﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2018v3.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2019-11-15T17:17:48-06:00</ReturnTs>
    <TaxPeriodEndDt>2018-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>580692043</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>MAULDIN &amp; JENKINS LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>PO BOX 71549 2303 DAWSON ROAD</AddressLine1Txt>
        <CityNm>ALBANY</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>317081549</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2018-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>580566250</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>VISITING NURSE HEALTH SYSTEM INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>VISI</BusinessNameControlTxt>
      <PhoneNum>4042156000</PhoneNum>
      <USAddress>
        <AddressLine1Txt>5775 GLENRIDGE DRIVE NE NO E200</AddressLine1Txt>
        <CityNm>ATLANTA</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>303287294</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>DOROTHY DAVIS</PersonNm>
      <PersonTitleTxt>PRESIDENT AND CEO</PersonTitleTxt>
      <PhoneNum>4042156000</PhoneNum>
      <SignatureDt>2019-11-14</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>MARY JO ALEXANDER</PreparerPersonNm>
      <PTIN>P00002534</PTIN>
      <PhoneNum>2294463600</PhoneNum>
      <PreparationDt>2019-11-14</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>12.8.221.82</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2019-11-14</IPDt>
      <IPTm>11:25:32</IPTm>
      <IPTimezoneCd>ES</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>5DB367DF41109E2809BFBA5E2EDC6B579160DD21</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>A78F05A7F45B736CDB8ADA2180C18FA4E317ED64</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2018</TaxYr>
    <BuildTS>2020-03-31 21:24:44Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="11">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>DOROTHY DAVIS</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>5775 GLENRIDGE DRIVE NE NO E200</AddressLine1Txt>
        <CityNm>ATLANTA</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>303287294</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>49515503</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.VNHS.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1948</FormationYr>
      <LegalDomicileStateCd>GA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>THE MISSION OF VISTING NURSE HEALTH SYSTEM IS TO "IMPROVE THE LIVES OF THOSE WE SERVE".</ActivityOrMissionDesc>
      <ContractTerminationInd>X</ContractTerminationInd>
      <VotingMembersGoverningBodyCnt>22</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>22</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>778</TotalEmployeeCnt>
      <TotalVolunteersCnt>272</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>4194719</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>6414246</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>49486727</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>38580260</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>26126</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>4355152</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>-91040</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>28779</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>53616532</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>49378437</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>44514515</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>42541224</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>31999</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>15569476</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>13815539</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>60115990</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>56356763</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-6499458</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-6978326</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>16596056</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>8410553</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>10555021</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>9347844</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>6041035</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>-937291</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>VISITING NURSE HEALTH SYSTEM|HOSPICE ATLANTA OFFERS A FULL CONTINUUM OF HOME HEALTHCARE TO THE GREATER ATLANTA COMMUNITY. THIS INCLUDES POST-ACUTE CARE, REHABILITATION SERVICES, LONG-TERM CARE FOR CHRONIC CONDITIONS, AND PALLIATIVE AND HOSPICE CARE TO OVER 16,000 PATIENTS ANNUALLY TO 31 COUNTIES IN GEORGIA. OUR FAMILY OF SERVICES INCLUDES HOME HEALTHCARE, COMMUNITY CARE, PRIVATE HOME CARE, HOSPICE AND PALLIATIVE CARE. FOR MORE THAN 71 YEARS, THE NAME VISITING NURSE HEALTH SYSTEM HAS BEEN SYNONYMOUS WITH QUALITY HOME CARE. JOINT COMMISSION ACCREDITED, VISITING NURSE IS THE LARGEST NONPROFIT HOME HEALTHCARE AND HOSPICE PROVIDER IN GEORGIA, SERVING NEARLY 6,000 PATIENTS AND THEIR FAMILIES EACH DAY.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>1</SignificantChangeInd>
