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        <OtherCompensationAmt>26028</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY JO MARINELLO</PersonNm>
        <TitleTxt>CLINICAL CARE COORDINATOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>109675</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12385</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>713438</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>131874</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRIME TIME HEALTHCARE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 3544</AddressLine1Txt>
            <CityNm>OMAHA</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68013</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSE AGENCY STAFFING</ServicesDesc>
        <CompensationAmt>2399260</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SHIFTKEY LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3710 COMMERCE ST SUITE 110</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75226</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSE AGENCY STAFFING</ServicesDesc>
        <CompensationAmt>2341254</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SELECT REHABILITATION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 71985</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60694</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT THERAPY</ServicesDesc>
        <CompensationAmt>2239657</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRN SERVICES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>18 COMMONWEALTH AVE</AddressLine1Txt>
            <CityNm>ERLANGER</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41018</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSE AGENCY STAFFING</ServicesDesc>
        <CompensationAmt>830497</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MED CARE PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>350 ARISTOCRAT DR</AddressLine1Txt>
            <CityNm>FLORENCE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41042</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY SERVICES</ServicesDesc>
        <CompensationAmt>615706</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>116447</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>102256</AllOtherContributionsAmt>
      <TotalContributionsAmt>218703</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>ROOM REIMBURSEMENT/RESIDENT SERVI</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>27473885</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27473885</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>27473885</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>287784</TotalRevenueColumnAmt>
        <ExclusionAmt>287784</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>6836155</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3825153</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>3011002</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>3011002</TotalRevenueColumnAmt>
        <ExclusionAmt>3011002</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>VENDING INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2695</TotalRevenueColumnAmt>
        <ExclusionAmt>2695</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CABLE/TV/PHONE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>689</TotalRevenueColumnAmt>
        <ExclusionAmt>689</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>BARBER/BEAUTY</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>-425</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>18672</TotalRevenueColumnAmt>
        <ExclusionAmt>18672</ExclusionAmt>
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      <OtherRevenueTotalAmt>21631</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>31013005</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ManagementAndGeneralAmt>580831</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>10180952</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1741415</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>570862</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74369</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>24873</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>258029</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>57005</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ManagementAndGeneralAmt>84607</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>339589</ProgramServicesAmt>
        <ManagementAndGeneralAmt>185139</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>1004994</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42328</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>685</ProgramServicesAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>2590429</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102325</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>488285</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PROVIDER TAX</Desc>
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        <ManagementAndGeneralAmt>213251</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>239</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>28630557</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1000000</EOYAmt>
