PREPARED JOINTLY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NAPLES COMMUNITY HOSPITAL, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: ADDRESSING THE NEEDS IDENTIFIED IN THE CHNATHE CHNA IDENTIFIED PROBLEM AREAS THAT NEEDED TO BE ADDRESSED. THESE INCLUDED COMMUNICABLE AND INFECTIOUS DISEASES, HEALTH BEHAVIORS AND OUTCOMES, CHRONIC DISEASE AND MORTALITY, PREVENTABLE MORTALITY, INJURIES, MATERNAL AND INFANT HEALTH.UPON REVIEW OF THE FINDINGS OF THE CHNA, THE NCH LEADERSHIP TEAM CAME UP WITH AN IMPLEMENTATION STRATEGY TO FOCUS ON THREE KEY AREAS WHICH INCLUDED ACCESS TO CARE, CHRONIC DISEASE, AND HEALTH OF OLDER ADULTS.ACCESS TO CAREEXPAND ACCESS CENTER: EXPAND ACCESS CENTER TO INCLUDE MORE CLINICS, HOSPITAL DISCHARGE FOLLOW UP CALLS, AND CENTRALIZED AUTHORIZATION AND REFERRALS HUB TO DRIVE QUICKER ACCESS. METHOD OF EVALUATION WILL BE CALL VOLUMES AND RESPONSE TIMES.EXPAND ACCESS TO HEALTHCARE IN COLLIER COUNTY: CONTINUE TO EXPAND SERVICES IN AVE MARIA INCLUDING CLINIC OFFERINGS AND PLANNING FOR A FREE-STANDING ED; COMPLETE ASSESSMENT FOR THE DEVELOPMENT OF A RANDALL CURVE SERVICE LOCATION; OPEN NEW URGENT CARE AND EXPAND OUTPATIENT CARE ON MARCO ISLAND. METHOD OF EVALUATION WILL BE SERVICE VOLUMES.WORK WITH PROVIDERS AND LEVERAGE EPIC TOOLS TO INCREASE ACCESS: WORK WITH PROVIDERS TO CREATE ADDITIONAL AVAILABILITY BY OPTIMIZING THEIR SCHEDULES; CONTINUE TO USE THE FULL EPIC SUITE TO INCREASE ACCESS, INCLUDING BOTH DIRECT AND OPEN SCHEDULING CAPABILITIES IN MYCHART. METHOD OF EVALUATION WILL BE SERVICE VOLUMES.PAYOR RELATIONSHIPS: WORK WITH PAYORS TO ASSESS THE EXPANSION OF HEALTHCARE SERVICES AT NCH LOCATIONS TO INCREASE ACCESS. METHOD OF EVALUATION WILL BE SERVICE VOLUMES.CHRONIC DISEASEOPEN NEW CARDIOVASCULAR AND STROKE CENTER: EXPAND CARDIOLOGY SERVICES VIA THE NEW SCHULZE CENTER IN DOWNTOWN NAPLES AND ADD EP/CATH LABS IN NORTH NAPLES. METHOD OF EVALUATION WILL BE SERVICE VOLUMES.EXPLORE STANDARDIZATION OF NURSE NAVIGATION PROGRAM: ASSESS STANDARDIZATION OF NURSE NAVIGATOR PROGRAMS TO IMPROVE CHRONIC DISEASE OUTCOMES INCLUDING READMISSION RATES. METHOD OF EVALUATION WILL BE QUALITY METRICS.START COMPREHENSIVE ONCOLOGY PROGRAM: EXPAND EXISTING ONCOLOGY SERVICES TO INCLUDE GYNECOLOGICAL, MEDICAL, AND RADIATION ONCOLOGY CLINICS. METHOD OF EVALUATION WILL BE SERVICE VOLUMES.HEALTH OF THE OLDER ADULTSMAINTAIN GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION (GEDA): ELEVATE ED GERIATRIC CERTIFICATION FROM BRONZE TO SILVER. METHOD OF EVALUATION WILL BE TO MAINTAIN OR IMPROVE ACCREDITATION.CMS AGE FRIENDLY CARE: ALIGN INTERVENTIONS WITH CMS: AGE FRIENDLY CARE REQUIREMENTS. METHOD OF EVALUATION WILL BE PROGRAM REVISIONS.EXPAND ORTHOPEDICS ACROSS THE REGION: EXPAND EXISTING ORTHOPEDIC SERVICES, INCLUDING ORTHONOW CAPABILITIES ACROSS THE COLLIER AND LEE COUNTY REGION. METHOD OF EVALUATION WITH BE SERVICE VOLUMES.UNADDRESSED IDENTIFIED NEEDSALTHOUGH SEVERAL COMMUNITY NEEDS WERE IDENTIFIED, NCH MUST FOCUS OUR EXISTING CLINICAL STRENGTHS AND INFRASTRUCTURE WHERE WE CAN MAXIMIZE OUR RESOURCES TO BENEFIT THE GREATEST NUMBER OF PEOPLE IN THE COMMUNITY. NCH WILL CONTINUE TO RE-EVALUATE THE UNADDRESSED IDENTIFIED NEEDS AND PURSUE ACTION WHEN AND WHERE RESOURCES ALLOW.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NAPLES COMMUNITY HOSPITAL, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13B: NCH HAS A POLICY THAT ALLOWS A DISCOUNT FOR SELF-PAY UNINSURED OR UNDERINSURED PATIENTS WITH INCOME AND ASSETS GREATER THAN 200% OF FPG WHEN THE FAP APPLICATION AND SUPPORTING DOCUMENTATION IS PROVIDED.NCH RETAINS DISCRETION TO PROVIDE FINANCIAL ASSISTANCE TO PATIENTS WHO FALL OUTSIDE THE FPG INCOME GUIDELINES. OTHER CONSIDERATIONS TO INCOME LEVEL ARE PERCENTAGE OF TOTAL AMOUNT CHARGED BASED ON SERVICES PROVIDED TO THE PATIENT COMPARED TO PATIENTS INCOME.