      <ExpenseAmt>25846611</ExpenseAmt>
      <RevenueAmt>22176436</RevenueAmt>
      <Desc>VISITING NURSE HEALTH SYSTEM PROVIDES HOME HEALTHCARE SERVICES TO MORE THAN 11,000 PATIENTS ANNUALLY IN THEIR HOMES BY LICENSED, PROFESSIONAL HOME HEALTHCARE CAREGIVERS. SERVICES ENCOMPASS A BROAD RANGE OF CARE AND SUPPORT SERVICES FOR PATIENTS RECOVERING FROM A HOSPITAL STAY, WHO MAY BE CHRONICALLY ILL, OR NEED ASSISTANCE WITH THE ESSENTIAL ACTIVITIES OF DAILY LIVING. THIS CARE IS PROVIDED BY A TEAM OF APPROXIMATELY 140 PROFESSIONAL, SKILLED MEDICAL PERSONNEL, INCLUDING NURSES, PHYSICAL AND OCCUPATIONAL THERAPISTS, HOME HEALTHCARE AIDES AND SOCIAL WORKERS. THE PRIMARY GOALS OF HOME HEALTHCARE ARE TO HELP PATIENTS AVOID HOSPITAL READMISSION, IMPROVE THEIR CLINICAL OUTCOMES, AND IMPROVE THEIR OVERALL HEALTH. AS A LEADER IN THE FIELD, VISITING NURSE HEALTH SYSTEM DELIVERS QUALITY, COST-EFFECTIVE CARE WITH THE UTMOST COMPASSION, AND REMAINS STEADFAST IN THEIR COMMITTMENT TO HELPING PATIENTS REMAIN AS INDEPENDENT AS POSSIBLE. EQUALLY AS IMPORTANT, VISITING NURSE CONTINUES TO STRENGTHEN THEIR COMMITMENT TO THE COMMUNITIES IT SERVES, AND TO PROVIDING QUALITY CARE TO ALL WHO NEED IT USING THE RESOURCES AVAILABLE.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>11575637</ExpenseAmt>
        <RevenueAmt>8005655</RevenueAmt>
        <Desc>VISITING NURSE HEALTH SYSTEM| HOSPICE ATLANTA PROVIDES HOSPICE AND PALLIATIVE CARE SERVICES TO PATIENTS WITH LIFE-LIMITING ILLNESSES WHO HAVE ELECTED TO STOP AGGRESSIVE, CURATIVE TREATMENTS. THE PRIMARY GOALS OF HOSPICE ATLANTA ARE TO PROVIDE SAFETY, COMFORT AND DIGNITY TO OUR PATIENTS DURING THE FINAL STAGE OF LIFE, PROVIDE THEIR FAMILIES WITH THE NECESSARY SERVICES AND EMOTIONAL SUPPORT DURING THE DYING PROCESS AND BEREAVEMENT SUPPORT AFTER THE DEATH OF THEIR LOVED ONE. OUR TEAM OF APPROXIMATELY 40 PROFESSIONALS AND 85 SPECIALLY TRAINED VOLUNTEERS PROVIDE END-OF-LIFE CARE TO MORE TAHN 900 PATIENTS ANNUALLY. HOSPICE ATLANTA PROVIDES COMPASSIONATE HOSPICE CARE FOR PATIENTS IN THEIR OWN HOMES, WHERE THEY PREFER TO BE. HOSPICE ATLANTA OFFERS A WIDE RANGE OF EMOTIONAL AND SPIRITUAL BEREAVEMENT SUPPORT SERVICES, PROVIDED BY TRAINED BEREAVEMENT COORDINATORS AND BEREAVEMENT PROFESSIONALS. IN ADDITION, HOSPICE ATLANTA'S SUPPORT INCLUDES IN-PERSON COUNSELING OR OVER-THE-PHONE SUPPORT, REGULARLY SCHEDULED GRIEF SUPPORT GROUPS, EDUCATIONAL MATERIALS AND THE TWICE-YEARLY CAMP S.T.A.R.S. BEREAVEMENT CAMP. BEREAVEMENT SUPPORT IS AVAILABLE FOR ONE YEAR AFTER THE DEATH OF A LOVED ONE, TWO YEARS FOR THOSE MOURNING THE LOSS OF A CHILD.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>7870192</ExpenseAmt>
        <RevenueAmt>8398169</RevenueAmt>
        <Desc>THE PRIMARY GOAL OF VISITING NURSE HEALTH SYSTEM'S COMMUNITY CARE DIVISION IS TO PROVIDE QUALITY, IN-HOME HEALTHCARE, HELPING PATIENTS REMAIN LIVING INDEPENDENTLY AS LONG AS POSSIBLE. ALONG WITH THE COMMUNITY CARE STAFF, THIS DIVISION OF VISITING NURSE PARTNERS WITH A BROAD RANGE OF COMMUNITY ORGANIZATIONS TO PROVIDE A COMPREHENSIVE RANGE OF SERVICES TO NURSING HOME-ELIGIBLE, LOW-INCOME SENIORS AND DISABLED INDIVIDUALS WHO HAVE ONGOING MEDICAL CONDITIONS REQUIRING LONG-TERM SUPPORT. THESE COMMUNITY CARE PROGRAMS INCLUDE SERVICE OPTIONS USING RESOURCES IN A COMMUNITY ENVIRONMENT (SOURCE), COMMUNITY CARE SERVICES PROGRAM (CCSP) AND HOME AND COMMUNITY BASED SERVICES (HCBS). A TEAM OF 100 SOCIAL WORKERS AND NURSES CAREFULLY DETERMINE EACH PATIENT'S INDIVIDUAL, LONG-TERM CARE NEEDS, AND COORDINATE ACCESS TO A VARIETY OF LOCAL MEDICAL AND SOCIAL SERVICE RESOURCES FOR MORE THAN 4,500 SENIORS AND THEIR FAMILY MEMBERS EACH YEAR.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>45292440</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039700001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039700001">0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc1040000001">1</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041200001">1</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041200001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041200001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>0</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc1042900001">1</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc1042900001">0</DeductibleArtContributionInd>
      <TerminateOperationsInd referenceDocumentId="RetDoc1043200001">0</TerminateOperationsInd>
      <PartialLiquidationInd referenceDocumentId="RetDoc1043200001">1</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">1</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>229</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>778</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>22</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>22</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>1</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>GA</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>ROGER HILES</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>4042156000</PhoneNum>
        <USAddress>
