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      <Desc>See attached PDF.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Suzanne Bradach</PersonNm>
        <TitleTxt>DirectorVice Chair</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>Kerri Ervin</PersonNm>
        <TitleTxt>DirectorQC Chair</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>2704327</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>467556</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Naples Community Hospital</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1100 Immokalee Road</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34110</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Lease</ServicesDesc>
        <CompensationAmt>213750</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Res Master Holdings</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34108</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Rent</ServicesDesc>
        <CompensationAmt>247945</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DeAngelis Construction</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6635 Willow Park Drive</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34109</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Construction</ServicesDesc>
        <CompensationAmt>676990</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dean Hildahl</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1865 Veterans Park Dr 201</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34109</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare</ServicesDesc>
        <CompensationAmt>292400</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dr Richard Strathmann</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>775 1st Ave N</AddressLine1Txt>
            <CityNm>Naples</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare</ServicesDesc>
        <CompensationAmt>248900</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>11405469</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>5687383</AllOtherContributionsAmt>
      <NoncashContributionsAmt>3367682</NoncashContributionsAmt>
      <TotalContributionsAmt>17092852</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Fees</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>40768560</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40768560</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Practice Mgmt Fees</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>494000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>494000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>41262560</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1399903</TotalRevenueColumnAmt>
        <ExclusionAmt>1399903</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>7606352</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
        <SecuritiesAmt>-23094</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
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        <RelatedOrExemptFuncIncomeAmt>-23094</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Other</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>4946440</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>4946440</OtherRevenueTotalAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>144430</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>2049650</ManagementAndGeneralAmt>
        <FundraisingAmt>39670</FundraisingAmt>
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        <ProgramServicesAmt>4956309</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>2006112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>148004</ManagementAndGeneralAmt>
        <FundraisingAmt>491</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>75631</ProgramServicesAmt>
        <ManagementAndGeneralAmt>405029</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <AdvertisingGrp>
        <TotalAmt>289204</TotalAmt>
        <ProgramServicesAmt>993</ProgramServicesAmt>
        <ManagementAndGeneralAmt>276211</ManagementAndGeneralAmt>
        <FundraisingAmt>12000</FundraisingAmt>
      </AdvertisingGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>2505329</ProgramServicesAmt>
        <ManagementAndGeneralAmt>104389</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>830269</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82115</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>251250</TotalAmt>
        <ProgramServicesAmt>112701</ProgramServicesAmt>
        <ManagementAndGeneralAmt>138500</ManagementAndGeneralAmt>
        <FundraisingAmt>49</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>248142</TotalAmt>
        <ProgramServicesAmt>130934</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117208</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>1569181</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12809</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
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        <ProgramServicesAmt>209067</ProgramServicesAmt>
        <ManagementAndGeneralAmt>353532</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Patient Care</Desc>
        <TotalAmt>10642027</TotalAmt>
        <ProgramServicesAmt>10349003</ProgramServicesAmt>
        <ManagementAndGeneralAmt>293024</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>927317</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103035</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>In-kind Expenses</Desc>
        <TotalAmt>3367682</TotalAmt>
        <ProgramServicesAmt>3367682</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Equipment &amp; lease</Desc>
        <TotalAmt>452573</TotalAmt>
        <ProgramServicesAmt>363413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89160</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>1588609</ProgramServicesAmt>
        <ManagementAndGeneralAmt>347827</ManagementAndGeneralAmt>
        <FundraisingAmt>1708</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>88140197</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>2801042</ReconcilationRevenueExpnssAmt>
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      <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>
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    <IRS990ScheduleA documentId="990A">
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        <CurrentTaxYearMinus3YearsAmt>19916007</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>26447990</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23301547</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17092852</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>17092852</CurrentTaxYearAmt>
        <TotalAmt>103149277</TotalAmt>
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      <GrossInvestmentIncome170Grp>
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    <IRS990ScheduleB documentId="990B">
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <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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        <BookValueAmt>7251768</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>6236856</DepreciationAmt>
        <BookValueAmt>22194287</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>2599589</DepreciationAmt>
        <BookValueAmt>1045270</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>4066244</DepreciationAmt>
        <BookValueAmt>1319902</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>1086745</DepreciationAmt>
        <BookValueAmt>7883713</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>39694940</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>NCH Hospital</Desc>
        <BookValueAmt>462616</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Lee Cty Electric Coop Cap Credits</Desc>
        <BookValueAmt>129793</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Utility and Other Deposits</Desc>
        <BookValueAmt>55818</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Top Hat 457b Program</Desc>
        <BookValueAmt>122668</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Operating Lease ROU Asset</Desc>
        <BookValueAmt>1097648</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1868543</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Liabilities</Desc>