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NAPLES COMMUNITY HOSPITAL, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13H: NAPLES COMMUNITY HOSPITAL, INC.:BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS.OTHER CRITERIA USED TO DETERMINE ELIGIBILITY ARE PATIENTS WHO ARE ELIGIBLE TO RECEIVE BENEFITS FROM A GOVERNMENTAL AGENCY AS THE VICTIM OF A VIOLENT CRIME OR SEXUAL ASSAULT AND THE TREATMENT IS RELATED TO THE VIOLENT CRIME OR SEXUAL ASSAULT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NCH USES OTHER FACTORS OTHER THAN FPG TO DETERMINE ELIGIBILTY FOR PROVIDING FREE OR DISCOUNTED CARE AS DESCRIBED BELOW.PRESUMPTIVE ELIGIBILITYPATIENTS MAY BE ELIGIBLE FOR A DISCOUNT OF THE FULL UNPAID BALANCE IN THE ABSENCE OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION FORM IF THE PATIENT MEETS ONE OF THE FOLLOWING:1. IS HOMELESS2. IS DECEASED AND HAS NO KNOWN ESTATE AVAILABLE TO PAY MEDICAL BILLS3. IS CURRENTLY ELIGIBLE FOR MEDICAID (AS PRIMARY INSURANCE) BUT WAS NOT AT DATE OF SERVICE OR MEDICAID BENEFITS ARE EXHAUSTED.4. IS ELIGIBLE TO RECEIVE BENEFITS FROM A GOVERNMENTAL AGENCY AS THE VICTIM OF A VIOLENT CRIME OR SEXUAL ASSAULT AND THE TREATMENT IS RELATED TO THE VIOLENT CRIME OR SEXUAL ASSAULT.5. A DEMONSTRATED INABILITY TO PAY FOR SERVICES BASED ON ALL AVAILABLE ASSETS. PATIENTS RECEIVING CARE IN OR FROM THE EMERGENCY DEPARTMENT WHO ARE WITHOUT FINANCIAL RESOURCES MAY BE ELIGIBLE FOR THE FAP IF THEY ARE UNEMPLOYED OR SELF-EMPLOYED AND CANNOT PROVIDE INCOME AN INCOME TAX STATEMENT, ARE INDIGENT WITHOUT ACCESS TO THE REQUIRED APPLICATION DOCUMENTATION MAY STILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED PARTY DISCLOSURENAPLES COMMUNITY HOSPITAL, INC. ("NCH") IS AN AFFILIATE OF NCH HEALTHCARE SYSTEM, INC. ("NCHS"). NCHS PREPARES A COMMUNITY BENEFIT REPORT ANNUALLY AND INCLUDES THIS REPORT WITH ITS FORM 990 TAX RETURN FILING.THE COMMUNITY BENEFIT REPORT PREPARED INCLUDES ALL ORGANIZATIONS OF THE SYSTEM, INCLUDING NAPLES COMMUNITY HOSPITAL, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTING METHOD USEDTHE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINE 7 ARE BASED ON THE COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM FORM 990, SCH. H, WORKSHEET 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE INCLUDED FORM 990, PART IX, LINE 25THE BAD DEBT EXPENSE AMOUNT INCLUDED ON FORM 990, PART IX, COLUMN 25(A) WAS $424,464 FOR THE YEAR ENDED SEPTEMBER 30, 2025. THIS AMOUNT HAS BEEN SUBTRACTED FOR THE PURPOSE OF CALCULATING THE PERCENTAGE REPORTED ON THE SCHEDULE H, PART I, LINE 7 TABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BUILDING ACTIVITIESSHARING OUR SPACEWHEN SPACE IS AVAILABLE, NCH PROVIDES SPACE AT NO COST TO NEEDY, NOT-FOR-PROFIT ORGANIZATIONS. THE TELFORD EDUCATION CENTER IS AVAILABLE TO NOT-FOR-PROFIT HEALTHCARE RELATED GROUPS SUCH AS MENDED HEARTS AND THOSE THAT PROVIDE SUPPORT FOR STROKE AND KIDNEY PATIENTS. RESIDENTS OF MARCO BENEFITED WITH THE USE OF OUR FACILITY FOR COMMUNITY EDUCATION AND THE HOSPICE SUPPORT GROUP.CLINICAL NURSING SCHOOLTHE CLINICAL NURSING SCHOOL OF FLORIDA SOUTHWESTERN STATE COLLEGE IS PROVIDED HERE AT NCH. FOR YEARS, NCH HAS ALWAYS WELCOMED STUDENTS OF FLORIDA SOUTHWESTERN STATE COLLEGE AND LORENZO WALKER INSTITUTE OF TECHNOLOGY TO OUR FACILITIES. NCH PROVIDES ON-SITE CLASSROOMS FOR CLINICAL EDUCATION.NURSING AND RADIOLOGY SCHOLARSHIPS ARE GENEROUSLY FUNDED AT BOTH FLORIDA SOUTHWESTERN STATE COLLEGE AND FGCU.SHARING OUR EXPERTISEMEMBERS OF NCH MANAGEMENT SERVE ON COMMUNITY BOARDS IN VARIOUS CAPACITIES. WE ALSO PROVIDE EXPERTISE TO OTHER COMMUNITY ISSUES SUCH AS WORKFORCE HOUSING AND WORKFORCE DEVELOPMENT.EMPLOYING THE COMMUNITYNCH IS GROWING OUR OWN HEALTHCARE PROFESSIONALS, AND HELPING OTHERS SEEKING WORK, TO FIND IT. CAREER DAYS, JOB SHADOWING, AND LECTURES AT LOCAL MIDDLE AND HIGH SCHOOLS ENLIGHTEN STUDENTS ABOUT THE MANY OPPORTUNITIES IN THE HEALTHCARE WORLD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE, COSTING METHODOLOGY USEDBAD DEBT EXPENSE IN THE FINANCIAL STATEMENTS IS DETERMINED BY PATIENTS THAT HAVE FILED FOR BANKRUPTCY AND/OR HAVE LOSS OF EMPLOYMENT AFTER THE DATE OF SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSETHE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 IS BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM FORM 990, SCH. H, WORKSHEET 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT FOOTNOTEBAD DEBTS REPRESENT CHARGES DEEMED UNCOLLECTIBLE DUE TO EITHER: (A) A PATIENT'S INABILITY TO QUALIFY AS CHARITY, WELFARE, OR MEDICAID, YET CLEAR FINANCIAL INDICATIONS EXIST THAT DEMONSTRATE AN INABILITY TO PAY, OR (B) A PATIENT'S REFUSAL TO PAY FOR SERVICES PROVIDED