          <AddressLine1Txt>5775 GLENRIDGE DR NE E200</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>303287294</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD BAYMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIMMY CARLOS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE COHEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELE GANDY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID GHEGAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JON R HARRIS JR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALEX HUNTER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAYMOND HUTTON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LOU BROWN JEWELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STAN JONES JR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARRY KOCH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID A MARTIN RN CNOR CRNFA</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALFREDA MAYES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROLINE E MOISE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STARR MOORE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES H MORGAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STAN A SHARP</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHERYL VENABLE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLOTTE WEAVER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RONNIE ROLLINS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORRAINE TAYLOR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HUNTER HURST</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NORENE MOSTKOFF</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>476467</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17870</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY BLUMSTEIN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>151898</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12052</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREA MARKS-STEVENSON</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>171112</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15545</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOROTHY DAVIS</PersonNm>
        <TitleTxt>VP COMMUNITY HEALTH</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>185871</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9435</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRYAN HOOKER MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR HOSPICE</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>211356</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9781</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DABNEY HOLLIS</PersonNm>
        <TitleTxt>VP, ADVANCEMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>137503</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>145</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELLEN MAYHAM</PersonNm>
        <TitleTxt>OASIS REVIEW NURSE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>132343</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8798</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT CONNERS</PersonNm>
        <TitleTxt>PTT4</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>146599</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31389</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA ASKEW</PersonNm>
        <TitleTxt>VP, HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>146648</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4388</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1759797</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>109403</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>23</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HCHB HOLDINGS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6688 N CENTRAL EXPRESSWAY 800</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75206</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ELECTRONIC MEDICAL RECORD SOFTWARE</ServicesDesc>
        <CompensationAmt>1454371</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CMG CIT ACQUISITION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>655 SOUTH WILLOW ST STE 128</AddressLine1Txt>
            <CityNm>MANCHESTER</CityNm>
            <StateAbbreviationCd>NH</StateAbbreviationCd>
            <ZIPCd>03103</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT NURSES</ServicesDesc>
        <CompensationAmt>617165</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ENCLARA PHARMACIA INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1601 CHERRY STREET STE 1800</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPICE PHARMACY</ServicesDesc>
        <CompensationAmt>513186</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GENESIS HEALTHCARE SERVICES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7501 ESTERS BLVD STE 100</AddressLine1Txt>
            <CityNm>IRVING</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75063</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPICE DME &amp; TELEMONITOR DELIVERY</ServicesDesc>
