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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Haris Marcel 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>Dennis Brown</PersonNm>
        <TitleTxt>DirectorVice Chairman</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>
      <TotalReportableCompFromOrgAmt>2084570</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>465487</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>21</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Kraft Office Center</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1500 Fifth Ave S 111</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Rental</ServicesDesc>
        <CompensationAmt>461744</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dr Thomas Beckett</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1890 SW Health Pkwy 203</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34109</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare</ServicesDesc>
        <CompensationAmt>610139</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dean Hildahl MD</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6610 Willow Park Dr 102</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34109</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare</ServicesDesc>
        <CompensationAmt>274100</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>301525</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>David Lawrence Center Inc</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6075 Bathey Ln</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34116</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Rental</ServicesDesc>
        <CompensationAmt>457086</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>14</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>31177</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>14563245</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>5321585</AllOtherContributionsAmt>
      <NoncashContributionsAmt>3948855</NoncashContributionsAmt>
      <TotalContributionsAmt>19916007</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Fees</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>27943697</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27943697</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Practice Mgmt Fees</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>490783</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>490783</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>28434480</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>843479</TotalRevenueColumnAmt>
        <ExclusionAmt>843479</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>8122366</SecuritiesAmt>
        <OtherAmt>11500</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>7932360</SecuritiesAmt>
        <OtherAmt>222470</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>190006</SecuritiesAmt>
        <OtherAmt>-210970</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-20964</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-20964</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1715939</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1715939</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1715939</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>30129455</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>843479</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>20900</TotalAmt>
        <ProgramServicesAmt>20900</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4500773</TotalAmt>
        <ProgramServicesAmt>3575206</ProgramServicesAmt>
        <ManagementAndGeneralAmt>925567</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>13370773</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3461493</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>2627534</ProgramServicesAmt>
        <ManagementAndGeneralAmt>660291</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1534068</TotalAmt>
        <ProgramServicesAmt>1224022</ProgramServicesAmt>
        <ManagementAndGeneralAmt>310046</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>457897</TotalAmt>
        <ProgramServicesAmt>193506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>264391</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <AdvertisingGrp>
        <TotalAmt>207941</TotalAmt>
        <ProgramServicesAmt>6943</ProgramServicesAmt>
        <ManagementAndGeneralAmt>200998</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <InformationTechnologyGrp>
        <TotalAmt>2041669</TotalAmt>
        <ProgramServicesAmt>1629034</ProgramServicesAmt>
        <ManagementAndGeneralAmt>412635</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1653607</TotalAmt>
        <ProgramServicesAmt>1211525</ProgramServicesAmt>
        <ManagementAndGeneralAmt>442082</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>85293</TotalAmt>
        <ProgramServicesAmt>67441</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17852</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>606347</TotalAmt>
        <ProgramServicesAmt>67208</ProgramServicesAmt>
        <ManagementAndGeneralAmt>539139</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1557621</TotalAmt>
        <ProgramServicesAmt>1242815</ProgramServicesAmt>
        <ManagementAndGeneralAmt>314806</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>451846</TotalAmt>
        <ProgramServicesAmt>328291</ProgramServicesAmt>
        <ManagementAndGeneralAmt>123555</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Patient Care</Desc>
        <TotalAmt>7305598</TotalAmt>
        <ProgramServicesAmt>7305598</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Utilities</Desc>
        <TotalAmt>940355</TotalAmt>
        <ProgramServicesAmt>750303</ProgramServicesAmt>
        <ManagementAndGeneralAmt>190052</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>In-kind Expenses</Desc>
        <TotalAmt>3948855</TotalAmt>
        <ProgramServicesAmt>3948855</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Equipment &amp; lease</Desc>
        <TotalAmt>315416</TotalAmt>
        <ProgramServicesAmt>251668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63748</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>1305504</ProgramServicesAmt>
        <ManagementAndGeneralAmt>252342</ManagementAndGeneralAmt>
        <FundraisingAmt>12695</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>47318818</TotalAmt>
        <ProgramServicesAmt>39127126</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8178997</ManagementAndGeneralAmt>
        <FundraisingAmt>12695</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>120961</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>1343702</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>921596</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>38707746</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>9556641</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>29151105</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>40976671</EOYAmt>
      </InvestmentsPubTradedSecGrp>
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        <EOYAmt>821652</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>86411837</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>11805847</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>3330569</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
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        <EOYAmt>16066852</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>48577422</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>26069099</BOYAmt>
        <EOYAmt>21767563</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>70344985</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>80535583</BOYAmt>
        <EOYAmt>86411837</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>3570123</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>6547586</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>664301</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>15172634</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14238640</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14568678</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16390881</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>19916007</CurrentTaxYearAmt>
        <TotalAmt>80286840</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus2YearsAmt>14568678</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16390881</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>19916007</CurrentTaxYearAmt>
        <TotalAmt>80286840</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>80286840</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>292822</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1108959</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>870086</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>843479</CurrentTaxYearAmt>
        <TotalAmt>3121488</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
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        <CurrentTaxYearMinus1YearAmt>2542609</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1715939</CurrentTaxYearAmt>
        <TotalAmt>54498203</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>137906531</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>134159566</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.58220</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.53980</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D">
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        <OtherCostOrOtherBasisAmt>3392357</OtherCostOrOtherBasisAmt>
