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      <Form990PartVIISectionAGrp>
        <PersonNm>BEN SPENCE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID VERINDER</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
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      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
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      <ContractorCompensationGrp>
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          <USAddress>
            <AddressLine1Txt>91118TH AVENUE SE</AddressLine1Txt>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MN</StateAbbreviationCd>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>RYDER TRANSPORTATION SERVICES</BusinessNameLine1Txt>
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          <USAddress>
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            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <Desc>PROGRAM COGS</Desc>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <SupportingOrgType1Ind>X</SupportingOrgType1Ind>
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          <BusinessNameLine1Txt>LEE MEMORIAL HEALTH SYSTEM</BusinessNameLine1Txt>
        </SupportedOrganizationName>
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          <BusinessNameLine1Txt>SARASOTA MEMORIAL HEATH CARE</BusinessNameLine1Txt>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>UF HEALTH CENTRAL FLORIDA</BusinessNameLine1Txt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 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 REPAKAGING, 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, THE LEE MEMORIAL HEALTH SYSTEM, A FLORIDA INDEPENDENT SPECIAL DISTRICT, AND SUCH OTHER GOVERNMENTAL ENTITIES AS MAY BE ADDED IN THE FUTURE, 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>
      </Form990ScheduleAPartVIGrp>
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        <BookValueAmt>4587215</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>53258955</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13901018</DepreciationAmt>
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        <DepreciationAmt>12680099</DepreciationAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>CONTRIBUTION IN AID OF CONSTRUCTION</Desc>
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        <Desc>LEASE OBLIGATION - OPERATING</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE OBLIGATION-FINANCE</Desc>
        <Amt>1041654</Amt>
      </OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>-64967</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-64967</RevenueNotReportedAmt>
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      <TotalRevenuePerForm990Amt>279388563</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>279318815</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>279318815</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>279318815</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>LEESAR HAS OBTAINED EXEMPTION FROM INCOME TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. LEESAR HAS ADOPTED THE PROVISIONS OF FASB ASC NO. 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ("ASC 740"). ASC 740 REQUIRES THE IMPACT OF TAX POSITIONS 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 HAS NOT RECORDED INTEREST OR PENALTIES AS MANAGEMENT BELIEVES LEESAR HAS NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2025 OR 2024</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc3">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN EDWARD STREGER</PersonNm>
        <TitleTxt>CURRENT PRES/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>147577</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>344347</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40185</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>93765</BonusRelatedOrganizationsAmt>
        <NontaxableBenefitsFilingOrgAmt>16065</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7615</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>203827</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>445727</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT J BOSWELL</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>142178</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>331750</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>263</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>614</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>215</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>503</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>142656</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>332867</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER REVERENDO</PersonNm>
        <TitleTxt>VP OF CSF OF FL</TitleTxt>
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        <DeferredCompRltdOrgsAmt>15177</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>33116</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>385070</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN GIRNYS</PersonNm>
        <TitleTxt>VP-PHARMA SERVICES</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>242397</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>50489</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>14468</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>31125</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>338479</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBORAH ANN SHAD</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>150528</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>12051</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>28119</BonusRelatedOrganizationsAmt>
        <DeferredCompensationFlngOrgAmt>7345</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5762</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>7684</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>92098</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>192093</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BARBARA FERNANDEZ</PersonNm>
        <TitleTxt>VICE PRES HR</TitleTxt>
        <BaseCompensationFilingOrgAmt>189249</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>14244</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>39562</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>2978</BonusRelatedOrganizationsAmt>
        <DeferredCompensationFlngOrgAmt>9082</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>684</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17535</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1320</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>255428</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>19226</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUSS NEUMEIER</PersonNm>
        <TitleTxt>VP-IS</TitleTxt>
        <BaseCompensationFilingOrgAmt>100924</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>67282</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>24325</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>16217</BonusRelatedOrganizationsAmt>