        <CompensationAmt>482959</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SHC SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 677896</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75267</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT/TVL NURSES</ServicesDesc>
        <CompensationAmt>382593</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>21</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>274232</FederatedCampaignsAmt>
      <FundraisingAmt>184425</FundraisingAmt>
      <GovernmentGrantsAmt>4273909</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1681680</AllOtherContributionsAmt>
      <NoncashContributionsAmt>39111</NoncashContributionsAmt>
      <TotalContributionsAmt>6414246</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>38580260</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>38580260</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>38580260</TotalProgramServiceRevenueAmt>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>4355152</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>4355152</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>4355152</TotalRevenueColumnAmt>
        <ExclusionAmt>4355152</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>93750</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>184425</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>137066</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-43316</TotalRevenueColumnAmt>
        <ExclusionAmt>-43316</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>72095</TotalRevenueColumnAmt>
        <ExclusionAmt>72095</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>72095</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>49378437</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>38580260</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4383931</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1040250</TotalAmt>
        <ProgramServicesAmt>1040250</ProgramServicesAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>33305792</TotalAmt>
        <ProgramServicesAmt>29003359</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4302433</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>329532</TotalAmt>
        <ProgramServicesAmt>283719</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45813</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5372180</TotalAmt>
        <ProgramServicesAmt>4695768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>676412</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2493470</TotalAmt>
        <ProgramServicesAmt>2180622</ProgramServicesAmt>
        <ManagementAndGeneralAmt>312848</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>294079</TotalAmt>
        <ProgramServicesAmt>294079</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>49894</TotalAmt>
        <ManagementAndGeneralAmt>49894</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>30933</TotalAmt>
        <ProgramServicesAmt>30933</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3109291</TotalAmt>
        <ProgramServicesAmt>671252</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2438039</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>179231</TotalAmt>
        <ManagementAndGeneralAmt>179231</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>40682</TotalAmt>
        <ProgramServicesAmt>26956</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13726</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>159425</TotalAmt>
        <ProgramServicesAmt>100914</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58511</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>786705</TotalAmt>
        <ProgramServicesAmt>431114</ProgramServicesAmt>
        <ManagementAndGeneralAmt>355591</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>200991</TotalAmt>
        <ProgramServicesAmt>155044</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45947</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>653924</TotalAmt>
        <ProgramServicesAmt>144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>653780</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1148745</TotalAmt>
        <ProgramServicesAmt>450534</ProgramServicesAmt>
        <ManagementAndGeneralAmt>698211</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>752331</TotalAmt>
        <ProgramServicesAmt>609600</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142731</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>2431200</TotalAmt>
        <ProgramServicesAmt>2431200</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>1624040</TotalAmt>
        <ProgramServicesAmt>1553489</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70551</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMMUNICATION</Desc>
        <TotalAmt>747828</TotalAmt>
        <ProgramServicesAmt>208018</ProgramServicesAmt>
        <ManagementAndGeneralAmt>539810</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TRANSPORTATION AND DELI</Desc>
        <TotalAmt>742000</TotalAmt>
        <ProgramServicesAmt>572378</ProgramServicesAmt>
        <ManagementAndGeneralAmt>169622</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>864240</TotalAmt>
        <ProgramServicesAmt>553067</ProgramServicesAmt>
