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            <BusinessNameLine1Txt>JIMMY CARRILO PLLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4106 CREEK ROAD</AddressLine1Txt>
            <CityNm>VERNON</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32462</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ER PROVIDER</ServicesDesc>
        <CompensationAmt>199555</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SMARTHEALTH-HOME LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>102 GOLDFISH CT</AddressLine1Txt>
            <CityNm>PORT ST JOE</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32456</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT MANAGEMENT</ServicesDesc>
        <CompensationAmt>150000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GODBEY LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6724 YACHT CLUB DRIVE</AddressLine1Txt>
            <CityNm>PANAMA CITY</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32404</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MD HOSPITALIST</ServicesDesc>
        <CompensationAmt>102378</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>1037882</AllOtherContributionsAmt>
      <TotalContributionsAmt>1037882</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>42930034</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>42930034</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>240873</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>240873</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>43170907</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>58613</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>58613</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>5165</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>5165</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>5165</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5165</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>CARES FUNDING</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2061234</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2061234</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC. REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>218799</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>218799</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2280033</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>46552600</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45514718</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>353496</TotalAmt>
        <ProgramServicesAmt>353496</ProgramServicesAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>11793859</TotalAmt>
        <ProgramServicesAmt>11793859</ProgramServicesAmt>
      </OtherSalariesAndWagesGrp>
      <PayrollTaxesGrp>
        <TotalAmt>872684</TotalAmt>
        <ProgramServicesAmt>872684</ProgramServicesAmt>
      </PayrollTaxesGrp>
      <AdvertisingGrp>
        <TotalAmt>14067</TotalAmt>
        <ProgramServicesAmt>14067</ProgramServicesAmt>
      </AdvertisingGrp>
      <TravelGrp>
        <TotalAmt>34567</TotalAmt>
        <ProgramServicesAmt>34567</ProgramServicesAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>865959</TotalAmt>
        <ProgramServicesAmt>865959</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1083572</TotalAmt>
        <ProgramServicesAmt>1083572</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1564116</TotalAmt>
        <ProgramServicesAmt>1564116</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>15251045</TotalAmt>
        <ProgramServicesAmt>15251045</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>5230319</TotalAmt>
        <ProgramServicesAmt>5230319</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT LABOR</Desc>
        <TotalAmt>999762</TotalAmt>
        <ProgramServicesAmt>999762</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER PURCHASES</Desc>
        <TotalAmt>918760</TotalAmt>
