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        </ContractorAddress>
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          <BusinessName>
            <BusinessNameLine1Txt>MEDICAL SOLUTIONS</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2221 BUECHEL AVENUE SUITE 1</AddressLine1Txt>
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        <ServicesDesc>STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>191452</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FUSION MEDICAL STAFFING</BusinessNameLine1Txt>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
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            <BusinessNameLine1Txt>BJM AND ASSOCIATES</BusinessNameLine1Txt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>249982</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COUNTY OF CLARK COUNTY KY HEALTH FACILITIES REVENUE BONDS SERIES A &amp; B</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>616000993</BondIssuerEIN>
        <BondIssuedDt>2013-12-18</BondIssuedDt>
        <IssuePriceAmt>15750000</IssuePriceAmt>
        <PurposeDesc>HEATLH CARE FACILITY EXPANSION</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>3783529</RetiredAmt>
        <BondDefeasedAmt>14251046</BondDefeasedAmt>
        <TotalProceedsAmt>15750000</TotalProceedsAmt>
        <CapitalExpendituresAmt>15750000</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2013</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
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        <BondReferenceCd>A</BondReferenceCd>
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        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>MINUTES OF THE COMMITTEES ARE NOT MAINTAINED, BUT ALL COMMITTEES REPORT AT THE BOARD MEETINGS AND ACTION IS REFLECTED IN BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER THE 990S ARE PREPARED BY THE DESIGNATED ACCOUNTING FIRM, THE 990S ARE SUBMITTED TO MEMBERS OF THE BOARD FOR COMMENTS. ALSO, YEAR-END FINANCIALS AND DATA PREPARED FOR 990S ARE PRESENTED BY THE AUDITOR TO THE BOARD-APPOINTED FINANCE COMMITTEE. THE 990S ARE DESIGNATED FOR APPROVAL TO THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ADMINISTRATOR IS RESPONSIBLE TO MAKE DETERMINATIONS ON CONFLICTS OF INTEREST IN REGARDS TO EMPLOYEES. THE BOARD REVIEWS ALL MAJOR CONTRACTS BEFORE THEY ARE ENTERED INTO TO DETERMINE IF A POTENTIAL CONFLICT OF INTEREST MAY EXIST. IF A CONTRACT IS ENTERED INTO WITH A BOARD MEMBER OR HIS/HER FIRM THE BOARD MEMBER IS REQUIRED TO SUBMIT HIS/HER RESIGNATION TO THE BOARD. HOWEVER, THE BOARD MAY VOTE TO REJECT THE RESIGNATION IF THEY DO NOT FEEL A CONFLICT EXISTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES THE FOLLOWING PROCESS TO DETERMINE COMPENSATION FOR ITS TOP MANAGEMENT: A. REVIEW AND APPROVAL BY GOVERNING BODY, PROVIDED THAT A PERSON WHO HAS A CONFLICT OF INTEREST WITH RESPECTS TO COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN THE REVIEW AND APPROVAL.; B. USE COMPARABLE COMPENSATION DATA; AND C. DOCUMENTATION OF THE WHOLE PROCESS. THE BOARD'S COMPENSATION COMMITTEE RECEIVES COMPENSATION DATA EACH YEAR FROM VARIOUS SOURCES FOR OTHER TOP MANAGEMENT POSITIONS, INCLUDING ASSOCIATIONS TO WHICH WE BELONG. THIS DATA PROVIDES INDUSTRY SPECIFIC INFORMATION FROM COMPARABLE ORGANIZATIONS IN ORDER FOR US TO REMAIN COMPETITIVE AND ASSURE THAT OUR COMPENSATION IS IN LINE. THE PERFORMANCE OF THE INDIVIDUAL IS A MAJOR FACTOR IN THE DECISIONS MADE BY THE COMPENSATION COMMITTEE. THE DOCUMENTATION REVIEWED BY THE COMMITTEE IS RETAINED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC INSPECTION IS MADE AVAILABLE BY (A) CONTACTING THE OFFICE OF THE EXECUTIVE DIRECTOR DURING NORMAL BUSINESS HOURS, (B) SUBMISSION OF WRITTEN REQUEST TO THE OFFICE OF THE EXECUTIVE DIRECTOR OR (C) MAY BE PUBLISHED AND MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.COM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SECTION XI, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL AUDIT REPORT IS APPROVED BY MANAGEMENT AND PRESENTED TO THE FINANCE COMMITTEE BY THE AUDITORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHRISTIAN BENEVOLENT OUTREACH INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>3775 BELLEAU WOOD DRIVE</AddressLine1Txt>
          <CityNm>LEXINGTON</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40517</ZIPCd>
        </USAddress>
        <EIN>510178917</EIN>
        <PrimaryActivitiesTxt>HOUSING FOR THE ELDERLY AND MANAGEMENT &amp; ADMINISTRATIVE OVERSIGHT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(2)</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAYRE VILLAGE PHASE III INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>580 GREENFIELD DRIVE</AddressLine1Txt>
          <CityNm>LEXINGTON</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40517</ZIPCd>
        </USAddress>
        <EIN>611088950</EIN>
        <PrimaryActivitiesTxt>HOUSING FOR THE ELDERLY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>170(B)(I)(A)(VI)</PublicCharityStatusTxt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAYRE CHRISTIAN VILLAGE APTS II INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>580 GREENFIELD DRIVE</AddressLine1Txt>
          <CityNm>LEXINGTON</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40517</ZIPCd>
        </USAddress>
        <EIN>208030673</EIN>
        <PrimaryActivitiesTxt>HOUSING FOR THE ELDERLY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>170(B)(I)(A)(VI)</PublicCharityStatusTxt>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
