﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2015v2.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2016-09-01T03:29:11-05:00</ReturnTs>
    <TaxPeriodEndDt>2015-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>475677171</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>WALTERS &amp; SKLYAR LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>21700 OXNARD ST STE 800</AddressLine1Txt>
        <CityNm>WOODLAND HILLS</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>913677500</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2015-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>951693538</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>LIVINGSTON MEMORIAL VISTING NURSE</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>ASSOCIATION</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>LIVI</BusinessNameControlTxt>
      <PhoneNum>8056420239</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1996 EASTMAN AVENUE</AddressLine1Txt>
        <CityNm>VENTURA</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>93003</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MARK MINNIS</PersonNm>
      <PersonTitleTxt>VP/CFO</PersonTitleTxt>
      <PhoneNum>8056420239</PhoneNum>
      <SignatureDt>2016-08-15</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>YEFIM SKLYAR CPA</PreparerPersonNm>
      <PTIN>P00362128</PTIN>
      <PhoneNum>8189752040</PhoneNum>
      <PreparationDt>2016-09-01</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2015</TaxYr>
    <BuildTS>2016-12-15 16:53:06Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc7">
      <PrincipalOfficerNm>MARK MINNIS</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1996 EASTMAN AVENUE SUITE 101</AddressLine1Txt>
        <CityNm>VENTURA</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>93003</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>17449354</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.LMVNA.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1947</FormationYr>
      <LegalDomicileStateCd>CA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>LIVINGSTON PROVIDES A VARIETY OF HOME HEALTH SERVICES RANGING FROM REHABILITATIVE CARE TO HOSPICE CARE OF THE HIGHEST QUALITY IN THE MOST COST-EFFECTIVE MANNER TO RESIDENTS OF VENTURA COUNTY.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>12</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>12</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>268</TotalEmployeeCnt>
      <TotalVolunteersCnt>88</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>802610</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>719416</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>15470231</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>16346006</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>122087</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>69285</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>210248</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>273249</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>16605176</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>17407956</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>12964100</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>12824450</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>319342</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>3978981</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>3975044</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>16943081</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>16799494</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-337905</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>608462</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>5373998</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>5868728</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1173490</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1194936</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>4200508</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>4673792</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>LIVINGSTON PROVIDES A VARIETY OF HOME HEALTH SERVICES RANGING FROM REHABILITATIVE CARE TO HOSPICE CARE OF THE HIGHEST QUALITY IN THE MOST COST-EFFECTIVE MANNER TO RESIDENTS OF VENTURA COUNTY.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>9090297</ExpenseAmt>
      <RevenueAmt>8856684</RevenueAmt>
      <Desc>LIVINGSTON MEMORIAL VISITING NURSE ASSOCIATION PROVIDES A VARIETY OF HOME HEALTH SERVICES OF THE HIGHEST QUALITY IN THE MOST COST-EFFECTIVE MANNER TO THE RESIDENTS OF VENTURA COUNTY. HOME HEALTH CARE ENCOMPASSES A WIDE RANGE OF SKILLED NURSING, THERAPY, SOCIAL WORK, AND HOME HEALTH AIDE SERVICES PROVIDED ON AN INTERMITTENT BASIS IN THE PATIENT'S HOME. DURING THE YEAR, THERE WERE 26,309 NON-MEDICARE HOME VISITS AND 1,762 MEDICARE 60-DAYS EPISODES.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>5236337</ExpenseAmt>
        <RevenueAmt>7489952</RevenueAmt>
        <Desc>LIVINGSTON HOSPICE IS A COMPREHENSIVE MEDICAL MODEL HOSPICE AND PROVIDES THE FULL RANGE OF HOSPICE SERVICES TO PATIENTS WHO MEET THE CRITERIA OF A LIMITED LIFE EXPECTANCY. THE HOSPICE CARE ACCOUNTED FOR 35,995 PATIENT CARE DAYS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <TotalProgramServiceExpensesAmt>14326634</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc8">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc4">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc4">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc4">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc4">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc4">true</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc4">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc4">true</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc4">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc4">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc4">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc4">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc4">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc4">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc5">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc5">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc5">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc6">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc9">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc9">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc9">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc9">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>9</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>268</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>12</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>12</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>true</LocalChaptersInd>