        <ProgramServicesAmt>918760</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>3149968</TotalAmt>
        <ProgramServicesAmt>3149968</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>42132174</TotalAmt>
        <ProgramServicesAmt>42132174</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>2105033</BOYAmt>
        <EOYAmt>2287589</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>6885259</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>753268</BOYAmt>
        <EOYAmt>898288</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>111172</BOYAmt>
        <EOYAmt>292383</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>27925841</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>20824114</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5288921</BOYAmt>
        <EOYAmt>7101727</EOYAmt>
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        <BOYAmt>1815311</BOYAmt>
        <EOYAmt>2306914</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>13247112</BOYAmt>
        <EOYAmt>19772160</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2402759</BOYAmt>
        <EOYAmt>5696863</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>18892942</BOYAmt>
        <EOYAmt>17703460</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>21295701</BOYAmt>
        <EOYAmt>23400323</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>-8756583</BOYAmt>
        <EOYAmt>-4673429</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>707994</BOYAmt>
        <EOYAmt>1045266</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-8048589</BOYAmt>
        <EOYAmt>-3628163</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>13247112</BOYAmt>
        <EOYAmt>19772160</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>4420426</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>36000</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>36000</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE C, PART II-B, LINE 1G DOCTORS MEMORIAL HOSPITAL HIRED A FIRM TO LOBBY THE FLORIDA LEGISLATURE FOR CAPITAL FUNDING NEEDS.</ExplanationTxt>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>543503</OtherCostOrOtherBasisAmt>
        <BookValueAmt>543503</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>7589172</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5150628</DepreciationAmt>
        <BookValueAmt>2438544</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1868497</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1631701</DepreciationAmt>
        <BookValueAmt>236796</BookValueAmt>
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      <EquipmentGrp>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER CURRENT RECEIVABLES</Desc>
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      <OtherAssetsOrgGrp>
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        <Desc>ACCRUED INTEREST PAYABLE</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>BONDS PAYABLE</Desc>
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        <Desc>CURRENT MATURITIES OF LONG TERM DEBT</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO PATIENTS</Desc>
        <Amt>1050925</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD PARTY SETTLEMENTS, LT</Desc>
        <Amt>1085741</Amt>
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      <OtherLiabilitiesOrgGrp>
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        <Amt>634365</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>331607</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER ACCRUED LIABILITIES</Desc>
        <Amt>477508</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>SHORT TERM DEBT</Desc>
        <Amt>124767</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>SUBSCRIPTION LIABILITY</Desc>
        <Amt>20033</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>UNEARNED REVENUE</Desc>
        <Amt>193878</Amt>
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      <TotalRevEtcAuditedFinclStmtAmt>41178176</TotalRevEtcAuditedFinclStmtAmt>
