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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>104736</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEREK SHAWN FLAUGHER</PersonNm>
        <TitleTxt>DIRECTOR OF BUSINESS OPERA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>102216</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>860579</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HUMANA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>500 W MAIN ST</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40202</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE INSURANCE</ServicesDesc>
        <CompensationAmt>1064474</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAYSVILLE NURSING AND REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>620 PARKER RD</AddressLine1Txt>
            <CityNm>MAYSVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41056</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT NURSING HOME ROOM AND BOARD</ServicesDesc>
        <CompensationAmt>612928</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUALIS MANAGEMENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 7458</AddressLine1Txt>
            <CityNm>ROCKY MOUNT</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27804</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DME MANAGEMENT</ServicesDesc>
        <CompensationAmt>402245</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OHIO VALLEY MANOR</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5280 US ROUTE 62-68</AddressLine1Txt>
            <CityNm>RIPLEY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45167</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT NURSING HOME ROOM AND BOARD</ServicesDesc>
        <CompensationAmt>311526</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROBERTSON MANOR LLC DBA ROBERTSON COUNT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1030 KENTONTOWN RD</AddressLine1Txt>
            <CityNm>MT OLIVET</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41064</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT NURSING HOME ROOM AND BOARD</ServicesDesc>
        <CompensationAmt>291081</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>20</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>709248</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>94262</AllOtherContributionsAmt>
      <NoncashContributionsAmt>19</NoncashContributionsAmt>
      <TotalContributionsAmt>803510</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>13702143</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13702143</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>KENTON POINT</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>1111477</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1111477</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT SERVICES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>36171</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>36171</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>14849791</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>568272</TotalRevenueColumnAmt>
        <ExclusionAmt>568272</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>5794639</SecuritiesAmt>
        <OtherAmt>17301</OtherAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>5506076</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>288563</SecuritiesAmt>
        <OtherAmt>3079</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>291642</TotalRevenueColumnAmt>
        <ExclusionAmt>291642</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>1630</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1630</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>1630</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>16514845</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14851421</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>859914</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>860579</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5493400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>542089</ManagementAndGeneralAmt>
        <FundraisingAmt>11673</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>30634</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1270517</TotalAmt>
        <ProgramServicesAmt>1167756</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102761</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>110668</ProgramServicesAmt>
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        <FundraisingAmt>939</FundraisingAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>2850</TotalAmt>
        <ManagementAndGeneralAmt>2850</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>48499</TotalAmt>
        <ManagementAndGeneralAmt>48499</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>27141</TotalAmt>
        <ProgramServicesAmt>3049</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24092</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>526026</TotalAmt>
        <ProgramServicesAmt>54096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>471930</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>35352</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>384143</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2114</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>99175</ProgramServicesAmt>
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        <ProgramServicesAmt>42306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50142</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER PATIENT SERVICES</Desc>
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        <ProgramServicesAmt>3418603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>790</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>536414</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>PHARMACY</Desc>
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        <ProgramServicesAmt>425026</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER</Desc>
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        <ProgramServicesAmt>180052</ProgramServicesAmt>
        <ManagementAndGeneralAmt>210302</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>264913</ProgramServicesAmt>
        <ManagementAndGeneralAmt>340792</ManagementAndGeneralAmt>
        <FundraisingAmt>14682</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>15416844</TotalAmt>
        <ProgramServicesAmt>12245587</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3143963</ManagementAndGeneralAmt>
        <FundraisingAmt>27294</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>6112383</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>59932</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1294596</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>76925</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>130785</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>13790998</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5052387</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8973341</BOYAmt>
        <EOYAmt>8738611</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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      <TotalAssetsGrp>
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        <EOYAmt>41706413</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>3783930</EOYAmt>
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      <InvestmentExpenseAmt>-119139</InvestmentExpenseAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <PublicSupportPY509Pct>0.96510</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.03560</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.03450</InvestmentIncomePYPct>
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      <MailingsMembersInd>0</MailingsMembersInd>
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      <OtherActivitiesInd>0</OtherActivitiesInd>
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      <CYEndwmtFundGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>119139</RevenueNotReportedFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>USED THROUGHOUT THE FACILITY TO CREATE A CALMING ENVIRONMENT FOR THE PATIENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSE OF THE ENDOWMENT IS TO SUPPORT THE GENERAL MISSION OF THE ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF THE ACCOUNTING PRONOUNCEMENT RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ORGANIZATION RECOGNIZED NO INTEREST OR PENALTIES IN THE CONSOLIDATED STATEMENTS OF ACTIVITIES FOR EITHER OF THE YEARS ENDED DECEMBER 31, 2020 AND 2019. IF THE SITUATION AROSE IN WHICH THE ORGANIZATION WOULD HAVE INTEREST TO RECOGNIZE, IT WOULD RECOGNIZE THIS AS INTEREST EXPENSE AND PENALTIES WOULD BE RECOGNIZED IN OTHER EXPENSES. CURRENTLY, THE PRIOR THREE YEARS ARE OPEN UNDER FEDERAL AND STATE STATUTE OF LIMITATIONS AND REMAIN SUBJECT TO REVIEW AND CHANGE. THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT, NOR HAS THE ORGANIZATION BEEN CONTACTED BY THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE ORGANIZATIONS' TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED FOR EITHER OF THE YEARS ENDED DECEMBER 31, 2020 OR 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM CRAIG DENHAM</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>199503</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>199503</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTHONY TROVATO</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>152176</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <TotalCompensationFilingOrgAmt>152176</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WILL BE PROVIDED TO THE ENTIRE BOARD PRIOR TO FILING. ANY CHANGES NECESSARY WILL THEN BE MADE AND THE FORM WILL BE SIGNED BY THE EXECUTIVE DIRECTOR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IN THE EVENT THAT A HOSPICE PARTY IS INVOLVED IN ANY CONFLICT OF INTEREST, THE FOLLOWING PROCEDURES ARE FOLLOWED: 1) FULL DISCLOSURE SHOULD BE MADE TO THE EXECUTIVE DIRECTOR. 2) THE EXECUTIVE DIRECTOR WILL INFORM THE BOARD CHAIRPERSON OF ANY SITUATIONS INVOLVING THE BOARD MEMBER IMMEDIATELY. 3) THE EXECUTIVE DIRECTOR WILL HAVE FINAL AUTHORITY IN DETERMINING CONFLICTS OF INTEREST WITH STAFF AND VOLUNTEERS. 4) THE EXECUTIVE COMMITTEE SHALL HAVE FULL AUTHORITY IN DEALING WITH SITUATIONS OF CONFLICT INVOLVING BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR WILL BE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD ANNUALLY. THE EXECUTIVE DIRECTOR WILL PROVIDE THE COMMITTEE WITH A SELF-APPRAISAL BASED ON THE GOALS AND OBJECTIVES ESTABLISHED FOR THE PRIOR YEAR. THE EXECUTIVE DIRECTOR WILL BE PROVIDED REASONABLE COMPENSATION AS DETERMINED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES THIS INFORMATION AVAILABLE TO ANYONE UPON REQUEST.</ExplanationTxt>
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    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>KENTON POINTE LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1455 KENTON POINTE WAY</AddressLine1Txt>
          <CityNm>MAYSVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41056</ZIPCd>
        </USAddress>
        <EIN>454495363</EIN>
        <PrimaryActivitiesTxt>ASSISTED LIVING FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <TotalIncomeAmt>43861</TotalIncomeAmt>
        <EndOfYearAssetsAmt>171355</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HOSPICE OF HOPE INC</BusinessNameLine1Txt>
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</Return>
