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            <AddressLine1Txt>1820 OAKVIEW RD</AddressLine1Txt>
            <CityNm>ASHLAND</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING HOME SE</ServicesDesc>
        <CompensationAmt>318221</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <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>287636</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>279019</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LINCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 746025</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30374</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL EQUIPME</ServicesDesc>
        <CompensationAmt>277249</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>13</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>198181</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>101226</AllOtherContributionsAmt>
      <TotalContributionsAmt>299407</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE - HOME CARE</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>14197117</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14197117</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>14197117</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>338196</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>338196</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>7873622</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
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      </NetGainOrLossInvestmentsGrp>
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      <FundraisingDirectExpensesAmt>1697</FundraisingDirectExpensesAmt>
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        <ExclusionAmt>4863</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>57155</ExclusionAmt>
      </OtherRevenueMiscGrp>
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        <ExclusionAmt>62018</ExclusionAmt>
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        <ProgramServicesAmt>5309182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1449632</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>282528</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94176</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>359964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119989</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>37498</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12499</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>29593</TotalAmt>
        <ProgramServicesAmt>22195</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7398</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
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        <ProgramServicesAmt>31760</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10586</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>12478</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4159</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>23448</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7816</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>192546</TotalAmt>
        <ProgramServicesAmt>182036</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10510</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>18702</TotalAmt>
        <ProgramServicesAmt>14027</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4675</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>292193</TotalAmt>
        <ProgramServicesAmt>219145</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73048</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>546625</TotalAmt>
        <ProgramServicesAmt>409968</ProgramServicesAmt>
        <ManagementAndGeneralAmt>136657</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTED PROFESSIONAL S</Desc>
        <TotalAmt>2455680</TotalAmt>
        <ProgramServicesAmt>2432180</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23500</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICATION</Desc>
        <TotalAmt>671328</TotalAmt>
        <ProgramServicesAmt>671328</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL EQUIPMENT RENTAL</Desc>
        <TotalAmt>386896</TotalAmt>
        <ProgramServicesAmt>386896</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MAINTENANCE AND REPAIRS</Desc>
        <TotalAmt>318870</TotalAmt>
        <ProgramServicesAmt>239152</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>139847</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ManagementAndGeneralAmt>2174210</ManagementAndGeneralAmt>
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      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
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      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
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      <FactsAndCircumstancesTestTxt>THE ORGANIZATION IS OPERATING AS A CHARITY, NOT A FOUNDATION. OVER 14 MILLION OF THE 17 MILLION 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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        <FormAndLineReferenceDesc>PART II, LINE 17B</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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          <PersonNm>KINGS DAUGHTERS MEDICAL CENTER</PersonNm>
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      <BusTrInvolveInterestedPrsnGrp>
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        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR IS EMP</RelationshipDescriptionTxt>
        <TransactionAmt>6490043</TransactionAmt>
        <TransactionDesc>INVESTMENT ACCOUNT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ASHLAND OFFICE SUPPLY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR IS OWN</RelationshipDescriptionTxt>
        <TransactionAmt>57518</TransactionAmt>
        <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>
