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      <TotalContributionsAmt>30900</TotalContributionsAmt>
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        <Desc>DISTRIBUTION REVENUE</Desc>
        <BusinessCd>561000</BusinessCd>
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        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>22274827</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22274827</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>FOOD SERVICE</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>17024758</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17024758</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PACK OPERATION</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>6657448</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6657448</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>STERILE PROCESSING</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>4190478</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4190478</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>5632696</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5632696</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>287374580</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>363852</TotalRevenueColumnAmt>
        <ExclusionAmt>363852</ExclusionAmt>
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        <OtherAmt>9274</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
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      <GrantsToDomesticIndividualsGrp>
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        <ManagementAndGeneralAmt>42956</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PROGRAM COGS</Desc>
        <TotalAmt>247463846</TotalAmt>
        <ProgramServicesAmt>247463846</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
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        <ProgramServicesAmt>2043299</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>FLEET EXPENSE</Desc>
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      <AllOtherExpensesGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>60147558</EOYAmt>
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        <EOYAmt>61153958</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>61153958</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>121301516</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>2458519</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>80384</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <SupportingOrgType1Ind>X</SupportingOrgType1Ind>
      <IRSWrittenDeterminationInd>X</IRSWrittenDeterminationInd>
      <SupportedOrganizationsCnt>3</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>LEE MEMORIAL HEALTH SYSTEM</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>590714812</EIN>
        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>1</GoverningDocumentListedInd>
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      <SupportedOrgInformationGrp>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
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        <OrganizationChangeSuprtOrgInd>0</OrganizationChangeSuprtOrgInd>
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        <FormAndLineReferenceDesc>PART IV, SECTION A, ITEM 1</FormAndLineReferenceDesc>
        <ExplanationTxt>PER ARTICLE II OF THE ORGANIZATION'S BY-LAWS - THE SPECIFIC PURPOSES OF THE CORPORATION ARE TO PROVIDE, THROUGH INTERGOVERNMENTAL COOPERATION, VARIOUS PROGRAMS AND SERVICES INCLUDING, WITHOUT LIMITATION, THE PURCHASING AND DISTRIBUTION OF MEDICAL AND OTHER SUPPLIES, CENTRALIZED RECORD RETENTION AND MANAGEMENT, PHARMACEUTICAL REPACKAGING, CUSTOM STERILE PACKS, COURIER SERVICE, AND FOOD SERVICE. BY BEING ABLE TO PROVIDE THESE SERVICES FOR THE SARASOTA MEMORIAL HEALTH CARE SYSTEM, A FLORIDA INDEPENDENT SPECIAL DISTRICT ("SMH"), THE LEE MEMORIAL HEALTH SYSTEM, A FLORIDA INDEPENDENT SPECIAL DISTRICT ("LMH"), AND SUCH OTHER GOVERNMENTAL ENTITIES AS MAY BE ADDED IN THE FUTURE (COLLECTIVELY, THE "GOVERNMENTAL ENTITIES"), THE CORPORATION SHALL ACHIEVE ECONOMIES OF SCALE THAT THE GOVERNMENTAL ENTITIES WOULD NOT BE ABLE TO ACHIEVE ON THEIR OWN, AND, AS A RESULT, THE CORPORATION WILL LESSEN THE BURDENS OF GOVERNMENT. IN ADDITION TO THE GOVERNMENTAL ENTITIES, THE CORPORATION MAY EXTEND SUCH PROGRAMS AND SERVICES TO ENTITIES WHICH QUALIFY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW.</ExplanationTxt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>4587215</BookValueAmt>
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        <DepreciationAmt>11241279</DepreciationAmt>
        <BookValueAmt>42212469</BookValueAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>30900</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>31490</ExpensesNotRptFinclStmtAmt>
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        <ExplanationTxt>LEESAR HAS ADOPTED THE PROVISIONS OF ASC NO 740, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES" ("ASC NO. 740"). ASC 740 REQUIRES THAT THE IMPACT OF TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THEY ARE MORE LIKELY THAN NOT OF BEING SUSTAINED UPON EXAMINATION, BASED ON THE TECHNICAL MERITS OF THE POSITION. LEESAR'S OPEN AUDIT PERIODS ARE 2019-2022. LEESAR HAS NOT RECORDED INTEREST OR PENALTIES AS MANAGEMENT BELIEVES LEESAR HAS NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2023.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <GrantsOtherAsstToIndivInUSGrp>
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        <TotalCompensationFilingOrgAmt>572161</TotalCompensationFilingOrgAmt>
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        <PersonNm>JENNIFER REVERENDO</PersonNm>
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        <PersonNm>VICKIE DRAGICH</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN GIRNYS</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BARBARA FERNANDEZ</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER TOKASH</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD ROBERTS</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>ONLY HEALTH OR SOCIAL CLUB DUES UP TO $100 PER EMPLOYEE PER YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEOS SALARY IS DETERMINED BY THE BOARD OF DIRECTORS ACCORDING TO MARKET INFORMATION. THERE IS A WRITTEN EMPLOYEMENT AGREEMENT WITH THE CEO.</ExplanationTxt>
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        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
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        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
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        <NoRebateDueInd>0</NoRebateDueInd>
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        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
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        <ExplanationTxt>THE ORGANIZATION PROVIDES PURCHASING AND DISTRIBUTION OF MEDICAL AND OTHER SUPPLIES AND SERVICES PRIMARILY TO MEMBERS. MEMBERS ARE NOT FOR PROFIT GOVERNMENTAL AND PRIVATE ENTITIES. ON SEPTEMBER 1, 2010, THE ORIGINAL TWO MEMBERS (SARASOTA MEMORIAL HEALTH CARE SYSTEM (SMH) AND LEE MEMORIAL HEALTH SYSTEM (LMH) SOLD A PORTION OF THEIR MEMBERSHIPS TO CENTRAL FLORIDA HEALTH ALLIANCE (CFHA). MEMBERSHIP IN THE CURRENT FISCAL YEAR INCLUDES SMH, LMH AND CFHA, AND ELECTS 100% OF THE GOVERNING BODY OF LEESAR, INC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SUPPORTED ORGANIZATIONS, LEE MEMORIAL HEALTH SYSTEM, SARASOTA MEMORIAL HEALTH CARE SYSTEM AND UF HEALTH CENTRAL FLORIDA ELECT THE BOARD MEMBERS OF LEESAR, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>SEE PART VI, SECTION A, LINE 7A</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY FINANCE AND THE CEO AND IS DISTRIBUTED TO BOARD MEMBERS PRIOR TO SUBMISSION.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST RATE SWAP OBLIGATION 79,794. OTHER 590.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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      <AssetExchangeInd>0</AssetExchangeInd>
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      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
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          <BusinessNameLine1Txt>LEE HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>4190479</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CENTRAL STERILIZATION SERVICE AGR</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>SARASOTA MEMORIAL &amp; LEE HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>925060</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MANAGING HOSPIAL RECORDS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEE HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>17024758</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COOK/CHILL SERVCES AGREEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>COOPERATIVE SERVICES OF FLORIDA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>107304</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SHORT-TERM LEASE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>