      <PoliciesReferenceChaptersInd>true</PoliciesReferenceChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>MARK MINNIS CFO</PersonNm>
        <PhoneNum>8056420239</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1996 EASTMAN AVENUE</AddressLine1Txt>
          <CityNm>VENTURA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93003</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA K MCAVOY</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFERY D PAUL</PersonNm>
        <TitleTxt>VICE CHAIRMA</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES M HAIR MD</PersonNm>
        <TitleTxt>CHAIRMAN EME</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS P PECHT</PersonNm>
        <TitleTxt>TREASURER/VI</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM J KEARNEY</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL H HAMBLETON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOAN R ARAUJO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BOBBY MCCAFFREY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CATHERINE FRONTCZAK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JURGEN GRAMCKOW</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CYNTHIA JOHNSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RIC RUFFINELLI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LANYARD M DIAL</PersonNm>
        <TitleTxt>PRESIDENT/ C</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>278710</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK MINNIS</PersonNm>
        <TitleTxt>VP/CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>164833</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERESA PAVAN</PersonNm>
        <TitleTxt>VP/COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>150082</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE NISHIDA</PersonNm>
        <TitleTxt>REGISTERED N</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>118068</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEANETTE CUNNINGHAM</PersonNm>
        <TitleTxt>DIR. OF PATI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>113894</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMIE O' BRIAN</PersonNm>
        <TitleTxt>DIRECTOR OF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>112170</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAULA FIEBIG</PersonNm>
        <TitleTxt>PHYSICAL THE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>109191</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARC WILDE</PersonNm>
        <TitleTxt>DIR. OF DEVE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>105637</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1152585</TotalReportableCompFromOrgAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <AllOtherContributionsAmt>719416</AllOtherContributionsAmt>
      <TotalContributionsAmt>719416</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>16346006</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16346006</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>16346006</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>69285</TotalRevenueColumnAmt>
        <ExclusionAmt>69285</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>240791</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>41398</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>199393</TotalRevenueColumnAmt>
        <ExclusionAmt>199393</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MANAGEMENT FEES</Desc>
        <TotalRevenueColumnAmt>66000</TotalRevenueColumnAmt>
        <ExclusionAmt>66000</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC INCOME</Desc>
        <TotalRevenueColumnAmt>7856</TotalRevenueColumnAmt>
        <ExclusionAmt>7856</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>73856</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>17407956</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16346006</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>342534</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>593625</TotalAmt>
        <ProgramServicesAmt>563944</ProgramServicesAmt>
        <FundraisingAmt>29681</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9842790</TotalAmt>
        <ProgramServicesAmt>8442879</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1225980</ManagementAndGeneralAmt>
        <FundraisingAmt>173931</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1632091</TotalAmt>
        <ProgramServicesAmt>1439271</ProgramServicesAmt>
        <ManagementAndGeneralAmt>172107</ManagementAndGeneralAmt>
        <FundraisingAmt>20713</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>755944</TotalAmt>
        <ProgramServicesAmt>664690</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76178</ManagementAndGeneralAmt>
        <FundraisingAmt>15076</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>49708</TotalAmt>
        <ManagementAndGeneralAmt>49708</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <AdvertisingGrp>
        <TotalAmt>153791</TotalAmt>
        <ProgramServicesAmt>4149</ProgramServicesAmt>
        <ManagementAndGeneralAmt>132781</ManagementAndGeneralAmt>
        <FundraisingAmt>16861</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>563302</TotalAmt>
        <ProgramServicesAmt>500445</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55250</ManagementAndGeneralAmt>
        <FundraisingAmt>7607</FundraisingAmt>
      </OfficeExpensesGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>18584</TotalAmt>
        <ProgramServicesAmt>5645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11813</ManagementAndGeneralAmt>
        <FundraisingAmt>1126</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>146666</TotalAmt>
        <ProgramServicesAmt>134931</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10268</ManagementAndGeneralAmt>
        <FundraisingAmt>1467</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>114367</TotalAmt>
        <ProgramServicesAmt>105216</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8007</ManagementAndGeneralAmt>
        <FundraisingAmt>1144</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTED SERVICES</Desc>
        <TotalAmt>1057705</TotalAmt>
        <ProgramServicesAmt>923861</ProgramServicesAmt>
        <ManagementAndGeneralAmt>132976</ManagementAndGeneralAmt>
        <FundraisingAmt>868</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>596778</TotalAmt>
        <ProgramServicesAmt>596778</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MILEAGE</Desc>
        <TotalAmt>439759</TotalAmt>
        <ProgramServicesAmt>421610</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17175</ManagementAndGeneralAmt>
        <FundraisingAmt>974</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PLANT EXPENSES</Desc>
        <TotalAmt>369977</TotalAmt>
        <ProgramServicesAmt>190875</ProgramServicesAmt>