        <ManagementAndGeneralAmt>311173</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>56356763</TotalAmt>
        <ProgramServicesAmt>45292440</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11064323</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3077366</BOYAmt>
        <EOYAmt>1228003</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>466668</BOYAmt>
        <EOYAmt>109671</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>7132640</BOYAmt>
        <EOYAmt>5231667</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <EOYAmt>83048</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>476207</BOYAmt>
        <EOYAmt>411135</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>7202654</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5942797</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5220553</BOYAmt>
        <EOYAmt>1259857</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>222622</BOYAmt>
        <EOYAmt>87172</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>16596056</BOYAmt>
        <EOYAmt>8410553</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>6997638</BOYAmt>
        <EOYAmt>6048730</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>945382</BOYAmt>
        <EOYAmt>1037712</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2160000</BOYAmt>
        <EOYAmt>1900000</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>452001</BOYAmt>
        <EOYAmt>361402</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>10555021</BOYAmt>
        <EOYAmt>9347844</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>1362535</BOYAmt>
        <EOYAmt>-2165294</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>1920229</BOYAmt>
        <EOYAmt>49663</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>2758271</BOYAmt>
        <EOYAmt>1178340</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>6041035</BOYAmt>
        <EOYAmt>-937291</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>16596056</BOYAmt>
        <EOYAmt>8410553</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-6978326</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2260690</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3466922</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3333070</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4194719</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6414246</CurrentTaxYearAmt>
        <TotalAmt>19669647</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2260690</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3466922</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3333070</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4194719</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6414246</CurrentTaxYearAmt>
        <TotalAmt>19669647</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>3894195</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>15775452</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>17194</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>23072</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>32796</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26126</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8100</CurrentTaxYearAmt>
        <TotalAmt>107288</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearAmt>72095</CurrentTaxYearAmt>
        <TotalAmt>72095</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>19849030</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>261019426</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.79480</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.52410</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <RalliesDemonstrationsInd>1</RalliesDemonstrationsInd>
      <RalliesDemonstrationsAmt>30933</RalliesDemonstrationsAmt>
      <TotalLobbyingExpendituresAmt>30933</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>2758271</BeginningYearBalanceAmt>
        <OtherExpendituresAmt>1579931</OtherExpendituresAmt>
        <EndYearBalanceAmt>1178340</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2758271</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>328978</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>328978</OtherExpendituresAmt>
        <EndYearBalanceAmt>2758271</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2758271</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>268595</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>268595</OtherExpendituresAmt>
        <EndYearBalanceAmt>2758271</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2758271</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>265810</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>265810</OtherExpendituresAmt>
        <EndYearBalanceAmt>2758271</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2758271</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>17194</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>17194</OtherExpendituresAmt>
        <EndYearBalanceAmt>2758271</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1063445</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>780264</DepreciationAmt>
        <BookValueAmt>283181</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5163634</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4203882</DepreciationAmt>