        <DeferredCompensationFlngOrgAmt>6674</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4449</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22411</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>14940</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>154334</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>102888</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHEKILA JOHNSON</PersonNm>
        <TitleTxt>ED OF CSF OF FL</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANICE VARNEY</PersonNm>
        <TitleTxt>VP-SUPPLY CHAIN</TitleTxt>
        <BaseCompensationFilingOrgAmt>174102</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>41100</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>10791</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2258</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>228251</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PHILLIP L AMOS</PersonNm>
        <TitleTxt>ED-PLANT OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>181147</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>27016</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>10408</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2410</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>220981</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CATHERINE PALMISANO</PersonNm>
        <TitleTxt>ED - FINANCE</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>74884</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10887</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>10887</BonusRelatedOrganizationsAmt>
        <DeferredCompensationFlngOrgAmt>4328</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4328</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6009</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6009</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>96108</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>96108</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER TOKASH</PersonNm>
        <TitleTxt>VP - SUPPLY CHAIN</TitleTxt>
        <BaseCompensationFilingOrgAmt>173378</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8671</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4550</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>186599</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc4">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>LEE COUNTY INDUST DEV AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>591793462</BondIssuerEIN>
        <BondIssuedDt>2010-12-21</BondIssuedDt>
        <IssuePriceAmt>27000000</IssuePriceAmt>
        <PurposeDesc>CONSTRUCT &amp; EQUIP FACILITY</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>27000000</TotalProceedsAmt>
        <CapitalExpendituresAmt>27000000</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2012</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>LEE COUNTY INDUST DEV AUTHORITY CONSTRUCT &amp; EQUIP FACILITY</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE THROUGH INTERGOVERNMENTAL COOPERATION, VARIOUS PROGRAMS AND SERVICES INCLUDING, WITHOUT LIMITATION, THE PURCHASING AND DISTRIBUTION OF MEDICAL SUPPLIES AND OTHER SUPPLIES, CENTRALIZED RECORD RETENTION AND MANAGEMENT, PHARMACEUTICAL REPACKAGING, CUSTOM STERILE PACKS, COURIER SERVICE, AND FOOD SERVICE TO LEE MEMORIAL HEALTH SYSTEM, SARASOTA MEMORIAL HEALTH SYTEM AND OTHER GOVERNMENTAL AGENCIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS CONSIST OF BOARD MEMBERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>PACK OPERATIONS, STERILE PROCESSING, RECORD RETENTION, COURIER SERVICE AND EMERGENCY SERVICES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <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 SYSTEM ALLIANCE (CFHA). MEMBERSHIP IN THE CURRENT FISCAL YEAR INCLUDED SMH, LMH, AND CFHA, AND ELECTS 100% OF THE GOVERNING BODY OF LEESAR, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SUPPORTED ORGANIZATIONS LMH, SMH AND UF CENTRAL FLORIDA ELECT THE BOARD MEMBERS OF LESAR, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PART VI, SECTION A, LINE 7A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY FINANCE AND THE CEO AND IS DISTRIBUTED TO THE BOARD MEMBERS PRIOR TO SUBMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL CONFLICT OF INTEREST IS REVIEWED BY CORPORATE COMPLIANCE COMMITTEE WHICH CONSISTS OF VARIOUS DEPARTMENTS AND IS CHARIED BY INTERNAL AUDITOR AND VP OF HR</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>TOP MANAGEMENT AND KEY EMPLOYEES COMPENSATION IS REVIEWED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>TOP MANAGEMENT AND KEY EMPLOYEE COMPENSATION IS REVIEWED BY THE BOARD AND THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>LEE MEMORIAL HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>2776 CLEVELAND AVE</AddressLine1Txt>
          <CityNm>FORT MYERS</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33901</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SARASOTA MEMORIAL HEALTH CARE</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>SYSTEM</BusinessNameLine2Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1700 S TAMIAMI TRAIL</AddressLine1Txt>
          <CityNm>SARASOTA</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34239</ZIPCd>
        </USAddress>
        <EIN>596012500</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UF HEALTH CENTRAL FLORIDA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 E DIXIE AVE</AddressLine1Txt>
          <CityNm>LEESBURG</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34748</ZIPCd>
        </USAddress>
        <EIN>331197054</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COOPERATIVE SERVICES OF FLORIDA INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2727 WINKLER AVE</AddressLine1Txt>
          <CityNm>FORT MYERS</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33901</ZIPCd>
        </USAddress>
        <EIN>650762164</EIN>
        <PrimaryActivitiesTxt>PURCHASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>COOPERATIVE SERVICES OF FLORIDA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>6468019</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ALLOCATION OF EXPENSES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEE HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>2494725</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CENTRAL STERILIZATION SER</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SARASOTA MEMORIAL &amp; LEE HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>1201198</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MANAGING HOSP RECORDS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LEE HEALTH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>1939067</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COOK/CHILL SERVICES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>COOPERATIVE SERVICES OF FLORIDA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>135706</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>SHORT-TERM LEASE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>