AND THE SYSTEM'S DECISION TO CEASE FURTHER COLLECTION EFFORTS. BAD DEBT EXPENSE IN THE FINANCIAL STATEMENTS IS DETERMINED BY PATIENTS THAT HAVE FILED FOR BANKRUPTCY AND/OR HAVE LOSS OF EMPLOYMENT AFTER THE DATE OF SERVICE. THE BAD DEBT EXPENSE FOOTNOTE DISCLOSURES CAN BE FOUND ON PAGE 18 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS FOR THE NCH HEALTHCARE SYSTEM, INC. AND SUBSIDIARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTING METHODOLOGY, MEDICARETHE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 6 IS BASED ON A COST TO CHARGE RATIO. THE COST TO CHARGE RATIO WAS DERIVED FROM FORM 990, SCH. H, WORKSHEET 2.CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF NCH AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, THE HOSPITAL PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE SEEKING MEDICAL CARE. SUCH CARE IS PROVIDED FOR SUCH SERVICES MEETS OR EXCEEDS THE COSTS INCURRED BY THE HOSPITAL TO PROVIDE SUCH SERVICES.AS A RESULT, NAPLES COMMUNITY HOSPITAL, INC. VIEWS ANY SHORTFALL REPORTED IN LINE 7 AS AN ADDITIONAL ITEM OF COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>COLLECTION PRACTICESNAPLES COMMUNITY HOSPITAL, INC. PROVIDES URGENT/EMERGENT MEDICAL SERVICES WITHOUT REGARD TO ABILITY TO PAY. NAPLES COMMUNITY HOSPITAL, INC. ALSO PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO MEET SPECIFIC CRITERIA UNDER THE STATE'S CHARITY CARE GUIDELINES. BECAUSE NAPLES COMMUNITY HOSPITAL, INC. DOES NOT PURSUE COLLECTION OF ACCOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS REVENUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>NEEDS ASSESSMENTTHE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IN VARIOUS WAYS. OUR LEADERSHIP TEAM IS ACTIVELY INVOLVED AND PARTICIPATES IN MANY COMMUNITY RELATED ORGANIZATIONS AND GROUPS THAT ARE CONTINUALLY ASSESSING UNMET NEEDS WITHIN COLLIER COUNTY. WE HAVE HISTORICALLY WORKED WITH OUR BOARD OF TRUSTEES, COLLIER COUNTY CHILDREN'S ALLIANCE, COLLIER COUNTY PUBLIC SCHOOLS, THE IMMOKALEE FOUNDATION, CHILDREN'S MEDICAL SERVICES, AND OTHER AGENCIES THROUGHOUT OUR COMMUNITY IN ASSESSING AND COLLABORATING IN EFFORTS TO IMPROVE THE HEALTH OF OUR COMMUNITY.NCH PROVIDES MANY HEALTH-ENHANCING EDUCATIONAL PROGRAMS AND RESOURCES IN PROMOTING HEALTH TO THE COMMUNITY. THE CURRENT PROGRAMS AND RESOURCES PROVIDED TO THE COMMUNITY INCLUDE THE FOLLOWING: HEALTH SEMINARS, COMMUNITY HEALTH FAIRS, FREE DIAGNOSTIC AND SCREENING TESTING, THE NEIGHBORHOOD HEALTH CLINIC, HEART PROGRAMS, CANCER SURVIVAL AWARENESS, PATIENT SUPPORT GROUPS, TWO WELLNESS CENTERS, VON ARX DIABETES CENTER, PASTORAL CARE SERVICES, AND SPONSOR AND SUPPORT CLINICAL NURSING SCHOOLS.IN ADDITION TO THE PROGRAMS LISTED, WE ARE ALSO WORKING WITH THE SAFE AND HEALTHY CHILDREN'S COALITION OF COLLIER COUNTY TO DEVELOP PROGRAMS FOR DROWNING PREVENTION, CHILDHOOD OBESITY, SAFE SLEEP EFFORTS, AND BREASTFEEDING PROGRAMS.DURING 2025, WE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND HAVE POSTED THIS REPORT ON OUR WEBSITE (HTTP://WWW.NCHMD.ORG/ABOUT-US/ANNUAL-REPORTS). WE ARE COMMITTED TO PROMOTING EXISTING AND POTENTIAL NEW PROGRAMS TO THE COMMUNITY IN RESPONSE TO THE COMMUNITY HEALTH NEEDS ASSESSMENT. PLEASE REFER TO THIS REPORT AND DETAILED PLAN WHICH WAS REVIEWED BY THE NCH HEALTHCARE SYSTEM BOARD OF TRUSTEES AND APPROVED AT THE SEPTEMBER 24, 2025 BOARD OF TRUSTEE MEETING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION REGARDING PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCENAPLES COMMUNITY HOSPITAL, INC. RECOGNIZES ITS RESPONSIBILITY TO COMMUNICATE ITS FINANCIAL POLICIES AND EXPECTATIONS TO PATIENTS. THE HOSPITAL INFORMS AND EDUCATES PATIENTS BY PROVIDING PATIENTS WITH THE NCH HEALTHCARE SYSTEM PATIENT RIGHTS AND RESPONSIBILITIES. INCLUDED IN THESE RIGHTS IS THE RIGHT TO BE GIVEN, UPON REQUEST, FULL MEDICAL INFORMATION AND FINANCIAL COUNSELING. IN ADDITION, A PATIENT REPRESENTATIVE WILL CONTACT PATIENTS PRIOR TO SERVICES TO EVALUATE THE PATIENT'S ABILITY TO PAY. THIS PROCESS INCLUDES OBTAINING THE PATIENT'S CURRENT FINANCIAL INFORMATION, OBTAINING A CREDIT REPORT AND REVIEWING THE PATIENT'S PAYMENT HISTORY WITH NAPLES COMMUNITY HOSPITAL, INC. PERSONS REQUIRING ASSISTANCE WITH THE UNFUNDED PORTION OF THEIR BILLS ARE ENCOURAGED TO REQUEST A CHARITY EVALUATION. NCH ALSO PROVIDES ASSISTANCE FOR PATIENTS TO APPLY FOR MEDICAID COVERAGE OR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS WHICH MAY ASSIST WITH PAYMENT FOR MEDICAL SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY INFORMATIONNAPLES COMMUNITY HOSPITAL, INC. SERVES A DIVERSE AND SEASONAL COMMUNITY. THE POPULATION IS APPROXIMATELY 417,131. THE MEDIAN AGE OF RESIDENTS IS 53. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $90,045. THE UNEMPLOYMENT RATE IS APPROXIMATELY 4.7%. THE PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS APPROXIMATELY 10.69%.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION REGARDING PROMOTION OF COMMUNITY HEALTHNAPLES COMMUNITY HOSPITAL, INC. PROVIDES HEALTH-ENHANCING EDUCATIONAL PROGRAMS AND RESOURCES IN PROMOTING THE HEALTH OF OUR COMMUNITY. THE TYPE OF PROGRAMS/RESOURCES PROVIDED INCLUDE: HEALTH SEMINARS, COMMUNITY HEALTH FAIRS AND TESTING, REGISTERED NURSES EDUCATING FUTURE PATIENTS, SUPPORTING THE NEIGHBORHOOD HEALTH CLINIC, PHYSICIAN LED ACCESS NETWORK OF COLLIER COUNTY, HEART PROGRAMS, CANCER SURVIVAL AWARENESS, SUPPORT OF PATIENT FAMILIES, DR. JOHN BRIGGS WELLNESS CENTER, AS WELL AS THE SHARING OF SPACE AT NO COST TO NEEDY, NOT-FOR-PROFIT ORGANIZATIONS. THE ORGANIZATION ALSO SPONSORS AND SUPPORTS THE CLINICAL NURSING SCHOOLS IN THE COMMUNITY.THE ORGANIZATION'S CIVIC INVOLVEMENT INCLUDES MEMBERS OF NCH MANAGEMENT SERVING ON COMMUNITY BOARDS IN VARIOUS CAPACITIES. THE HOSPITALS HAVE ALWAYS PROVIDED EXEMPLARY PASTORAL CARE SERVICES. NCH IS ENCOURAGING THEIR OWN HEALTHCARE PROFESSIONAL BY SPONSORING CAREER DAYS, JOB SHADOWING, AND LECTURES AT LOCAL MIDDLE AND HIGH SCHOOLS ON THE MANY OPPORTUNITIES IN THE HEALTHCARE FIELD. FOR ADDITIONAL COMMUNITY ACTIVITIES THAT NAPLES COMMUNITY HOSPITAL, INC. SUPPORTS, PLEASE REFER TO FORM 990, SCHEDULE O, PART III, PROGRAM SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>AFFILIATED HEALTHCARE SYSTEM INFORMATIONNAPLES COMMUNITY HOSPITAL, INC. IS AN AFFILIATE OF THE NCH HEALTHCARE SYSTEM, INC. NCH HEALTHCARE SYSTEM, INC. PROVIDES HEALTH-ENHANCING EDUCATIONAL PROGRAMS AND RESOURCES IN PROMOTING THE HEALTH OF OUR COMMUNITY. IN ADDITION TO NAPLES COMMUNITY HOSPITAL, INC., THE NCH HEALTHCARE SYSTEM ALSO INCLUDES THE FOLLOWING NON-PROFIT ORGANIZATIONS:&gt; MARCO ISLAND HOSPITAL, INC., OPERATES AN 11 1/2-HOUR/7-DAYS A WEEK URGENT CARE FACILITY AND SERVICES PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. DURING FYE 09/30/2025, 6,416 PATIENTS WERE TREATED. OF THESE PATIENTS, 5.78% WERE CLASSIFIED AS MEDICAID, CHARITY, OR BAD DEBTS.&gt; COLLIER HEALTH CARE, INC. OWNS AND LEASES HEALTHCARE FACILITIES IN NAPLES AND IMMOKALEE, FLORIDA. &gt; NCHMD, INC. OWNS AND OPERATES PHYSICIAN MEDICAL PRACTICES AND OUTPATIENT RADIOLOGY SERVICES IN COLLIER AND LEE COUNTY, FLORIDA.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>FL</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ILIA ECHEVARRIA RN</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAGALI PALMA</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARA HAMMOND</PersonNm>
        <TitleTxt>CHIEF IMPACT OFFICER</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER HART</PersonNm>
        <TitleTxt>CHIEF CULTURE OFFICER</TitleTxt>
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        <PersonNm>AMMAR ABU SULB MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLY GEIGER</PersonNm>
        <TitleTxt>R.N.</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LINDA YERGER</PersonNm>
        <TitleTxt>R.N.</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL RILEY TERM 1120</PersonNm>
