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        <PersonNm>DR ROBERT F ROSS</PersonNm>
        <TitleTxt>MEDICAL DIRE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>127906</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7982</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIA HAY</PersonNm>
        <TitleTxt>PHARMACY MAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>142950</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35828</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>421280</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>60152</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ANTHEM BCBS KY GROUP</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>ANTHEM BCBS KY GROUP</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 105124</AddressLine1Txt>
            <AddressLine2Txt>PO BOX 105124</AddressLine2Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30348</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INS BENEFITS</ServicesDesc>
        <CompensationAmt>1123838</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GGNSC VANCEBURG LLC</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>GGNSC VANCEBURG LLC</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>589 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>388501</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY NURSING SERVICES INC</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>COMMUNITY NURSING SERVICES INC</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>115 PIONEER TRACE</AddressLine1Txt>
            <AddressLine2Txt>115 PIONEER TRACE</AddressLine2Txt>
            <CityNm>FLEMINGSBURG</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41041</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ROOM &amp; BOARD</ServicesDesc>
        <CompensationAmt>347899</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>328921</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RIVER VALLEY NURSING HOME</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>RIVER VALLEY NURSING HOME</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>305 TAYLOR ST</AddressLine1Txt>
            <AddressLine2Txt>305 TAYLOR ST</AddressLine2Txt>
            <CityNm>BUTLER</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41006</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ROOM &amp; BOARD</ServicesDesc>
        <CompensationAmt>258253</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>28347</FundraisingAmt>
      <GovernmentGrantsAmt>160500</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>102300</AllOtherContributionsAmt>
      <TotalContributionsAmt>291147</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>INCOME</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>12804944</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12804944</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>KENTON POINT</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>1132693</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1132693</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT SERVICES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>114613</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>114613</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>14052250</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>435450</TotalRevenueColumnAmt>
        <ExclusionAmt>435450</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1396401</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1242805</SecuritiesAmt>
        <OtherAmt>12053</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>153596</SecuritiesAmt>
        <OtherAmt>-12053</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>141543</TotalRevenueColumnAmt>
        <ExclusionAmt>141543</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>41866</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>28347</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>16276</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>25590</TotalRevenueColumnAmt>
        <ExclusionAmt>25590</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>519</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>519</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>519</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>14946499</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14052769</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>602583</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>148111</TotalAmt>
        <ManagementAndGeneralAmt>148111</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6093761</TotalAmt>
        <ProgramServicesAmt>5005082</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1062191</ManagementAndGeneralAmt>
        <FundraisingAmt>26488</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>164107</TotalAmt>
        <ProgramServicesAmt>131563</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32544</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1092168</TotalAmt>
        <ProgramServicesAmt>895902</ProgramServicesAmt>
        <ManagementAndGeneralAmt>196266</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>481946</TotalAmt>
        <ProgramServicesAmt>388263</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85376</ManagementAndGeneralAmt>
        <FundraisingAmt>8307</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>20650</TotalAmt>
        <ManagementAndGeneralAmt>20650</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>37623</TotalAmt>
        <ManagementAndGeneralAmt>37623</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>92124</TotalAmt>
        <ManagementAndGeneralAmt>92124</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>10648</TotalAmt>
        <ProgramServicesAmt>3566</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7082</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>39294</TotalAmt>
        <ProgramServicesAmt>905</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38389</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>98271</TotalAmt>
        <ProgramServicesAmt>12798</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85473</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>281368</TotalAmt>
        <ProgramServicesAmt>1202</ProgramServicesAmt>
        <ManagementAndGeneralAmt>280166</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>395958</TotalAmt>
        <ProgramServicesAmt>128192</ProgramServicesAmt>
        <ManagementAndGeneralAmt>267766</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>395404</TotalAmt>
        <ProgramServicesAmt>377164</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18240</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>7759</TotalAmt>
        <ManagementAndGeneralAmt>7759</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>117608</TotalAmt>
        <ManagementAndGeneralAmt>117608</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>496651</TotalAmt>
        <ProgramServicesAmt>353338</ProgramServicesAmt>
