﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" returnVersion="2018v3.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2019-09-26T11:48:26-04:00</ReturnTs>
    <TaxPeriodEndDt>2019-03-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>260254161</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Tuscan &amp; Company PA</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>12621 World Plaza Lane Bldg 55</AddressLine1Txt>
        <CityNm>Fort Myers</CityNm>
        <StateAbbreviationCd>FL</StateAbbreviationCd>
        <ZIPCd>33907</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2018-04-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>591741277</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Collier Health Services Inc</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>COLL</BusinessNameControlTxt>
      <USAddress>
        <AddressLine1Txt>1454 Madison Avenue</AddressLine1Txt>
        <CityNm>Immokalee</CityNm>
        <StateAbbreviationCd>FL</StateAbbreviationCd>
        <ZIPCd>34142</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Tami Raznoff</PersonNm>
      <PersonTitleTxt>CFO</PersonTitleTxt>
      <PhoneNum>2396583000</PhoneNum>
      <SignatureDt>2019-07-31</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Jeffrey M Tuscan CPA</PreparerPersonNm>
      <PTIN>P00184439</PTIN>
      <PhoneNum>2393332090</PhoneNum>
      <PreparationDt>2019-09-26</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>50.192.23.189</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2019-09-27</IPDt>
      <IPTm>13:14:54</IPTm>
      <FederalOriginalSubmissionId>6573472019270vomsclf</FederalOriginalSubmissionId>
      <FederalOriginalSubmissionIdDt>2019-09-27</FederalOriginalSubmissionIdDt>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>BA58B87AC5F491E7F862D51EA5E7319EBB23C533</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>BA58B87AC5F491E7F862D51EA5E7319EBB23C533</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2018</TaxYr>
    <BuildTS>2019-02-21 02:37:17Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="10">
    <IRS990 documentId="IRS990">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>Health Care Network of Southwe</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <GrossReceiptsAmt>65530641</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>www.healthcareswfl.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1977</FormationYr>
      <LegalDomicileStateCd>FL</LegalDomicileStateCd>
      <ActivityOrMissionDesc>To provide quality healthcare accessible to everyone in our community.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>11</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>11</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>479</TotalEmployeeCnt>
      <TotalVolunteersCnt>10</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>14238640</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>14568678</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>33749502</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>37116441</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>292822</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>1503635</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>45565987</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>3218589</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>93846951</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>56407343</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>29125</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>897439</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>30511772</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>31280641</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>436493</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>22243683</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>21167654</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>52784580</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>53345734</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>41062371</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>3061609</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>63899352</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>67134462</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>9143050</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>9140764</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>54756302</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>57993698</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>To provide quality healthcare accessible to everyone in our community.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>47287858</ExpenseAmt>
      <GrantAmt>897439</GrantAmt>
      <RevenueAmt>40729706</RevenueAmt>
      <Desc>See attached PDF.</Desc>
      <TotalProgramServiceExpensesAmt>47287858</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="990A">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="990B">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
      <ConservationEasementsInd>false</ConservationEasementsInd>
      <CollectionsOfArtInd>false</CollectionsOfArtInd>
      <CreditCounselingInd>false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd>false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="990D">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd>false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd>false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd>false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="990D">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="990D">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="990D">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="990D">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="990I">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="990J">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd referenceDocumentId="990L">true</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="990M">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="990R">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="990">true</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>91</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>479</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>true</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>true</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>11</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>11</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>FL</StatesWhereCopyOfReturnIsFldCd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>The Organization</PersonNm>
        <PhoneNum>2396583000</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1454 Madison Avenue</AddressLine1Txt>
          <CityNm>Immokalee</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34142</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>J Douglas Campbell</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Bernard Feldman</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Maria Mila</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Elda Hernandez</PersonNm>
        <TitleTxt>DirectorSecretary</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jean Paul</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Harris M Domond</PersonNm>
        <TitleTxt>DirectorChairman</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Edward Olesky</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joe Yzaguirre</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jerry Starkey</PersonNm>
        <TitleTxt>DirectorTreasurer</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Maria Bryant</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Suzanne Bradach</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Aysegul Timur</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mike Ellis</PersonNm>