        <TitleTxt>FORMER CHIEF STRATEGY OFFICER</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SYSTEM HAS PAID AT TIMES IN FISCAL YEAR 2025 FIRST CLASS TRAVEL AND TRAVEL FOR COMPANIONS FOR PAUL HILTZ, PRESIDENT/CEO AND HIS SPOUSE. THE TRAVEL HAS BEEN BUSINESS RELATED AND FOR AN EVENT IN WHICH THE SPOUSE WAS EXPECTED TO ATTEND. THIS EXPENSE IS EXCLUDED IN MR. HILTZ'S TAXABLE WAGES. THE SYSTEM PAID IN CALENDAR YEAR 2024 $23,151 FOR GOLF MEMBERSHIP FOR PAUL HILTZ, THE PRESIDENT/CEO OF NCH HEALTHCARE SYSTEM, INC. THE INTENTION IS TO MAINTAIN AND CULTIVATE POTENTIAL DONORSHIPS AND STRATEGIC PARTNERSHIPS WITHIN THE COMMUNITY. THIS EXPENSE IS EXCLUDED IN MR. HILTZ'S TAXABLE WAGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINES 4A-B: PART I, LINE 4A: CHIEF FINANCIAL OFFICER RESIGNED 05/23 AND RECEIVED A SEVERANCE PAYMENT OF $617,319 FOR CALENDAR YEAR 2024. CHIEF MEDICAL OFFICER RESIGNED 02/24 AND RECEIVED A SEVERAGE PAYMENT OF $596,960 FOR CALENDAR YEAR 2024. CHIEF HR OFFICER RESIGNED 08/24 AND RECEIVED A SEVERANCE PAYMENT OF $140,995 FOR CALENDAR YEAR 2024. PART I, LINE 4B: THE FOLLOWING EXECUTIVES PARTICIPATED IN A 457 (F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: PAUL HILTZ PRESIDENT AND CEO JONATHAN KLING CHIEF OPERATING OFFICER JENNIFER HART CHIEF CULTURE OFFICER CARLOS QUINTERO, M.D. CHIEF QUALITY OFFICER GINA TEEGARDEN, R.N. CHIEF NURSING EXECUTIVE ANDREW COOPER CHIEF INFORMATION OFFICER MATTHEW STACELL CHIEF PERFORMANCE MANAGEMENT OFFICER NOBLE ARRINGTON CHIEF FINANCIAL OFFICER ERIN RANEY CHIEF ADMINISTRATIVE OFFICER MAGALI PALMA CHIEF ASSISTANT OPERATIONS OFFICER DT MARA HAMMOND CHIEF IMPACT OFFICER ILIA ECHEVARRIA CHIEF NURSING OFFICER NNH MATTHEW HEINLE CHIEF STRATEGY OFFICER AND GENERAL COUNSEL THE FOLLOWING EXECUTIVES RECEIVED A DISTRIBUTION FROM THE 457 (F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2024: PAUL HILTZ PRESIDENT AND CEO $ 167,550 RENEE THIGPEN CHIEF HR OFFICER $ 63,714 KRISTIN MASCOTTI, M.D. CHIEF MEDICAL OFFICER $ 108,202 BRYAN MURPHEY, M.D. PRESIDENT NCH MEDICAL GROUP $ 67,392 JONATHAN KLING CHIEF OPERATING OFFICER $ 96,995 CARLOS QUINTERO, M.D. CHIEF QUALITY OFFICER $ 57,814</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISIONS OF NON-FIXED PAYMENTS THIS ORGANIZATION IS AN AFFILIATE OF NCH HEALTHCARE SYSTEM, INC. ("THE SYSTEM"). THE SYSTEM MAY PROVIDE DISCRETIONARY BONUS AND/OR INCENTIVE COMPENSATION PAYMENTS TO ELIGIBLE EMPLOYEES. COMPENSATION PAYMENTS FOR ALL EMPLOYEES EXCLUDING THE CEO AND SENIOR LEADERSHIP TEAM IS DETERMINED BY THE SYSTEM BOARD OF TRUSTEES HUMAN RESOURCES COMMITTEE AND/OR CEO. COMPENSATION PAYMENTS MADE TO ANY DISQUALIFIED PERSON IS APPROVED BY THE SYSTEM THROUGH THE PROCESS DESCRIBED IN FORM 990, PART VI, SECTION B, LINE 15.</ExplanationTxt>
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        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE K, PART II, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY-SERIES 2020, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $250,525 IN BOND ISSUANCE COSTS. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY-SERIES 2021, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $150,274 IN BOND ISSUANCE COSTS AND $90,616,726 IN PRIOR TAX-EXEMPT BONDS REFUND. FOR COLLIER COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY-SERIES 2024, THE TOTAL PROCEEDS OF ISSUE REPORTED INCLUDES $1,609,973 IN BOND ISSUANCE COSTS AND $729,333 IN CREDIT ENHANCEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>WYNN PROPERTIES</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OWNER/TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>116474</TransactionAmt>
        <TransactionDesc>RENTAL PAYMENTS</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MEGAN RILEY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FMLY MEMBER/FORMER OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>61772</TransactionAmt>
        <TransactionDesc>PYMT COMP</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SUNSHINE ACE HARDWARE</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OWNER/TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>38317</TransactionAmt>
        <TransactionDesc>PURCHASES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ALYSSA CENZI</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FMLY MEMBER/OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>24466</TransactionAmt>
        <TransactionDesc>PYMT COMP</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CONTRIBUTOR #15 IN SCHD B</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>617113</TransactionAmt>
        <TransactionDesc>CONTRACTOR PAYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CONTRIBUTOR #41 ON SCHD B</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>73286555</TransactionAmt>
