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          <BusinessName>
            <BusinessNameLine1Txt>WURTLAND NURSING AND REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 677</AddressLine1Txt>
            <CityNm>WURTLAND</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41144</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING FACILIT</ServicesDesc>
        <CompensationAmt>347597</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARTER NURSING AND REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 904</AddressLine1Txt>
            <CityNm>GRAYSON</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41143</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING FACILIT</ServicesDesc>
        <CompensationAmt>276859</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDLINE INDUSTRIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>DEPT CH14400</AddressLine1Txt>
            <CityNm>PALATINE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>600554400</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLY</ServicesDesc>
        <CompensationAmt>262372</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>17</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>152580</AllOtherContributionsAmt>
      <TotalContributionsAmt>152580</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE - HOME CARE</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>13312414</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13312414</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>13312414</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>522757</TotalRevenueColumnAmt>
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      </InvestmentIncomeGrp>
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      <NetGainOrLossInvestmentsGrp>
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      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>14950</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>2995</FundraisingDirectExpensesAmt>
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        <TotalRevenueColumnAmt>11955</TotalRevenueColumnAmt>
        <ExclusionAmt>11955</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>115091</ExclusionAmt>
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        <RelatedOrExemptFuncIncomeAmt>13600818</RelatedOrExemptFuncIncomeAmt>
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      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>4944167</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1490129</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>200334</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66778</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <PayrollTaxesGrp>
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        <ProgramServicesAmt>371771</ProgramServicesAmt>
        <ManagementAndGeneralAmt>123923</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>36937</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12312</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>42595</TotalAmt>
        <ProgramServicesAmt>31947</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10648</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
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        <ProgramServicesAmt>31925</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10641</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>18525</TotalAmt>
        <ProgramServicesAmt>13893</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4632</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <TravelGrp>
        <TotalAmt>233578</TotalAmt>
        <ProgramServicesAmt>219634</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13944</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>33549</TotalAmt>
        <ProgramServicesAmt>25162</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8387</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>283462</TotalAmt>
        <ProgramServicesAmt>212596</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70866</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>565079</TotalAmt>
        <ProgramServicesAmt>423810</ProgramServicesAmt>
        <ManagementAndGeneralAmt>141269</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTED PROFESSIONAL S</Desc>
        <TotalAmt>2727251</TotalAmt>
        <ProgramServicesAmt>2692018</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35233</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICATION</Desc>
        <TotalAmt>563228</TotalAmt>
        <ProgramServicesAmt>563228</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE AND REPAIRS</Desc>
        <TotalAmt>337593</TotalAmt>
        <ProgramServicesAmt>253195</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84398</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL EQUIPMENT RENTAL</Desc>
        <TotalAmt>324461</TotalAmt>
        <ProgramServicesAmt>324461</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>1102943</TotalAmt>
        <ProgramServicesAmt>918155</ProgramServicesAmt>
        <ManagementAndGeneralAmt>184788</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>13521181</TotalAmt>
        <ProgramServicesAmt>11263233</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2257948</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>-252480</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>27918</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>1942881</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
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    <IRS990ScheduleA documentId="RetDoc7">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>123699</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>422186</CurrentTaxYearMinus2YearsAmt>
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      <FactsAndCircumstancesTestTxt>THE ORGANIZATION IS OPERATING AS A CHARITY, NOT A FOUNDATION. 13,312,414 OF THE 13,880,444 IN REVENUES IS FROM PATIENT CARE SERVICES, THEREFORE, WE REQUEST THAT THIS FACT BE TAKEN INTO CONSIDERATION WHEN REVIEWING THE 33 1/3% TEST.</FactsAndCircumstancesTestTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 17A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS OPERATING AS A CHARITY, NOT A FOUNDATION. 13,312,414 OF THE 13,880,444 IN REVENUES IS FROM PATIENT CARE SERVICES, THEREFORE, WE REQUEST THAT THIS FACT BE TAKEN INTO CONSIDERATION WHEN REVIEWING THE 33 1/3% TEST.</ExplanationTxt>
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          <State>RESTRICTED</State>
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      <EquipmentGrp>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>NET LOSS ON SALE OF ASSETS 0 FUNDRAISING EXPENSES 0</ExplanationTxt>
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        <PersonNm>CHARLOTTE HORN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>118654</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>13591</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>22935</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6050</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>161230</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc5">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KINGS DAUGHTERS MEDICAL CENTER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTORS ARE E</RelationshipDescriptionTxt>
        <TransactionAmt>350807</TransactionAmt>
        <TransactionDesc>MEDICAL SERVICES PRO</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CITY NATIONAL BANK</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR IS EMP</RelationshipDescriptionTxt>
        <TransactionAmt>7228410</TransactionAmt>
        <TransactionDesc>INVESTMENT ACCOUNT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ASHLAND OFFICE SUPPLY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR IS OWN</RelationshipDescriptionTxt>
        <TransactionDesc>PURCHASE OFFICE SUPP</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>KINGS DAUGHTERS MEDICAL CENTER: THREE DIRECTORS ARE EMPLOYEES OF THE HOSPITAL. CITY NATIONAL BANK: DIRECTOR IS AN EMPLOYEE OF THE BANK. ASHLAND OFFICE SUPPLY: DIRECTOR IS THE OWNER OF THE COMPANY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE CEO, CFO, AND THE FINANCE COMMITTEE. THE GOVERNING BOARD IS THEN NOTIFIED THAT THE RETURN IS COMPLETED AND THEY ARE NOTIFIED OF THE DUE DATE AND THAT THE RETURN IS AVAILABLE TO THEM FOR REVIEW IF THEY DEEM NECESSARY IN THE BUSINESS OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST FORMS ARE COMPLETED WHEN FIRST JOINING THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES ARE PROVIDED AT OUR ADMINISTRATIVE OFFICES UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>NET LOSS ON SALE OF ASSETS 0 FUNDRASING EXPENSES 0 NET LOSS ON SALE OF ASSETS 0 NET LOSS ON SALE OF ASSETS 0 FUNDRAISING EXPENSES 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