        <BookValueAmt>3392357</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>3537072</DepreciationAmt>
        <BookValueAmt>21110337</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>1877354</DepreciationAmt>
        <BookValueAmt>2262765</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>3477093</DepreciationAmt>
        <BookValueAmt>1703585</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>665122</DepreciationAmt>
        <BookValueAmt>682061</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>29151105</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Community Health</Desc>
        <BookValueAmt>431998</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Lee Cty Electric Coop Cap Credits</Desc>
        <BookValueAmt>139948</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Utility and Other Deposits</Desc>
        <BookValueAmt>67825</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Top Hat 457b Program</Desc>
        <BookValueAmt>181881</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>821652</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Liabilities</Desc>
        <Amt>2332021</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Compensated Absences</Desc>
        <Amt>635714</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Compensation</Desc>
        <Amt>40053</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Assets Held in Trust</Desc>
        <Amt>322781</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3330569</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>58214347</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>6547586</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>566850</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>7114436</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>51099911</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-210970</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-210970</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>50888941</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>48096638</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>566850</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>210970</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>777820</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>47318818</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>47318818</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other expenses not included on Form 990 (Part XII, line 2d)</FormAndLineReferenceDesc>
        <ExplanationTxt>Loss on disposition of assets, $210,970 is reported on the Statement of Activities in the audit report however, the amount gets reported on Form 990 Part VIII Statement of Revenue.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Community Foundation of Collier Cty</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1110 Pine Ridge Rd Ste 200</AddressLine1Txt>
          <CityNm>Naples</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34108</ZIPCd>
        </USAddress>
        <RecipientEIN>592396243</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>6500</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</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>Dr Salvatore Anzalone</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>212183</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>75837</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1346</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>53891</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16319</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>359576</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Emily Ptaszek</PersonNm>
        <TitleTxt>PresidentCEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>329164</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>62500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>498</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>71270</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11006</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>474438</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Jorge Camina</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>236317</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>20089</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>339</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>47350</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17210</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>321305</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Douglas Keck</PersonNm>
        <TitleTxt>Dental Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>218090</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>313</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>903</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24866</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11276</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>255448</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Jose Puell</PersonNm>
        <TitleTxt>Pediatrician</TitleTxt>
        <BaseCompensationFilingOrgAmt>165790</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>52708</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1119</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21416</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19346</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>260379</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Corin DeChirico</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>314020</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>300</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1362</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>58270</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3117</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>377069</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Reisha F Brown</PersonNm>
        <TitleTxt>Pediatrician</TitleTxt>
        <BaseCompensationFilingOrgAmt>184678</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>40574</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>276</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>41868</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5008</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>272404</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tami Raznoff</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>158484</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7415</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>265</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>47201</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16073</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>229438</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="990L">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>J Douglas Campbell</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DirectorTreasurer</RelationshipDescriptionTxt>
        <TransactionDesc>see below</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Jerry Starkey</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Director</RelationshipDescriptionTxt>
        <TransactionDesc>see below</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Haris Domond</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DirectorChairman</RelationshipDescriptionTxt>
        <TransactionDesc>see below</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Dennis Brown</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DirectorVice Chairman</RelationshipDescriptionTxt>
        <TransactionDesc>see below</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Supplemental Information for Schedule L</FormAndLineReferenceDesc>
        <ExplanationTxt>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 $31,177 in grants from CHS Healthcare Foundation and an equity transfer of $664,301. Jerry Starkey was a member of the Board of Directors for Healthcare Network (HCN). He is married to Adria Starkey who was on the Board of Directors for CHS Healthcare Foundation during the fiscal year. HCN received $31,177 in grants from CHS Healthcare Foundation and an equity transfer of $664,301. Dennis Brown was a member of the Board of Directors for both CHS Healthcare Foundation and Healthcare Network (HCN) during the fiscal year. HCN received $31,177 in grants from CHS Healthcare Foundation and an equity transfer of $664,301. Haris Domond was a member of the Board of Directors for both CHS Healthcare Foundation and Healthcare Network (HCN) during the fiscal year. HCN received $31,177 in grants from CHS Healthcare Foundation and an equity transfer of $664,301.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>70645</ContributionCnt>
        <NoncashContributionsRptF990Amt>3256558</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Misc goods</Desc>
        <NoncashContributionsRptF990Amt>692297</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</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>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation ceased operations on December 22, 2020 and as a result transfered all its equity of $664,301 to Collier Health Services, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General explanation attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>On Form 990 Part VII Section A Maria Mila and Suzanne Bradach are both listed as Secretary. Suzanne is Marias successor and was elected onto the Board as Secretary in June 2020.</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>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHS Healthcare Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>31117</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>