        <TransactionDesc>CONTRACTOR PAYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CONTRIBUTOR #70 ON SCHD B</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>48482753</TransactionAmt>
        <TransactionDesc>REVENUE CYCLE SUPPORT PAYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CONTRIBUTOR #71 ON SCHD B</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>10333566</TransactionAmt>
        <TransactionDesc>IT SUPPORT PAYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CONTRIBUTOR #806 ON SCHD B</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SUBSTANTIAL CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>1046144</TransactionAmt>
        <TransactionDesc>CONTRACTOR PAYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>PETER LUTHRINGER MD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OWNER/TRUSTEE</RelationshipDescriptionTxt>
        <TransactionAmt>170000</TransactionAmt>
        <TransactionDesc>PHYSICIAN FEES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE L, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>MEGAN RILEY IS THE DAUGHTER OF MICHAEL RILEY, FORMER CHIEF STRATEGY OFFICER.ALYSSA CENZI IS THE DAUGHTER OF RENEE THIGPEN, FORMER CHIEF HR OFFICER.MICHAEL WYNN IS A TRUSTEE AND AN OWNER OF WYNN PROPERTIES WHICH NCH PAYS FOR RENTAL SPACE.MICHAEL WYNN IS A TRUSTEE AND AN OWNER OF SUNSHINE ACE HARDWARE WHERE NCH PURCHASES SUPPLIES.CONTRIBUTOR #15 IN SCHD B IS A VENDOR AND A SUBSTANTIAL CONTRIBUTOR OF NCH.CONTRIBUTOR #41 IN SCHD B IS A VENDOR AND SUBSTANTIAL CONTRIBUTOR OF NCH.CONTRIBUTOR #70 IN SCHD B IS A VENDOR AND A SUBSTANTIAL CONTRIBUTOR OF NCH.CONTRIBUTOR #71 IN SCHD B IS A VENDOR AND A SUBSTANTIAL CONTRIBUTOR OF NCH.CONTRIBUTOR #806 IN SCHD B IS A VENDOR AND A SUBSTANTIAL CONTRIBUTOR OF NCH.PETER LUTHRINGER, M.D. IS A TRUSTEE AND A VENDOR OF NCH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>29</ContributionCnt>
        <NoncashContributionsRptF990Amt>3611833</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <RealEstateCommercialGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>3213158</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </RealEstateCommercialGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>NAPLES COMMUNITY HOSPITAL, INC. IS REPORTING IN PART 1 COLUMN (B) THE NUMBER OF CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING BODY AND MANAGEMENT NCH HEALTHCARE SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING BODY AND MANAGEMENT NCH HEALTHCARE SYSTEM, INC. SOLE MEMBER OF THIS ORGANIZATION, ELECTS THIS ORGANIZATION'S DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING BODY AND MANAGEMENT ALL OF THE GOVERNANCE DECISIONS FOR NAPLES COMMUNITY HOSPITAL, INC. ARE RESERVED TO THE GOVERNING BODY OF NCH HEALTHCARE SYSTEM, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW PROCESS INFORMATION RELATED TO NAPLES COMMUNITY HOSPITAL, INC.'S ("NCH") FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO RSM US LLP, FOR REVIEW. AFTER THE REVIEW BY RSM US LLP, THE FORM 990 IS REVIEWED BY THE NCH HEALTHCARE SYSTEM CHIEF FINANCIAL OFFICER. THE FORM 990 IS THEN REVIEWED BY OUTSIDE COUNSEL FOR THE BOARD. PRIOR TO BOARD APPROVAL, THE FORM 990 IS PROVIDED TO ALL OF THE FINANCE COMMITTEE BOARD OF TRUSTEES FOR THEIR REVIEW VIA THE BOARD PORTAL. AT THE CONCLUSION OF THIS REVIEW PROCESS THE FORM 990 IS APPROVED BY THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY ANNUALLY, ALL NCH HEALTHCARE SYSTEM, INC. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD POTENTIALLY GIVE RISE TO CONFLICTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. MANAGEMENT SHALL DISCLOSE OTHER POTENTIAL CONFLICTS WITH THE COMPLIANCE OFFICER. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINED UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A GREATER THAN TWO-THIRDS VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. THE COMPLIANCE OFFICER WILL DETERMINE IF A MANAGEMENT TEAM MEMBER OR EMPLOYEE SHOULD BE EXCUSED FROM A DISCUSSION OR PARTICIPATE IN A DECISION IN WHICH THERE MAY BE A CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS THIS ORGANIZATION IS AN AFFILIATE OF THE NCH HEALTHCARE SYSTEM, INC. ("THE SYSTEM"). COMPENSATION ARRANGEMENTS INVOLVING OUR CEO AND SENIOR LEADERSHIP TEAM ARE ESTABLISHED BY THE SYSTEM BOARD OF TRUSTEES COMPENSATION COMMITTEE PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATION BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS AVAILABLE TO THE PUBLIC THE FORMS 1023 AND 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY OF NHSI ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE ALSO AVAILABLE VIA OUR WEBSITE: HTTP://WWW.NCHMD.ORG/ABOUT-US/ANNUAL-REPORTS. DOCUMENTS AVAILABLE FOR REQUEST ARE AVAILABLE PURSUANT TO THE PERIOD OF DISCLOSURE PROVIDED IN SECTION 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 3,098,623. MANAGEMENT AND GENERAL EXPENSES 912,020. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,010,643. RECRUITING: PROGRAM SERVICE EXPENSES 676,401. MANAGEMENT AND GENERAL EXPENSES 199,086. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 875,487. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 124,721,059. MANAGEMENT AND GENERAL EXPENSES 36,709,253. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 161,430,312. COLLECTION FEES: PROGRAM SERVICE EXPENSES 36,373. MANAGEMENT AND GENERAL EXPENSES 10,706. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,079. CONSULTING FEES: PROGRAM SERVICE EXPENSES 2,370,294. MANAGEMENT AND GENERAL EXPENSES 697,651. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,067,945. MEMBERSHIP FEES: PROGRAM SERVICE EXPENSES 1,095,551. MANAGEMENT AND GENERAL EXPENSES 322,455. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,418,006. PUBLIC MEDICAL ASSISTANCE TRUST FUND (FL) FEES: PROGRAM SERVICE EXPENSES 8,955,122. MANAGEMENT AND GENERAL EXPENSES 2,635,768. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,590,890.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFERS TO RELATED ORGANIZATIONS -94,531,940.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NCH-NH BONITA JV LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>350 7TH STREET NORTH</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34102</ZIPCd>
        </USAddress>
        <EIN>922150239</EIN>
        <PrimaryActivitiesTxt>SURGICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NAPLES COMMUNITY HOSPITAL INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NCH BONITA AMBULATORY SURGERY CENTER LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>350 7TH STREET NORTH</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34102</ZIPCd>
        </USAddress>
        <EIN>873854125</EIN>
        <PrimaryActivitiesTxt>SURGICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <TotalIncomeAmt>42327</TotalIncomeAmt>
        <EndOfYearAssetsAmt>5140668</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NAPLES COMMUNITY HOSPITAL INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COLLIER HEALTH CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 413029</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>341013029</ZIPCd>
        </USAddress>
        <EIN>650244276</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NCH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MARCO ISLAND HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>40 HEATHWOOD DRIVE</AddressLine1Txt>
          <CityNm>MARCO ISLAND</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34145</ZIPCd>
        </USAddress>
        <EIN>592315435</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NCH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NCH HEALTHCARE SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 413029</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>341013029</ZIPCd>
        </USAddress>
        <EIN>592314655</EIN>
        <PrimaryActivitiesTxt>NOT-FOR-PROFIT HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NCHMDINC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 413029</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>341013029</ZIPCd>
        </USAddress>
        <EIN>331075317</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NCH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PROSCAN NCH IMAGING LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>350 7TH STREET NORTH</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34102</ZIPCd>
        </USAddress>
        <EIN>861212843</EIN>
        <PrimaryActivitiesTxt>RADIOLOGY SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NCH-NH BONITA JV LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>350 7TH STREET NORTH</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34102</ZIPCd>