        <ManagementAndGeneralAmt>171159</ManagementAndGeneralAmt>
        <FundraisingAmt>7943</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>464407</TotalAmt>
        <ProgramServicesAmt>332340</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90116</ManagementAndGeneralAmt>
        <FundraisingAmt>41951</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>16799494</TotalAmt>
        <ProgramServicesAmt>14326634</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2153518</ManagementAndGeneralAmt>
        <FundraisingAmt>319342</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1670371</BOYAmt>
        <EOYAmt>2545675</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>6440</BOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1658845</BOYAmt>
        <EOYAmt>1397415</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>44202</BOYAmt>
        <EOYAmt>40882</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <LandBldgEquipCostOrOtherBssAmt>3214405</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3058892</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>218886</BOYAmt>
        <EOYAmt>155513</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>1518986</BOYAmt>
        <EOYAmt>1453092</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>256268</BOYAmt>
        <EOYAmt>276151</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>5373998</BOYAmt>
        <EOYAmt>5868728</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>195521</BOYAmt>
        <EOYAmt>168510</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>977969</BOYAmt>
        <EOYAmt>1026426</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1173490</BOYAmt>
        <EOYAmt>1194936</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>3802624</BOYAmt>
        <EOYAmt>4327669</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>92014</BOYAmt>
        <EOYAmt>40250</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>305870</BOYAmt>
        <EOYAmt>305873</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4200508</BOYAmt>
        <EOYAmt>4673792</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>5373998</BOYAmt>
        <EOYAmt>5868728</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>608462</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-135178</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1469258</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1069184</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1065248</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>802610</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>719416</CurrentTaxYearAmt>
        <TotalAmt>5125716</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>12831558</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14253897</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15772600</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15470231</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16346006</CurrentTaxYearAmt>
        <TotalAmt>74674292</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus3YearsAmt>330083</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>314152</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>244923</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>314647</CurrentTaxYearAmt>
        <TotalAmt>1203805</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>14300816</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15653164</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17152000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16517764</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17380069</CurrentTaxYearAmt>
        <TotalAmt>81003813</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>150000</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>168065</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>151000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>157500</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>165000</CurrentTaxYearAmt>
        <TotalAmt>791565</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>150000</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>168065</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>151000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>157500</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>165000</CurrentTaxYearAmt>
        <TotalAmt>791565</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>80212248</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>16033</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>22997</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>46843</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>122087</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>69285</CurrentTaxYearAmt>
        <TotalAmt>277245</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>16033</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>22997</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>46843</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>122087</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>69285</CurrentTaxYearAmt>
        <TotalAmt>277245</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>63534</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>65078</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearAmt>73856</CurrentTaxYearAmt>
        <TotalAmt>202468</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>14380383</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15741239</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17198843</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16639851</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17523210</CurrentTaxYearAmt>
        <TotalAmt>81483526</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98440</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98460</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>202,468</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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>
    <IRS990ScheduleD documentId="RetDoc4">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>1518986</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-65894</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>1453092</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1561807</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>19350</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>62171</OtherExpendituresAmt>
        <EndYearBalanceAmt>1518986</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1125438</BeginningYearBalanceAmt>
        <ContributionsAmt>343410</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>192533</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>99574</OtherExpendituresAmt>
        <EndYearBalanceAmt>1561807</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1029414</BeginningYearBalanceAmt>