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        <EOYAmt>48655380</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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        <CurrentTaxYearMinus1YearAmt>4601954</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>28911411</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>27692588</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>6504</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus3YearsAmt>25421877</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>29245747</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>28002003</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>0.98270</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01610</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01720</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>CABLE/TV/PHONE - 2020 AMOUNT: $ 1,758. 2021 AMOUNT: $ 899. 2022 AMOUNT: $ 689. BARBER/BEAUTY - 2020 AMOUNT: $ 1,727. 2021 AMOUNT: $ 1,190. 2022 AMOUNT: $ -425. VENDING INCOME - 2020 AMOUNT: $ 1,561. 2021 AMOUNT: $ 2,988. 2022 AMOUNT: $ 2,695. ALL OTHER REVENUE - 2020 AMOUNT: $ 445. 2021 AMOUNT: $ 1,427. 2022 AMOUNT: $ 18,672.</ExplanationTxt>
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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    </IRS990ScheduleB>
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      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
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      <TotalLobbyingExpendituresAmt>2777</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP DUES IN THE AMOUNT OF $9,499 WERE PAID TO KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES, OF WHICH $1,762 RELATES TO LOBBYING ACTIVITIES. MEMBERSHIP DUES IN THE AMOUNT OF $3,626 WERE PAID TO ACHA, OF WHICH $1,015 RELATES TO LOBBYING ACTIVITIES.</ExplanationTxt>
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    </IRS990ScheduleC>
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        <BookValueAmt>2332616</BookValueAmt>
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      <BuildingsGrp>
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        <BookValueAmt>30958103</BookValueAmt>
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        <BookValueAmt>2313226</BookValueAmt>
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        <BookValueAmt>13797</BookValueAmt>
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        <BookValueAmt>1034366</BookValueAmt>
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      <OtherAssetsOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LINE OF CREDIT</Desc>
        <Amt>1000000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1000000</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>25742006</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-5213994</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-5213994</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>30956000</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>57005</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>57005</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>31013005</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>31574024</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>31574024</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>57005</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>57005</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>31631029</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASS OF INVESTMENT FEES 57,005.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASS OF INVESTMENT FEES 57,005.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LONDA KNOLLMAN</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>174258</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>25000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>25502</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31457</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>256217</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID BOYER</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>103210</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>19500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30960</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>163670</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRAD STANFORD</PersonNm>
        <TitleTxt>CHIEF TALENT OFFICER &amp; COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>119901</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31044</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>160945</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD COMPLETES A YEAR END REVIEW AND ISSUES A BONUS BASED ON THE RESULTS OF THE REVIEW. THE BONUS IS APPROVED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>KENTUCKY ECONOMIC DEVELOPMENT FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>610600439</BondIssuerEIN>
        <CUSIPNum>49126TAU6</CUSIPNum>
        <BondIssuedDt>2015-10-28</BondIssuedDt>
        <IssuePriceAmt>48862737</IssuePriceAmt>
        <PurposeDesc>SEE SUPPLEMENTAL INFORMATION</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>3185000</RetiredAmt>
        <TotalProceedsAmt>49452994</TotalProceedsAmt>
        <InReserveFundAmt>3458539</InReserveFundAmt>
        <CapitalizedInterestAmt>4922485</CapitalizedInterestAmt>
        <RefundingEscrowAmt>6238681</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>977257</IssuanceCostsFromProceedsAmt>
