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        <TotalAmt>85215</TotalAmt>
        <ManagementAndGeneralAmt>85215</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>319603</TotalAmt>
        <ProgramServicesAmt>319603</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>183048</TotalAmt>
        <ProgramServicesAmt>183048</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL EXPENSES</Desc>
        <TotalAmt>3615504</TotalAmt>
        <ProgramServicesAmt>3615504</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DONATIONS- CHARITABLE</Desc>
        <TotalAmt>2018475</TotalAmt>
        <ProgramServicesAmt>2018475</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT LABOR</Desc>
        <TotalAmt>442123</TotalAmt>
        <ProgramServicesAmt>442123</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SERVICE AGREEMENTS</Desc>
        <TotalAmt>274737</TotalAmt>
        <ProgramServicesAmt>274737</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>813757</TotalAmt>
        <ProgramServicesAmt>672097</ProgramServicesAmt>
        <ManagementAndGeneralAmt>141660</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>43960854</TotalAmt>
        <ProgramServicesAmt>42952650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1008204</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3223118</BOYAmt>
        <EOYAmt>5431793</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>10704734</BOYAmt>
        <EOYAmt>8467146</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>800000</BOYAmt>
        <EOYAmt>800000</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>76120</BOYAmt>
        <EOYAmt>120901</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3786407</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1294636</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>586210</BOYAmt>
        <EOYAmt>2491771</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>514500</BOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>106878</BOYAmt>
        <EOYAmt>106878</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>16011560</BOYAmt>
        <EOYAmt>17418489</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3751217</BOYAmt>
        <EOYAmt>3719924</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>772649</BOYAmt>
        <EOYAmt>8330</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>4523866</BOYAmt>
        <EOYAmt>3728254</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrgDoesNotFollowFASB117Ind>X</OrgDoesNotFollowFASB117Ind>
      <CapStkTrPrinCurrentFundsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CapStkTrPrinCurrentFundsGrp>
      <PdInCapSrplsLandBldgEqpFundGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PdInCapSrplsLandBldgEqpFundGrp>
      <RtnEarnEndowmentIncmOthFndsGrp>
        <BOYAmt>11487694</BOYAmt>
        <EOYAmt>13690235</EOYAmt>
      </RtnEarnEndowmentIncmOthFndsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11487694</BOYAmt>
        <EOYAmt>13690235</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>16011560</BOYAmt>
        <EOYAmt>17418489</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>4756334</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>946207</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-3500000</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>293549</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>91360</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>102763</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26061</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>50</CurrentTaxYearAmt>
        <TotalAmt>513783</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>34546764</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>42020187</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>45044847</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>43453018</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48560810</CurrentTaxYearAmt>
        <TotalAmt>213625626</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>34840313</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>42111547</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>45147610</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>43479079</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48560860</CurrentTaxYearAmt>
        <TotalAmt>214139409</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>214139409</PublicSupportTotal509Amt>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>34840313</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>42111547</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>45147610</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>43479079</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48560860</CurrentTaxYearAmt>
        <TotalAmt>214139409</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>1.00000</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>1.00000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>343000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>343000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1907000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>44978</DepreciationAmt>
        <BookValueAmt>1862022</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>796368</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>756541</DepreciationAmt>
        <BookValueAmt>39827</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>740039</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>493117</DepreciationAmt>
        <BookValueAmt>246922</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2491771</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CHARITABLE HOSPICE SERVICE</GrantTypeTxt>
        <RecipientCnt>40</RecipientCnt>
        <NonCashAssistanceAmt>189283</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>HOSPICE SERVICE PROVIDED TO PAITIENT AT NO CHARGE. ISLANDS HOSPICE DONATED 954 DAYS OF PATIENT CARE TO OVER 40 PATIENTS.</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>COPY REVIEWED BY BOARD PRIOR TO FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR MANAGEMENT &amp; OFFICERS MET THE REQUIREMENTS OF THIS QUESTION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT MADE AVAILABLE TO PUBLIC</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER CAPITAL TO CHARITABLE AFFILIATES (ADJUST RECEIVABLES) -3,500,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ISLANDS PROPERTIES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5314 S YALE AVE</AddressLine1Txt>
          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74135</ZIPCd>
        </USAddress>
        <EIN>464162048</EIN>
        <PrimaryActivitiesTxt>PROPERTY HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>HI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ISLANDS HOSPICE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>