        <Amt>3520518</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Compensated Absences</Desc>
        <Amt>847977</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Retirement Plan Payable</Desc>
        <Amt>1925249</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPEB Liability and Other</Desc>
        <Amt>372287</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>6666031</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>68904420</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>3636779</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>588980</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>4225759</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>64678661</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>64678661</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>62466599</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>588980</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>588980</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>61877619</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>61877619</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>The Financial Accounting Standards Board has issues guidance on accounting for uncertainty in income taxes and the Organization has adopted this guidance. The Organization has evaluataed 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 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>30000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Florida Gulf Coast University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10501 FGCU Blvd</AddressLine1Txt>
          <CityNm>Fort Myers</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33965</ZIPCd>
        </USAddress>
        <RecipientEIN>650403969</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Immokalee Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2375 Tamiami Trail N Suite 308</AddressLine1Txt>
          <CityNm>Naples</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34103</ZIPCd>
        </USAddress>
        <RecipientEIN>650315664</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>59820</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Naples Children and Education Fdn</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>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Six Ls Packing Co</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>315 East New Market Road</AddressLine1Txt>
          <CityNm>Immokalee</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34142</ZIPCd>
        </USAddress>
        <RecipientEIN>591025845</RecipientEIN>
        <IRCSectionDesc>S Corp</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Guadalupe Center Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>509 Hope Circle</AddressLine1Txt>
          <CityNm>Immokalee</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34142</ZIPCd>
        </USAddress>
        <RecipientEIN>592617151</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Ronald McDonald House</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>6000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Sunlight of Collier County Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 9194</AddressLine1Txt>
          <CityNm>Naples</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34101</ZIPCd>
        </USAddress>
        <RecipientEIN>592417151</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <PurposeOfGrantTxt>Sponsorship</PurposeOfGrantTxt>
      </RecipientTable>
    </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>VP Clinical Business Development</TitleTxt>
        <BaseCompensationFilingOrgAmt>231085</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>135857</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>684</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>59063</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6533</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>433222</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Corin DeChirico</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>215340</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>774</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>39439</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1536</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>267089</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Reisha F Brown</PersonNm>
        <TitleTxt>Pediatrician</TitleTxt>
        <BaseCompensationFilingOrgAmt>225448</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>54658</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>380</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>61148</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5452</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>347086</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tami Raznoff</PersonNm>
        <TitleTxt>VP of Fiscal SvcCFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>187108</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16532</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>317</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>64494</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6615</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>275066</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr John F Carini</PersonNm>
        <TitleTxt>Medical Director of OBGyn</TitleTxt>
        <BaseCompensationFilingOrgAmt>362191</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10420</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>4527</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>33980</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10873</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>421991</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Reinier Ramirez</PersonNm>
        <TitleTxt>Medical Director of Adult Medicine</TitleTxt>
        <BaseCompensationFilingOrgAmt>233400</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>90704</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>807</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>33980</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11244</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>370135</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Fletcher</PersonNm>
        <TitleTxt>Chief Ops OfficerGen Counsel</TitleTxt>
        <BaseCompensationFilingOrgAmt>204568</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16532</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>179</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>44849</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6308</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>272436</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jamie Ulmer</PersonNm>
        <TitleTxt>PresidentCEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>346934</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>56541</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>689</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>33980</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2304</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>440448</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Rodini Cruz</PersonNm>
        <TitleTxt>OBGyN</TitleTxt>
        <BaseCompensationFilingOrgAmt>296345</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1744</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>563</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>33980</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11778</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>344410</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>35726</ContributionCnt>
        <NoncashContributionsRptF990Amt>2479546</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Misc Goods</Desc>
        <NoncashContributionsRptF990Amt>888136</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 other governing documents are available upon request, on Guidestar or on the Organizations website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General explanation attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>The term ended for The Chief Medical Officer, Corin DeChirico, on July 28th, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>