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      <RevenueSubtotalAmt>41178176</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>5374424</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>46552600</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>36757750</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>36757750</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>5374424</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>5374424</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>42132174</TotalExpensesPerForm990Amt>
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        <ExplanationTxt>PROVISION FOR UNCOLLECTIBLE ACCOUNTS 5,374,424.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR UNCOLLECTIBLE ACCOUNTS 5,374,424.</ExplanationTxt>
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      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
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      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent250Ind>X</Percent250Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>0</ExpensesExceedBudgetInd>
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      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
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        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
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      <HospitalFcltyPoliciesPrctcGrp>
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        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
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        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.DOCTORSMEMORIAL.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HOLMES COUNTY HOSPITAL CORPORATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: DOCTORS MEMORIAL HOSPITAL IS A PARTNER IN THE HOLMES COUNTY HEALTH DEPARTMENT'S GROUP KNOWN AS THE HEALTHY HOLMES TASK FORCE (HHTF), WHO PERFORMED THE CHNA FOR HOLMES COUNTY AND CONDUCTED THE SURVEY. DATA ANALYSIS FOR THE CHNA WAS PERFORMED TO EVALUATE QUALITY OF LIFE AND DESIGN SOLUTIONS THAT FOCUS ON POPULATION HEALTH. HHTF IS TASKED WITH ALIGNING RESOURCES WITHIN THE COMMUNITY TO HELP IMPROVE HEALTH OUTCOMES FOR HOLMES RESIDENTS. TWO VERSIONS OF THE CHNA WERE ADMINISTERED THE COMMUNITY STATUS ASSESSMENT AND THE COMMUNITY PARTNER SURVEY. THE PRIMARY DATA SOURCE FOR THIS CHNA WAS THE HEALTH SURVEY DISTRIBUTED TO HOLMES COUNTY RESIDENTS DURING THE SPRING OF 2023. THE SURVEY ITEMS WERE REVIEWED BY THE CHNA COMMITTEE. THE RESULT OF THE EFFORT WAS A 21-ITEM SURVEY THAT WAS DISTRIBUTED IN ELECTRONIC AND PAPER FORMAT. A TOTAL OF 157 COMMUNITY MEMBERS PARTICIPATED IN THE RESIDENT SURVEY. THE COMMUNITY STATUS ASSESSMENTS WERE AVAILABLE IN DIGITAL FORMAT AND IN HARD COPY. THE LINK TO THE SURVEY WAS SHARED THROUGH AGENCIES AND ORGANIZATIONS. HARD COPIES OF THE SURVEY WERE PROVIDED AT VARIOUS RURAL SITES AND CIVIC MEETINGS THROUGHOUT HOLMES COUNTY. THE HHTF INCLUDED MORE DIVERSE RESPONDENTS TO THE COMMUNITY STATUS ASSESSMENT BY PARTNERING WITH ORGANIZATIONS SUCH AS THE HOLMES COUNTY LIBRARY AND FAITH-BASED ORGANIZATIONS TO ASSIST WITH SURVEY DISTRIBUTION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HOLMES COUNTY HOSPITAL CORPORATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN CONJUNCTION WITH HOLMES COUNTY HEALTH DEPARTMENT, BONIFAY, FL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>HOLMES COUNTY HOSPITAL CORPORATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: ACCORDING TO OUR MOST RECENT CHNA THAT WAS CONDUCTED IN 2023, HEALTHY LIFESTYLES AND CHRONIC DISEASE PREVENTION WERE AREAS IN WHICH OUR COMMUNITY EXHIBITED A NEED. TO TRY TO MEET THESE NEEDS, DOCTORS MEMORIAL HOSPITAL HAS DONE THE FOLLOWING: INCREASED PHYSICAL ACTIVITY BY SPONSORING/HOSTING HEALTHY HEART WALK AND ONE 5K RACE IN HOLMES COUNTY - PARTNER WITH HHTF TO PROVIDE NUTRITIONAL