        <BookValueAmt>959752</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>975575</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>958651</DepreciationAmt>
        <BookValueAmt>16924</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1259857</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT LIABILITY</Desc>
        <Amt>361402</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>361402</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT FUNDS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE ON HOSPICE SERVICES, PRIMARILY INDIGENT CARE AND DEBT SERVICE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>VISITING NURSE IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, RELATED INCOME IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. THE FOUNDATION IS A LIMITED LIABILITY COMPANY AND IS NOT SUBJECT TO INCOME TAX. INTERNAL REVENUE SERVICE (IRS) REGULATIONS ARE SUCH THAT THE ANNUAL REPORTING RETURN FILED BY A NONPROFIT ORGANIZATION IS OPEN FOR EXAMINATION BY TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS. VISITING NURSE'S ANNUAL REPORTING RETURN FOR THE 2015, 2016, AND 2017 TAX YEARS ARE OPEN FOR EXAMINATION AT DECEMBER 31, 2018. HOWEVER, MANAGEMENT DOES NOT BELIEVE THAT VISITING NURSE OR THE FOUNDATION HOLD ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>1</AgrmtProfFundraisingActyInd>
      <LicensedStatesCd>GA</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>JOE BIDEN LUNCHEON</Event1Nm>
        <GrossReceiptsEvent1Amt>213575</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>119825</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>93750</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>3760</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>57853</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>7688</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>8042</OtherDirectExpensesEvent1Amt>
        <Event2Nm>AQUARIUM 70TH ANNIVERSARY</Event2Nm>
        <GrossReceiptsEvent2Amt>64600</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>64600</CharitableContriEvent2Amt>
        <NonCashPrizesEvent2Amt>950</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>39088</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>14495</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>5190</EntertainmentEvent2Amt>
        <GrossReceiptsTotalAmt>278175</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>184425</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>93750</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>950</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>42848</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>72348</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>12878</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>8042</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>137066</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-43316</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <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>NORENE MOSTKOFF</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>294328</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>177761</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4378</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7404</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10466</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>494337</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY BLUMSTEIN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>145935</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5963</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12052</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>163950</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREA MARKS-STEVENSON</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>168727</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2385</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4038</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11507</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>186657</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOROTHY DAVIS</PersonNm>
        <TitleTxt>VP COMMUNITY HEALTH</TitleTxt>
        <BaseCompensationFilingOrgAmt>171462</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>14409</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2541</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6894</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>195306</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRYAN HOOKER MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR HOSPICE</TitleTxt>
        <BaseCompensationFilingOrgAmt>210120</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1236</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9781</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>221137</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT CONNERS</PersonNm>
        <TitleTxt>PTT4</TitleTxt>