        <TitleTxt>PresidentCEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>329030</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>75858</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sandra Steele-Riordan</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>172210</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48321</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Emily Ptaszek</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>234538</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50321</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gregory Preston</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>200658</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>75747</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Corin DeChirico</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>79276</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>158</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Salvatore Anzalone</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>363858</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>69085</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jorge Camina</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>319512</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>63953</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Reinier Ramirez</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>231588</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37767</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Serge Mistivar</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>232630</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33806</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jose Puell</PersonNm>
        <TitleTxt>Pediatrician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>261534</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45213</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2424834</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>500229</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Kraft Office Center</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1500 Fifth Ave South Unit 111</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Rental</ServicesDesc>
        <CompensationAmt>464058</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dr Thomas Beckett</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1890 SW Health Parkway Suite 203</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34109</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare</ServicesDesc>
        <CompensationAmt>589100</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UF College of Dentistry</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 100405</AddressLine1Txt>
            <CityNm>Gainesville</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32610</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Rental</ServicesDesc>
        <CompensationAmt>1392366</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Arthrex Inc</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2600 Golden Gate Pkwy</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34105</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Rental</ServicesDesc>
        <CompensationAmt>503071</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Quest Diagnostics</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 530440</AddressLine1Txt>
            <CityNm>Atlanta</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30353</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Lab Services</ServicesDesc>
        <CompensationAmt>412017</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>17</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>1420885</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>9622673</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3525120</AllOtherContributionsAmt>
      <NoncashContributionsAmt>2892830</NoncashContributionsAmt>
      <TotalContributionsAmt>14568678</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Fees</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>36626441</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>36626441</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Practice Mgmt Fees</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>490000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>490000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>37116441</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1108959</TotalRevenueColumnAmt>
        <ExclusionAmt>1108959</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>8807272</SecuritiesAmt>
        <OtherAmt>710702</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>8383024</SecuritiesAmt>
        <OtherAmt>740274</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>424248</SecuritiesAmt>
        <OtherAmt>-29572</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>394676</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>394676</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3218589</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3218589</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>3218589</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>56407343</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40729706</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1108959</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>897439</TotalAmt>
        <ProgramServicesAmt>897439</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1070338</TotalAmt>
        <ProgramServicesAmt>932677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124420</ManagementAndGeneralAmt>
        <FundraisingAmt>13241</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>23707248</TotalAmt>
        <ProgramServicesAmt>20658150</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2755825</ManagementAndGeneralAmt>
        <FundraisingAmt>293273</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4617536</TotalAmt>
        <ProgramServicesAmt>4061947</ProgramServicesAmt>
        <ManagementAndGeneralAmt>555589</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1885519</TotalAmt>
        <ProgramServicesAmt>1663592</ProgramServicesAmt>
        <ManagementAndGeneralAmt>221927</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>678798</TotalAmt>
        <ProgramServicesAmt>412004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>216769</ManagementAndGeneralAmt>
        <FundraisingAmt>50025</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <AdvertisingGrp>
        <TotalAmt>25951</TotalAmt>
        <ProgramServicesAmt>11696</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14255</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1773573</TotalAmt>
        <ProgramServicesAmt>1564823</ProgramServicesAmt>
        <ManagementAndGeneralAmt>208750</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>2018433</TotalAmt>
        <ProgramServicesAmt>1325202</ProgramServicesAmt>
        <ManagementAndGeneralAmt>613277</ManagementAndGeneralAmt>
        <FundraisingAmt>79954</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>188915</TotalAmt>
        <ProgramServicesAmt>158757</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30158</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>466454</TotalAmt>
        <ProgramServicesAmt>102622</ProgramServicesAmt>
        <ManagementAndGeneralAmt>363832</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>947221</TotalAmt>
        <ProgramServicesAmt>835733</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111488</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>378692</TotalAmt>
        <ProgramServicesAmt>296390</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82302</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Patient Care</Desc>
        <TotalAmt>8332562</TotalAmt>
        <ProgramServicesAmt>8332562</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Utilities</Desc>
        <TotalAmt>893360</TotalAmt>
        <ProgramServicesAmt>788211</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105149</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>In-kind Expenses</Desc>
        <TotalAmt>2892830</TotalAmt>
        <ProgramServicesAmt>2892830</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Equipment &amp; lease</Desc>
        <TotalAmt>378002</TotalAmt>
        <ProgramServicesAmt>333511</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44491</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>2192863</TotalAmt>
        <ProgramServicesAmt>2019712</ProgramServicesAmt>
        <ManagementAndGeneralAmt>173151</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>53345734</TotalAmt>
        <ProgramServicesAmt>47287858</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5621383</ManagementAndGeneralAmt>
        <FundraisingAmt>436493</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2759433</BOYAmt>
        <EOYAmt>5571797</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>446521</BOYAmt>
        <EOYAmt>832763</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>980588</BOYAmt>
        <EOYAmt>973745</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4777323</BOYAmt>
        <EOYAmt>4897840</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>277297</BOYAmt>
        <EOYAmt>258247</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>379142</BOYAmt>
        <EOYAmt>596475</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>21180601</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8228281</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>12390900</BOYAmt>