        <ContributionsAmt>28835</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>130035</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>62846</OtherExpendituresAmt>
        <EndYearBalanceAmt>1125438</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>857477</BeginningYearBalanceAmt>
        <ContributionsAmt>245013</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-31240</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>41836</OtherExpendituresAmt>
        <EndYearBalanceAmt>1029414</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.97000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.03000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>true</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>80055</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>77674</DepreciationAmt>
        <BookValueAmt>2381</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2902506</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2801408</DepreciationAmt>
        <BookValueAmt>101098</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>231844</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>179810</DepreciationAmt>
        <BookValueAmt>52034</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>155513</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>INTEREST IN NET ASSETS OF VCCF</Desc>
        <BookValueAmt>1453092</BookValueAmt>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>1453092</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED LIABILITIES</Desc>
        <Amt>990793</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE FROM GOLD COAST</Desc>
        <Amt>35633</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1026426</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>17210698</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-135179</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-135179</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>17345877</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>62079</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>62079</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>17407956</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16737415</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>16737415</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>62079</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>62079</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>16799494</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>LIVINGSTON MEMORIAL VNA EVALUATES UNCERTAIN TAX POSITIONS THROUGH ITS REVIEW OF THE SOURCES OF INCOME TO IDENTIFY UNRELATED BUSINESS INCOME AND CERTAIN OTHER MATTERS, INCLUDING THOSE WHICH MAY AFFECT ITS TAX EXEMPT STATUS. THE EFFECT OF THE UNCERTAINITY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2015 AND 2014, LIVINGSTON MEMORIAL VNA HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 62,079</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 62,079</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XIII</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, LINE 4 DESCRIPTION OF THE INTENDED USE OF ENDOWMENT FUNDS THE PRIMARY PURPOSE OF THE ENDOWMENT FUND IS TO PROVIDE FINANCIAL SUPPORT TO LIVINGSTON MEMORIAL VNA TO CARRY OUT ITS OBJECTIVES IN ACCORDANCE WITH ITS MISSION STATEMENT, BY-LAWS, AND ARTICLES OF INCORPORATION. PART XI LINE 4B AND PART XII LINE 4B BAD DEBT EXPENSE OF 62,079 IS NETTED AGAINST REVENUE IN THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc5">
      <FundraisingEventInformationGrp>
        <Event1Nm>MOTHER'S DAY LU</Event1Nm>
        <GrossReceiptsEvent1Amt>139379</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>139379</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>24986</OtherDirectExpensesEvent1Amt>
        <Event2Nm>HOSPICE LIGHT U</Event2Nm>
        <GrossReceiptsEvent2Amt>101412</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>101412</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>16412</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>240791</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>240791</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>41398</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>41398</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>199393</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc6">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LANYARD M DIAL</PersonNm>
        <TitleTxt>PRESIDENT/ CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>278710</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>278710</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK MINNIS</PersonNm>
        <TitleTxt>VP/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>164833</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>164833</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERESA PAVAN</PersonNm>
        <TitleTxt>VP/COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>150082</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>150082</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZAION'S BOARD OF DIRECTORS REVIEWS A COPY OF THE TAX RETURN BEFORE IT IS FILED. THE AMOUNTS ARE COMPARED TO AUDITED FINANCIAL STATEMENTS AND INTERNAL REPORTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED ON A REGULAR BASIS WITH ALL MEMBERS OF THE ORGANIZATION (INCLUDING, BUT NOT LIMITED TO, AN EMPLOYEE HANDBOOK, STAFF MEETINGS, AND ANNUAL QUESTIONNARIES, TO BOARD MEMBERS).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR TOP OFFICIAL: THE BOARD OF DIRECTORS (ALL INDEPENDENT MEMBERS) REVIEW AVAILABLE MARKET DATA FOR COMPENSATION AND APPROVES THE COMPENSATION OF CEO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES: THE BOARD OF DIRECTORS (ALL INDEPENDENT MEMMBERS) REVIEWS AVAILABLE MARKET DATA FOR COMPENSATION AND APPROVES THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE -62,079 BAD DEBT EXPENSE 62,079</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc9">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LIVINGSTON CAREGIVERS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1966 EASTMAN AVE 101</AddressLine1Txt>
          <CityNm>VENTURA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93003</ZIPCd>
        </USAddress>
        <EIN>770166289</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LMVNA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LIVING MEMORIAL VNA HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1966 EASTMAN AVE 101</AddressLine1Txt>
          <CityNm>VENTURA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93003</ZIPCd>
        </USAddress>
        <EIN>770166226</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 C</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARENT</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LIVINGSTON CAREGIVERS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>66000</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>