INFORMATION AND RESOURCES - INCREASED NUTRITION EDUCATION BY PROVIDING NUTRITION CLASS OPTIONS - PROVIDED CESSATION RESOURCES FOR TOBACCO USERS. MEETING THE NEEDS FOR OUR COMMUNITY IS WHAT WE STRIVE FOR, HOWEVER SOME BARRIERS PREVENT US FROM REACHING GOALS SUCH AS THE NUMBER OF SPECIALISTS WE WANT TO PROVIDE, AMOUNT OF EVENTS/WORKSHOPS WE HOST, OR THE EDUCATION PROGRAMS THAT WOULD BE SO USEFUL TO OUR COMMUNITY. SOME OF THESE BARRIERS INCLUDE LIMITED FUNDING AND LIMITED RESOURCES TO CRITICAL ACCESS HOSPITALS AND OUR COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPTIAL CHANGED ITS METHOD OF APPROVING CHARITY CARE IN MARCH OF 2014 TO PATIENTS BEING REQUIRED TO BRING IN DOCUMENTATION TO SUPPORT THE PATIENT'S INCOME AND EXPENSES. THE HOSPITAL ESTIMATED THAT APPROXIMATELY 29% OF THE BAD DEBT EXPENSE WOULD HAVE BEEN ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY HAD THE PROPER DOCUMENTATION BEEN PROVIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE SEE NOTE 1 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTES DESCRIBING THE ORGANIZATION'S BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE ALLOWABLE FAILS TO COVER COSTS. NON-PAYMENT BY MEDICARE RECIPIENTS FOR THEIR DEDUCTIBLE AND COINSURANCE AMOUNTS INCREASES FINANCIAL ASSISTANCE AND BAD DEBT. THESE SHORTFALLS DECREASE THE ORGANIZATION'S POOL OF ASSETS AND IT'S ABILITY TO ATTRACT HIGHLY-TRAINED STAFF AND INVEST IN MEDICAL TECHNOLOGY. IF SERVICES ARE TO BE MAINTAINED, THEN COSTS WILL HAVE TO BE COVERED BY THOSE WHO PAY. THE BURDEN FALLS ON THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PATIENTS FOLLOW THE SAME COLLECTION PRACTICES. THE FFA IS A TOOL WE USE DURING THIS PROCESS TO SEE IF HELP IS NEEDED. DURING CONTRACT BY PHONE OR MAIL THE PATIENT IS GIVEN THE OPPORTUNITY TO APPLY FOR ASSISTANCE AT ANYTIME DURING THE COLLECTION PERIOD. IF THE PATIENT IS QUALIFIED FOR ASSISTANCE THE COLLECTION PROCESS CEASES AND THE ACCOUNT IS ADJUSTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PAIRS WITH THE HEALTHY HOLMES TASK FORCE TO IMPROVE THE QUALITY OF LIFE FOR CITIZENS OF HOLMES COUNTY, FLORIDA. A NEEDS ASSESSMENT WAS CONDUCTED IN 2023 TO DETERMINE THE HEALTH CARE NEEDS OF THE COMMUNITY, IN COOPERATION WITH COMMUNITY LEADERS AND THE HEALTH DEPARTMENT OF HOLMES COUNTY, AS A CONTINUOUS EFFORT TO IMPROVE UPON THE HEALTH CARE SERVICES PROVIDED TO RESIDENTS OF THE COUNTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL MAKES EVERY EFFORT TO FIND ASSISTANCE FOR PATIENTS WHO ARE UNINSURED AND REQUIRE TREATMENT. ANY PATIENT WHOSE VISIST IS DEEMED AN EMERGENCY BY THE PHYSICIAN IS TREATED, REGARDLESS OF THEIR ABILITY TO PAY. IF THE PATIENT IS A RESIDENT OF HOLMES COUNTY, FLORIDA, HOSPITAL STAFF WILL ASSIST THEM IN COMPLETING PAPERWORK TO QUALIFY FOR APPLICABLE COUNTY PROGRAMS THAT PROVIDE ASSISTANCE TO ELIGIBLE RESIDENTS. THE HOSPITAL ALSO PARTNERS WITH THE DEPARTMENT OF CHILDREN AND FAMILY SERVICES TO SERVE AS AN ACCESS COMMUNITY SITE. HOSPITAL STAFF ASSIST PATIENTS OR THIER FAMILY MEMBERS IN APPLYING FOR MEDICAID, IF ELIGIBLE, ON-SITE AT THE HOSPITAL. ADDITIONALLY, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS DISCUSSED WITH AND OFFERED TO ALL ELIGIBLE PATIENTS AND IS ADVERTISED THROUGHOUT THE FACILITY. ALL APPLICABLE STATE AND FEDERAL REGULATIONS ARE FOLLOWED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PRIMARILY SERVES RESIDENTS OF HOLMES COUNTY, FLORIDA AND IMMEDIATE SURROUNDING AREAS. HOLMES COUNTY IS LOCATED IS AN UNDERSERVED RURAL AREA WITH HIGH UNEMPLOYMENT. THE U.S. CENSUS BUREAU CALCULATES THAT 27% OF HOLMES COUNTY RESIDENT LIVE BELOW POVERTY LEVEL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A CRITICAL ACCESS HOSPITAL AND THE ONLY HOSPITAL LOCATED IN HOLMES COUNTY, FLORIDA, THE HOSPITAL SERVES A VITAL ROLE IN PROVIDING LOCAL, QUALITY HEALTH CARE, INCLUDING 24 HOUR EMERGENCY ROOM ACCESS, TO THE RESIDENTS OF THE COUNTY, MANY OF WHOM LIVE AT OR BELOW THE FEDERAL POVERTY LINE AND, WITHOUT ACCESS TO THE HOSPITAL, WOULD OTHERWISE HAVE LIMITED OR NO ACCESS TO SUITABLE HEALTHCARE. THE HOSPITAL'S BOARD OF DIRECTORS CONSISTS OF LOCAL COMMUNITY LEADERS WHO ARE INVESTED IN THE COMMUNITY AND INTEGRAL IN GUIDING THE POLICY AND DIRECTION OF THE HOSPITAL. ADDITIONALLY, SEVERAL OF THE PHYSICIANS CURRENTLY SERVING PATIENTS AT THE HOSPITAL ARE RESIDENTS OF HOLMES COUNTY.