        <EOYAmt>12952320</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>41130877</BOYAmt>
        <EOYAmt>40145784</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>757271</BOYAmt>
        <EOYAmt>905491</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>63899352</BOYAmt>
        <EOYAmt>67134462</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>896790</BOYAmt>
        <EOYAmt>1031620</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>4922525</BOYAmt>
        <EOYAmt>4758425</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>3323735</BOYAmt>
        <EOYAmt>3350719</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>9143050</BOYAmt>
        <EOYAmt>9140764</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>53333047</BOYAmt>
        <EOYAmt>55597979</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>1423255</BOYAmt>
        <EOYAmt>2395719</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>54756302</BOYAmt>
        <EOYAmt>57993698</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>63899352</BOYAmt>
        <EOYAmt>67134462</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>3061609</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>175787</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>10288689</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11880616</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15172634</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14238640</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14568678</CurrentTaxYearAmt>
        <TotalAmt>66149257</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>10288689</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11880616</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15172634</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14238640</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14568678</CurrentTaxYearAmt>
        <TotalAmt>66149257</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>66149257</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>22952</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8739</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6142</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>292822</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1108959</CurrentTaxYearAmt>
        <TotalAmt>1439614</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>3705094</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6536424</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1455079</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>45565987</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3218589</CurrentTaxYearAmt>
        <TotalAmt>60481173</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>128070044</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>70865943</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.51650</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.50270</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B" />
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>3392357</OtherCostOrOtherBasisAmt>
        <BookValueAmt>3392357</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>6784275</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2524188</DepreciationAmt>
        <BookValueAmt>4260087</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>4438125</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1921779</DepreciationAmt>
        <BookValueAmt>2516346</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4018256</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3170024</DepreciationAmt>
        <BookValueAmt>848232</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2547588</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>612290</DepreciationAmt>
        <BookValueAmt>1935298</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>12952320</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Community Health</Desc>
        <BookValueAmt>509055</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Lee Cty Electric Coop Cap Credits</Desc>
        <BookValueAmt>136122</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Utility and Other Deposits</Desc>
        <BookValueAmt>134585</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Top Hat 457b Program</Desc>
        <BookValueAmt>125729</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>905491</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Liabilities</Desc>
        <Amt>2029090</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Compensated Absences</Desc>
        <Amt>708101</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Compensation</Desc>
        <Amt>155705</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Assets Held in Trust</Desc>
        <Amt>457823</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3350719</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>57246994</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>175787</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>634292</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>810079</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>56436915</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-29572</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-29572</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>56407343</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>54009598</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>634292</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>29572</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>663864</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>53345734</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>53345734</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other revenues included on Form 990 (Part XI, line 4b)</FormAndLineReferenceDesc>
        <ExplanationTxt>Loss on disposal of assets, $29,572, is listed as an expense on the audited financial statements but is reported on Part VIII of the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other expenses not included on Form 990 (Part XII, line 2d)</FormAndLineReferenceDesc>
        <ExplanationTxt>Loss on disposal of assets, $29,572, is listed as an expense on the audited financial statements but is reported on Part VIII of the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization (including HCN, IHP and the Foundation) is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. The Organization is not classified as a private foundation within the meaning of Section 509(a) of the Code. The Internal Revenue Code provides for taxation of unrelated business income under certain circumstances. The Organization reports no unrelated business taxable income; however, such status is subject to final determination upon examination of the related tax returns by the appropriate taxing authorities. The informational returns (Form 990) for the prior three (3) fiscal years remain open for examination. Financial Accounting Standards Board Accounting Standards Codification (ASC) Topic 740, Income Taxes, prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return, and provides guidance on derecognition, classification, interest and penalties, disclosure, and transition. Management believes that no such uncertain tax position exists for the Organization at March 31, 2019 or 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="990I">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>David Lawrence Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6075 Bathey Lane</AddressLine1Txt>
          <CityNm>Naples</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34116</ZIPCd>
        </USAddress>
        <RecipientEIN>592206025</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>722935</CashGrantAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Economic Incubators Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3510 Kraft Rd Suite 200</AddressLine1Txt>
          <CityNm>Naples</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34105</ZIPCd>
        </USAddress>
        <RecipientEIN>471997241</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Ronald McDonald House Charities</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>16100 Roserush Court</AddressLine1Txt>
          <CityNm>Fort Myers</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33908</ZIPCd>
        </USAddress>
        <RecipientEIN>113704163</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NAMI of Collier County</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6216 Trail Blvd Bldg C</AddressLine1Txt>
          <CityNm>Naples</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34108</ZIPCd>
        </USAddress>