        <BaseCompensationFilingOrgAmt>146000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>599</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3872</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27517</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>177988</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICIA ASKEW</PersonNm>
        <TitleTxt>VP, HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>138627</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3100</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4921</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3443</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>945</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>151036</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>NOREEN MOSTKOFF RECEIVED A BONUS OF $171,771 AND PATRICIA ASKEW RECEEIVED A BONUS OF $3100.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>8</ContributionCnt>
        <NoncashContributionsRptF990Amt>39111</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>1</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>NUMBER OF CONTRIBUTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleN documentId="RetDoc1043200001">
      <DispositionOfAssetsDetail>
        <AssetsDistriOrExpnssPaidDesc>LAND, BUILDINGS, AND IMPROVEMENTS</AssetsDistriOrExpnssPaidDesc>
        <DistributionDt>2018-12-07</DistributionDt>
        <FairMarketValueOfAssetAmt>2882772</FairMarketValueOfAssetAmt>
        <MethodOfFMVDeterminationTxt>NET BOOK VALUE</MethodOfFMVDeterminationTxt>
        <EIN>586033190</EIN>
        <BusinessName>
          <BusinessNameLine1Txt>JAMES STARR MOORE MEMORIAL FOUNDATION INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>3330 CUMBERLAND BLVD SE STE 6</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30339</ZIPCd>
        </USAddress>
        <IRCSectionTxt>501(C)(3)</IRCSectionTxt>
      </DispositionOfAssetsDetail>
      <DirectorOfSuccessor2Ind>0</DirectorOfSuccessor2Ind>
      <EmployeeOfSuccessor2Ind>0</EmployeeOfSuccessor2Ind>
      <OwnerOfSuccessor2Ind>0</OwnerOfSuccessor2Ind>
      <ReceiveCompensation2Ind>0</ReceiveCompensation2Ind>
    </IRS990ScheduleN>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DECEMBER 2018, THE IN-PATIENT HOSPICE UNIT CEASED OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMMITTEE, WHICH SHALL CONSIST OF THREE OR MORE DIRECTORS, SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD I THE MANAGEMENT OF THE CORPORATION, BUT THE SEDIGNATION OF SUCH COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OR ANY INDIVIDUAL DIRECTOR OF ANY RESPONSIBILTY IMPOSED UPON IT OR HIM BY LAW. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS MEETINGS AND REPORT THE SAME TO THE BOARD OF DIRECTORS WHEN REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MADE CHANGES TO THE BYLAWS THAT PRIMARILY RELATED TO THE BOARD OF DIRECTORS. THE BOARD MEMBERSHIP WAS REVISED TO INCLUDE TWO LEGACY DIRECTORS AND THREE COMMUNITY DIRECTORS WITH SPECIFIC RESTRICTIONS ON MAJOR TRANSACTIONS DURING THE 2019 YEAR REQUIRING AT LEAST ONE LEGACY BOARD MEMBER VOTE. THE CHANGE ALSO REQUIRES AT LEAST QUARTERLY BOARD MEETINGS DURING 2019, SLIGHTLY REVISED THE EMERITUS BOARD MEMBER STATUS, AND CHANGED OFFICER TERMS TO ONE YEAR INSTEAD OF TWO YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS, CEO AND CFO APPROVED THE FILING OF THE TAX RETURN. THE FORM 990 WAS PROVIDED TO THE COMPLIANCE AND AUDIT COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO IT BEING FILED. THE COMMITTEE ASKED QUESTOLNS OF THE INTERNAL PREPARERS BASED UPON THIS REVIEW. THE COMPLIANCE AND AUDIT COMMITTEE RECOMMENDED T6O THE BOARD THAT THE FORM 990 BE APPROVED FOR FILING. BOARD MEMBERS ALSO RECEIVED AND APPROVED A COPY OF THE 990 RETURN PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES THAT ALL INTERESTED PERSONS CERTIFY THAT THEY HAVE RECEIVED, READ, UNDERSTAND AND HAVE COMPLIED WITH THE CONFILICT OF INTEREST POLICY. ALL INTERESTED PERSONS RECEIVED TRAINING IN THE MEANING OF AND IMPORTANCE OF COMPLYING WITH THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AN ANNUAL BASIS, THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND TOP MANAGEMENT IS REVIEWED AND APPROVED BY THE ORGANIZATION'S INDEPENDENT BOARD OF DIRECTORS AFTER REVIEW AND RECOMMENDATION BY THE BOARD'S COMPENSATION COMMITTEE. EVERY FEW YEARS, THE ORGANIZATION ENGAGES AN OUTSIDE CONSULTANT TO COMPARE COMPENSATION AND BENEFITS PAID TO THE ORGANIZATION'S OFFICERS AND TOP MANAGEMENT TO COMPENSTATON AND BENEFITS THAT ARE PAID TO EMPLOYEES PROVIDING SIMILAR SERVICES BY SIMILAR ENTERPRISES UNDER SIMILAR CIRCUMSTANCES. THE CONSULTANT'S REPORT IS REVIEWED BY THE CONSULTANT WITH THE BOARD'S COMPENSATION COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>IN GENERAL, THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMETNS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SELECTED NEW AUDITORS FOR THE 2018 TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VN HOSPICE ATLANTA FOUNDATION LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5775 GLENRIDGE DRIVE NE</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30328</ZIPCd>
        </USAddress>
        <EIN>580566250</EIN>
        <PrimaryActivitiesTxt>CHAR ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>