        </USAddress>
        <EIN>922150239</EIN>
        <PrimaryActivitiesTxt>SURGICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NAPLES COMMUNITY HOSPITAL INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-166139</ShareOfTotalIncomeAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HSS-NCH SURGERY CENTER HOLDINGS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>350 7TH STREET NORTH</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34102</ZIPCd>
        </USAddress>
        <EIN>334623667</EIN>
        <PrimaryActivitiesTxt>SURGICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NCH-VH JOINT VENTURE LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>350 7TH STREET NORTH</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34102</ZIPCd>
        </USAddress>
        <EIN>874042152</EIN>
        <PrimaryActivitiesTxt>SURGICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NAPLES COMMUNITY HOSPITAL INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-8018</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>353065</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HEALTH RESOURCES CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>350 7TH STREET NORTH</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34102</ZIPCd>
        </USAddress>
        <EIN>592568003</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NCH HEALTHCARE SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY HOME CARE INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>350 7TH STREET NORTH</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34102</ZIPCd>
        </USAddress>
        <EIN>592372966</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH RESOURCES CORPORTATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY IMAGING INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>350 7TH STREET NORTH</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34102</ZIPCd>
        </USAddress>
        <EIN>592446336</EIN>
        <PrimaryActivitiesTxt>RADIOLOGY LAB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH RESOURCES CORPORTATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AMBULATORY SURGICAL CARE CENTER INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>350 7TH STREET NORTH</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34102</ZIPCd>
        </USAddress>
        <EIN>592568029</EIN>
        <PrimaryActivitiesTxt>OUTPATIENT SURGERY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HEALTH RESOURCES CORPORTATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NCH HEALTHCARE SYSTEM LIMITADA</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>350 7TH STREET NORTH</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34102</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>CALL CENTER</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CS</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NAPLES COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>3313257</ShareOfTotalIncomeAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GREATER COLLIER INSURANCE LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>350 7TH STREET NORTH</AddressLine1Txt>
          <CityNm>NAPLES</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34102</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>1</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>1</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MARCO ISLAND HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>5896409</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NCHMD INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>79094725</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NCH HEALTHCARE SYSTEM INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1251893</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NCH ACO LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>424227</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO JULY 1, 2024, NCH OWNED A 51% INTEREST IN THE PARTNERSHIP. ON JULY 1, 2024, NCH PURCHASED THE REMAINING 49% OWNERSHIP MAKING IT A DISREGARDED ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>