        <RecipientEIN>650047747</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>117307</CashGrantAmt>
        <PurposeOfGrantTxt>General support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Naples Childrens Education Foundat</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>999 Vanderbilt Beach Rd 300</AddressLine1Txt>
          <CityNm>Naples</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34108</ZIPCd>
        </USAddress>
        <RecipientEIN>651001650</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>General support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Physician Lead Access Network of Co</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3050 Horseshoe Drive N Ste 285</AddressLine1Txt>
          <CityNm>Naples</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34104</ZIPCd>
        </USAddress>
        <RecipientEIN>200477556</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>General support</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>3</Total501c3OrgCnt>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="990J">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mike Ellis</PersonNm>
        <TitleTxt>PresidentCEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>325000</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>4030</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>73613</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2245</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>404888</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sandra Steele-Riordan</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>171217</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>993</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>41009</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7312</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>220531</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Salvatore Anzalone</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>192491</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>170710</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>657</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>54710</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14375</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>432943</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Emily Ptaszek</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>234339</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>199</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>40883</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9438</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>284859</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jorge Camina</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>226868</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>92463</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>181</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>48712</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15241</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>383465</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Reinier Ramirez</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>193083</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>37768</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>737</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>23517</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14250</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>269355</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Serge Mistivar</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>204891</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>27361</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>378</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>23606</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10200</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>266436</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jose Puell</PersonNm>
        <TitleTxt>Pediatrician</TitleTxt>
        <BaseCompensationFilingOrgAmt>154916</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>105742</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>876</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>27868</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17345</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>306747</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gregory Preston</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>195147</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>5511</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>62553</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13194</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>276405</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="990L">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>William Ellis</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>President &amp; CEO</RelationshipDescriptionTxt>
        <TransactionDesc>see below</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>J Douglas Campbell</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Director</RelationshipDescriptionTxt>
        <TransactionDesc>see below</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Sandra Steele-Riordan</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CFO</RelationshipDescriptionTxt>
        <TransactionDesc>see below</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Jerry Starkey</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DirectorTreasurer</RelationshipDescriptionTxt>
        <TransactionDesc>see below</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information for Schedule L</FormAndLineReferenceDesc>
        <ExplanationTxt>William Ellis is the current President and CEO of Healthcare Network of Southwest FL (HCN) and also a Director on the Board for Integral Health Plan, Inc (IHP). Sandra Steele-Riordan is the CFO of HCN and is also a Director on the Board for IHP. Jerry Starkey is a Director and Board Treasurer of HCN. J. Douglas Campbell was a member of the Board of Directors for both CHS Healthcare Foundation and Healthcare Network of Southwest Florida (HCN) during the fiscal year. HCN received $1,420,885 in grants from CHS Healthcare Foundation.Jerry Starkey was a member of the Board of Directors for Healthcare Network of Southwest Florida (HCN). He is married to Adria Starkey who was on the Board of Directors for CHS Healthcare Foundation during the fiscal year. HCN received $1,420,885 in grants from CHS Healthcare Foundation.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>37498</ContributionCnt>
        <NoncashContributionsRptF990Amt>2884654</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Misc donated items</Desc>
        <NoncashContributionsRptF990Amt>8176</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing board reviews Form 990 and the CFO approves it to electronically file.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Enforcement of policies include references to conflict of interest policy and procurement and contracting staff monitors transactions closely for compliance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>An independent compensation consultants services are utilized to review salaries.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>An independent compensation consultants services are utilized to review salaries.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial statements are available on the Organizations website. All others are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General explanation attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>Maria Bryant resigned on September 27, 2018 therefore, there are only 11 voting members at year end. Corin DeChirico replaced Gregory Preston as Chief Medical Officer in September of 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHS Healthcare Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1454 Madison Ave</AddressLine1Txt>
          <CityNm>Immokalee</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34142</ZIPCd>
        </USAddress>
        <EIN>260229508</EIN>
        <PrimaryActivitiesTxt>Medical Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Integral Health Plan Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1454 Madison Ave</AddressLine1Txt>
          <CityNm>Immokalee</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34142</ZIPCd>
        </USAddress>
        <EIN>800420631</EIN>
        <PrimaryActivitiesTxt>Medical Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHS Healthcare Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>1420885</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>