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      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Jorge Camina</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>66551</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Reinier Ramirez</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42028</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Jose Puell</PersonNm>
        <TitleTxt>Pediatrician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>51151</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Reisha F Brown</PersonNm>
        <TitleTxt>Pediatrician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotalOtherCompensationAmt>527930</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dr Thomas Beckett</PersonNm>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>616200</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dean Hildahl MD</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <ZIPCd>34109</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>Healthcare</ServicesDesc>
        <CompensationAmt>381748</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Arthrex Inc</PersonNm>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
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        <ServicesDesc>Rental</ServicesDesc>
        <CompensationAmt>287642</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CountrySide Commons LLC</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>FL</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>12</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>2067458</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>9714982</GovernmentGrantsAmt>
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      <TotalContributionsAmt>16390881</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>34360154</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>498989</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
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      <GrossAmountSalesAssetsGrp>
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      <NetGainOrLossInvestmentsGrp>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>11031</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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      <OccupancyGrp>
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      <TravelGrp>
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      <InterestGrp>
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        <ProgramServicesAmt>7058500</ProgramServicesAmt>
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        <Desc>Lee Cty Electric Coop Cap Credits</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>-1901858</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>638428</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>-1263430</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>55057802</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>55057802</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>52225095</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>638428</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>638428</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>51586667</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>51586667</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>The Financial Accounting Standards Board has issued guidance on accounting for uncertainty in income taxes and the Organization has adopted this guidance. The Organization has evaluated its tax positions and any estimates utilized in its tax returns, and concluded that it has taken no uncertain tax positions that require adjustment to the consolidated financial statements to comply with the provisions of this guidance. Interest and penalties associated with uncertain tax positions will be recognized in income tax expense, if required.</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>485745</CashGrantAmt>
        <PurposeOfGrantTxt>General Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Immokalee Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2375 Tamiami Trail North</AddressLine1Txt>
          <CityNm>Naples</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34103</ZIPCd>
        </USAddress>
        <RecipientEIN>650315664</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>5000</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>8000</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>124391</CashGrantAmt>
        <PurposeOfGrantTxt>General support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Naples Childrens Education Foundat</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2590 Goodlette-Frank Road</AddressLine1Txt>
          <CityNm>Naples</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34105</ZIPCd>
        </USAddress>
        <RecipientEIN>651001650</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
    </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>Consultant</TitleTxt>
        <BaseCompensationFilingOrgAmt>290769</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>25000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>3224</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>64403</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21453</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>404849</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sandra Steele-Riordan</PersonNm>
        <TitleTxt>Vice President of Grants</TitleTxt>
        <BaseCompensationFilingOrgAmt>170142</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>18032</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1032</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>43759</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8569</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>241534</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Salvatore Anzalone</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>208194</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>161965</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>840</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>56318</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15580</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>442897</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Emily Ptaszek</PersonNm>
        <TitleTxt>PresidentCEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>290874</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>26218</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>280</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>62943</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10371</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>390686</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Jorge Camina</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>233495</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>60840</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>219</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>50071</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16480</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>361105</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Reinier Ramirez</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>195232</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>38376</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>791</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>26297</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15731</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>276427</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Jose Puell</PersonNm>
        <TitleTxt>Pediatrician</TitleTxt>
        <BaseCompensationFilingOrgAmt>161460</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>121805</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>968</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>31318</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19833</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>335384</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Corin DeChirico</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>309025</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>31000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1135</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>22790</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4743</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>368693</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Reisha F Brown</PersonNm>
        <TitleTxt>Pediatrician</TitleTxt>
        <BaseCompensationFilingOrgAmt>182475</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>82549</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>206</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4086</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>288316</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tami Raznoff</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>138189</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>174</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19371</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14814</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>189048</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 former President and CEO of Healthcare Network (HCN) and also a Director on the Board for Integral Health Plan, Inc (IHP). Sandra Steele-Riordan is the former 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 (HCN) during the fiscal year. HCN received $2,067,458 in grants from CHS Healthcare Foundation.Jerry Starkey was a member of the Board of Directors for Healthcare (HCN). He is married to Adria Starkey who was on the Board of Directors for CHS Healthcare Foundation during the fiscal year. HCN received $2,067,458 in grants from CHS Healthcare Foundation.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>40538</ContributionCnt>
        <NoncashContributionsRptF990Amt>3087876</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Misc donated goods</Desc>
        <NoncashContributionsRptF990Amt>172685</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>
    </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>2067458</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>