        <WorkingCapitalExpendituresAmt>105143</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>33602915</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>10000</OtherSpentProceedsAmt>
        <UnspentAmt>137974</UnspentAmt>
        <SubstantialCompletionYr>2017</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <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>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE A, COLUMN F:</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) CONSTRUCT, EQUIP AND INSTALL NEW HEALTHCARE AND HEALTH-RELATED FACILITIES AT THE ORGANIZATION'S EXISTING CAMPUS IN COVINGTON, KY; (B) CURRENTLY REFUND THE ORGANIZATION'S SERIES 2008 BONDS, WHICH WERE ISSUED TO ACQUIRE, CONSTRUCT, EQUIP AND INSTALL HEALTHCARE AND HEALTH-RELATED FACILITIES AT THE ORGANIZATION'S EXISTING CAMPUS IN COVINGTON, KY; AND (C) CURRENTLY REFUND THE ORGANIZATION'S LINE OF CREDIT WHICH WAS USED TO CONTRUCT HEALTHCARE AND HEALTH-RELATED FACILITIES, INCLUDING LAND ACQUISTION, AT THE ORGANIZATION'S CAMPUS ON TURKEYFOOT ROAD IN KENTON COUNTY, KY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL PROCEEDS OF ISSUE ARE SALE PROCEEDS PLUS AGGREGATE INVESTMENT PROCEEDS (COMPRISING INTEREST EARNED ON PROCEEDS IN THE INTEREST FUND, DEBT SERVICE RESERVE FUND AND PROJECT FUND).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CURRENT REFUNDING ESCROW WAS EXPENDED ON NOVEMBER 19, 2015.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 10:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAPITAL EXPENDITURES FROM PROCEEDS OF $33,602,915 ARE COMPRISED OF REIMBURSED CAPITAL EXPENDITURES AT CLOSING OF $3,119,039, PAYING OFF A TAXABLE LINE OF CREDIT OF $880,774 THAT FINANCED CAPITAL EXPENDITURES AND NEW MONEY CAPITAL EXPENDITURES OF $29,603,102 AS OF DECEMBER 31, 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>$10,000 OF PROCEEDS WERE USED FOR THE BONDS ISSUER'S FEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS THREE SERVICES AGREEMENTS, WHICH HAVE BEEN REVIEWED FOR COMPLIANCE WITH REV. PROC. 2017-13.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>A REBARE COMPUTATION WAS PERFORMED ON SEPTEMBER 2, 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS GIVEN TO THE FINANCE COMMITTEE AND THE BOARD MEMBERS FOR REVIEW BEFORE A MONTHLY BOARD MEETING. THE BOARD MEMBERS WOULD DISCUSS THEIR CONCERNS AND THEN APPROVE THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, BOARD MEMBERS ARE REQUIRED TO COMPLETE AND SIGN A STATEMENT WHICH AFFIRMS THEY HAVE RECEIVED A COPY OF THE COI POLICY, HAVE READ AND UNDERSTAND THE POLICY, AND HAVE AGREED TO COMPLY WITH THE POLICY. FURTHERMORE, AT BOARD OF DIRECTORS MEETINGS, BOARD MEMBERS ARE ROUTINELY ASKED ABOUT COMPLIANCE WITH THE ORGANIZATIONS CONFLICT OF INTEREST POLICY. IF ANY POTENTIAL CONFLICTS OF INTEREST ARE IDENTIFIED, THE BOARD MEMBER IS ASKED TO LEAVE THE MEETING AND ABSTAIN FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ROSEDALE GREEN'S EXECUTIVE DIRECTOR'S COMPENSATION AS WELL AS OTHER OFFICERS OF THE ORGANIZATION ARE ADMINISTERED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE COMPENSATION COMMITTEE IS RESPONSIBLE FOR ESTABLISHING AND MAINTAINING A COMPETITIVE COMPENSATION PROGRAM. THE COMMITTEE MEETS AS NEEDED TO REVIEW THE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES TO THE BOARD, AS APPROPRIATE. A COMPETENT SALARY SURVEY IS USED TO BENCHMARK COMPENSATION FOR THE POSITION UTILIZING INDUSTRY-SPECIFIC REPORTS AND OTHER STUDIES. THE COMMITTEE ALSO REVIEWS THE COMPENSATION REPORTED ON OTHER FORMS 990 OF COMPARABLE ORGANIZATIONS. THE COMMITTEE MEETS INDEPENDENT OF THE EXECUTIVE DIRECTOR TO DISCUSS PERFORMANCE RELATIVE TO THE POSITION DESCRIPTION. DURING THESE DELIBERATIONS, THE COMMITTEE ALSO CONSIDERS INPUT OBTAINED FROM OTHER BOARD MEMBERS, STAFF, AND PROFESSIONAL ADVISORS. ONCE A CONSENSUS IS REACHED REGARDING PERFORMANCE, A SIMILAR DISCUSSION IS HELD CONCERNING COMPENSATION RELATIVE TO ANNUAL BENCHMARK AND ESTABLISHED OBJECTIVES. THE COMMITTEE PRESENTS ITS FINDINGS AND RECOMMENDATIONS, IN AN EXECUTIVE SESSION WITHOUT THE EXECUTIVE DIRECTOR PRESENT, TO THE FULL BOARD FOR REVIEW AND APPROVAL. THE COMMITTEE AND/OR THE BOARD CHAIR (A MEMBER OF THE COMMITTEE) THEN MEET WITH THE EXECUTIVE DIRECTOR TO DISCUSS AND DOCUMENT STRENGTHS, WEAKNESSES, AND GOALS FOR THE UPCOMING YEAR. COMPENSATION FOR THE UPCOMING YEAR IS ALSO DISCUSSED AND DOCUMENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY REQUESTS TO VIEW FORM 990, ANY GOVERNING DOCUMENTS, AND ANY POLICIES ARE REFERRED TO THE ADMINISTRATOR WHO WOULD MAKE THE RETURN AVAILABLE FOR INSPECTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>STAFFING AGENCY: PROGRAM SERVICE EXPENSES 8,185,117. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,185,117. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 76,170. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,170. IT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 239,188. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 239,188. OTHER SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 8,907. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,907. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 7,296. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,296.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE OVERSEES THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTING FIRM. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