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>EXCESS OVER SALES PROCEEDS IS INVESTMENT EARNINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>HOLMES COUNTY HOSPITAL CORPORATION IS A 501(C)(3) ORGANIZATION THAT IS ALSO A GOVERNMENTAL ENTITY; ACCORDINGLY THESE BONDS ARE GOVERNMENT BONDS RATHER THAN 501(C)(3) BONDS AND ARE NOT SUBJECT TO THE 2% LIMIT ON ISSUNACE COSTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ARBITRAGE REBATE ANALYSIS WAS PERFORMED ON NOVEMBER 29, 2011.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WAS LEASED TO JUBILEE DOCTORS MANAGEMENT FROM MARCH 2020 TO JULY 2020. IN AUGUST 2020 TO PRESENT, SMART-HEALTH HOME, LLC HAS BEEN ENGAGED AS THE MANAGERS OF THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE BYLAWS OF THE ORGANIZATION IDENTIFY THE GOVERNOR OF THE STATE OF FLORIDA TO HAVE THE SOLE RIGHT TO APPOINT ALL MEMBERS OF THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S CONTROLLER. ANY QUESTIONS AND CONCERNS THE CONTROLLER MAY HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE 990 IS THEN PROVIDED TO THE BOARD FOR THEIR REVIEW PRIOR TO FILING THE 990. ANY QUESTIONS OR CONCERNS THE BOARD HAVE ARE ADDRESSED AND ANY CONCERNS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, EACH BOARD MEMBER SHALL FILE WITH THE BOARD SECRETARY A WRITTEN STATEMENT DESCRIBING EACH ACTUAL OR PROPOSED RELATIONSHIP OF THAT MEMBER, WHETHER ECONOMIC OR OTHERWISE, OTHER THAN THE MEMBER'S STATUS AS A BOARD MEMBER AND/OR A MEMBER OF THE COMMUNITY, WHICH IN ANY WAY AND TO ANY DEGREE MAY HAVE AN IMPACT ON THE FINANCES OR OPERATIONS OF THE HOSPITAL OR ITS STAFF, OR THE HOSPITAL'S RELATIONSHIP TO THE COMMUNITY. A NEW BOARD MEMBER SHALL FILE THE WRITTEN STATEMENT IMMEDIATELY UPON BEING APPOINTED TO THE BOARD. THIS DISCLOSURE REQUIREMENT IS TO BE CONSTRUED BROADLY, AND A BOARD MEMBER SHOULD FINALLY DETERMINE THE NEED FOR ALL POSSIBLE DISCLOSURES OF WHICH HE/SHE IS UNCERTAIN ON THE SIDE OF DISCLOSURES, INCLUDING OWNERSHIP AND CONTROL OF ANY HEALTH CARE DELIVERY ORGANIZATION THAT IS CORPORATELY AND FUNCTIONALLY RELATED TO THE HOSPITAL. THIS DISCLOSURE PROCEDURE WILL NOT REQUIRE ANY ACTION WHICH WOULD BE DEEMED A BREACH OF ANY STATE OR FEDERAL CONFIDENTALITY LAW, BUT IN SUCH CIRCUMSTANCES MINIMUM ALLOWABLE DISCLOURES SHOULD BE MADE. BETWEEN ANNUAL DISCLOSURE DATES, ANY NEW RELATIONSHIP OF THE TYPE DESCRIBED, WHETHER ACTUAL OR PROPOSED, SHALL BE DISCLOSED IN WRITING TO THE BOARD SECRETARY BY THE NEXT REGULARLY SCHEDULED BOARD MEETING. THE BOARD SECRETARY WILL PROVIDE EACH BOARD MEMBER WITH A COPY OF EACH MEMBER'S WRITTEN DISCLOSURE AT THE NEXT BOARD MEETING FOLLOWING FILING BY THE MEMBER FOR REVIEW AND DISCUSSION BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES REVIEWS THE EXECUTIVE DIRECTOR'S COMPENSATION ANNUALLY BY COMPARING THE CEO CURRENT SALARY WITH OTHER AREA HOSPITALS SALARIES FOR EXECUTIVE DIRECTORS AND A SURVEY, OF HOSPITAL EXECUTIVE DIRECTORS SALARIES IN THE STATE, PREPARED BY THE FLORIDA HOSPITAL ASSOCIATION. THE BOARD MEETS IN EXECUTIVE SESSION AND DISCUSSES IF ANY ADJUSTMENTS NEED TO BE MADE TO THE CEO SALARY. THE BOARD SETS THE SALARY BASED ON THEIR COMPARATIVE FINDINGS. ANY CHANGES TO BE MADE ARE COMMUICATED TO THE HUMAN RESOURCE DEPARTMENT VIA A PERSONNEL ACTION FORM SIGNED BY THE CHAIRMAN OF THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS AND OTHER INFORMATION ARE SUBMITTED TO THE STATE OF FLORIDA, AS REQUIRED, AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS AND OTHER INFORMATION ARE SUBMITTED TO THE STATE OF FLORIDA, AS REQUIRED, AND ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>