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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIA HAY</PersonNm>
        <TitleTxt>PHARMACY MAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>146756</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>594036</TotalReportableCompFromOrgAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HUMANA HEALTH PLAN INC</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>HUMANA HEALTH PLAN INC</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 528</AddressLine1Txt>
            <AddressLine2Txt>PO BOX 528</AddressLine2Txt>
            <CityNm>CAROL STREAM</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>601320528</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INS BENEFITS</ServicesDesc>
        <CompensationAmt>1044369</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PROCARE PBM</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>PROCARE PBM</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1267 PROFESSIONAL PARKWAY</AddressLine1Txt>
            <AddressLine2Txt>1267 PROFESSIONAL PARKWAY</AddressLine2Txt>
            <CityNm>GAINESVILLE</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30507</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INS BENEFITS</ServicesDesc>
        <CompensationAmt>390494</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUALIS MANAGEMENT</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>QUALIS MANAGEMENT</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 7458</AddressLine1Txt>
            <AddressLine2Txt>PO BOX 7458</AddressLine2Txt>
            <CityNm>ROCKY MOUNT</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27804</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DME MANAGEMENT</ServicesDesc>
        <CompensationAmt>345704</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VANCEBURG REHABILITATION</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>VANCEBURG REHABILITATION</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>58 EASTHAM ST</AddressLine1Txt>
            <AddressLine2Txt>58 EASTHAM ST</AddressLine2Txt>
            <CityNm>VANCEBURG</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41179</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ROOM &amp; BOARD</ServicesDesc>
        <CompensationAmt>325575</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAYSVILLE NURSING AND REHAB</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>MAYSVILLE NURSING AND REHAB</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 556</AddressLine1Txt>
            <AddressLine2Txt>PO BOX 556</AddressLine2Txt>
            <CityNm>MAYSVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41056</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ROOM &amp; BOARD</ServicesDesc>
        <CompensationAmt>264579</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>15998</FundraisingAmt>
      <GovernmentGrantsAmt>160420</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>115129</AllOtherContributionsAmt>
      <TotalContributionsAmt>291547</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>INCOME</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>14120029</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14120029</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>KENTON POINT</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>1189975</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1189975</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT SERVICES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>27043</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27043</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>15337047</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>553044</TotalRevenueColumnAmt>
        <ExclusionAmt>553044</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2478746</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1989575</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>489171</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>489171</TotalRevenueColumnAmt>
        <ExclusionAmt>489171</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>39497</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>15998</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>24343</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>15154</TotalRevenueColumnAmt>
        <ExclusionAmt>15154</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>614</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>614</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>614</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>15337661</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>1057369</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>138944</ManagementAndGeneralAmt>
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        <FundraisingAmt>15584</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>162516</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38778</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>793805</ProgramServicesAmt>
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        <ProgramServicesAmt>399937</ProgramServicesAmt>
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        <FundraisingAmt>2286</FundraisingAmt>
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        <ManagementAndGeneralAmt>8762</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>43224</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>97038</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>20754</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1643</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ManagementAndGeneralAmt>45191</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>11430</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102779</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>8129</ProgramServicesAmt>
        <ManagementAndGeneralAmt>325003</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>138550</ProgramServicesAmt>
        <ManagementAndGeneralAmt>278607</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>459493</TotalAmt>
        <ProgramServicesAmt>440474</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19019</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>8385</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>112442</TotalAmt>
        <ManagementAndGeneralAmt>112442</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>482457</TotalAmt>
        <ProgramServicesAmt>341413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>141044</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>18208</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58036</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER PATIENT SERVICES</Desc>
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        <ProgramServicesAmt>2835125</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PHARMACY</Desc>
        <TotalAmt>514925</TotalAmt>
        <ProgramServicesAmt>514925</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>512945</TotalAmt>
        <ProgramServicesAmt>512945</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
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        <ProgramServicesAmt>469912</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5241</ManagementAndGeneralAmt>
        <FundraisingAmt>3133</FundraisingAmt>
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        <ProgramServicesAmt>12383829</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2837591</ManagementAndGeneralAmt>
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      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipCostOrOtherBssAmt>13265051</LandBldgEquipCostOrOtherBssAmt>
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        <EOYAmt>9419977</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>4040911</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
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      <InvestmentIncomePYPct>0.02000</InvestmentIncomePYPct>
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      <Form990ScheduleAPartVIGrp>
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        <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 THE YEARS ENDED DECEMBER 31, 2017 AND 2016. 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. TAX YEARS STILL OPEN UNDER FEDERAL AND STATE STATUTE OF LIMITATIONS REMAIN SUBJECT TO REVIEW AND CHANGE. BASED ON THE EVALUATION OF THE ORGANIZATION TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITONS HAS BEEN RECORDED FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016.</ExplanationTxt>
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        <PersonNm>WILLIAM CRAIG DENHAM</PersonNm>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WILL BE PROVIDED TO THE AUDIT COMMITTEE, BUSINESS MANAGER, AND EXECUTIVE DIRECTOR. ANY CHANGES NECESSARY WILL THEN BE MADE AND THEN THE FORM WILL BE SIGNED BY THE EXECUTIVE DIRECTOR.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, 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 THE 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>
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