        <ManagementAndGeneralAmt>143313</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>66695</TotalAmt>
        <ProgramServicesAmt>13012</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53683</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>OTHER PATIENT SERVICES</Desc>
        <TotalAmt>2903179</TotalAmt>
        <ProgramServicesAmt>2903179</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>455380</TotalAmt>
        <ProgramServicesAmt>455380</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY</Desc>
        <TotalAmt>448969</TotalAmt>
        <ProgramServicesAmt>448969</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EMPLOYEE RELATED EX</Desc>
        <TotalAmt>142824</TotalAmt>
        <ProgramServicesAmt>95613</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47211</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>84708</TotalAmt>
        <ProgramServicesAmt>7926</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58776</ManagementAndGeneralAmt>
        <FundraisingAmt>18006</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>14075206</TotalAmt>
        <ProgramServicesAmt>11222054</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2800351</ManagementAndGeneralAmt>
        <FundraisingAmt>52801</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2580498</BOYAmt>
        <EOYAmt>2800884</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>59475</BOYAmt>
        <EOYAmt>59533</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>210744</BOYAmt>
        <EOYAmt>84105</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1767674</BOYAmt>
        <EOYAmt>1707424</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>37318</BOYAmt>
        <EOYAmt>56945</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>130111</BOYAmt>
        <EOYAmt>152041</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>13185857</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2958376</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>10648794</BOYAmt>
        <EOYAmt>10227481</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>15504582</BOYAmt>
        <EOYAmt>15594091</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>68772</BOYAmt>
        <EOYAmt>68542</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>31007968</BOYAmt>
        <EOYAmt>30751046</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>955600</BOYAmt>
        <EOYAmt>794756</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>4022033</BOYAmt>
        <EOYAmt>3751200</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>4977633</BOYAmt>
        <EOYAmt>4545956</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>25778634</BOYAmt>
        <EOYAmt>26081499</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>251701</BOYAmt>
        <EOYAmt>123591</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>26030335</BOYAmt>
        <EOYAmt>26205090</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>31007968</BOYAmt>
        <EOYAmt>30751046</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>871293</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-696538</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc10">
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>465162</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>359661</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>325754</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>291147</CurrentTaxYearAmt>
        <TotalAmt>2192873</TotalAmt>
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        <CurrentTaxYearMinus2YearsAmt>15498298</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13919093</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14052769</CurrentTaxYearAmt>
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      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus3YearsAmt>58750</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>72045</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34460</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>41866</CurrentTaxYearAmt>
        <TotalAmt>207121</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>13980308</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15629407</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15930004</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14279307</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14385782</CurrentTaxYearAmt>
        <TotalAmt>74204808</TotalAmt>
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      <PublicSupportTotal509Amt>74204808</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>294401</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>268168</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>407932</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>435450</CurrentTaxYearAmt>
        <TotalAmt>1735605</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>294401</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>268168</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>407932</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>435450</CurrentTaxYearAmt>
        <TotalAmt>1735605</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>1248</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>370</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>323</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>519</CurrentTaxYearAmt>
        <TotalAmt>39488</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>14346990</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15925056</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16198542</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14687562</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14821751</CurrentTaxYearAmt>
        <TotalAmt>75979901</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.97660</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97990</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>NET FUNDRAISING INCOME 37,028 MISCELLANEOUS INCOME 2,460</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>
    <IRS990ScheduleC documentId="RetDoc4">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>855</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
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        <Desc>COMMON STOCKS</Desc>
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        <Desc>CORPORATE BONDS &amp; NOTES</Desc>
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        <Desc>MUTUAL FUNDS</Desc>
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        <Desc>CASH EQUIVALENTS</Desc>
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        <Desc>REAL ESTATE INVESTMENTS</Desc>
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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF THE ACCOUNTING PRONOUNCEMENT RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ORGANIZATION RECOGNIZED NO INTEREST OR PENALTIES IN THE CONSOLIDATED STATEMENTS OF ACTIVITIES FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014. 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, 2015 AND 2014.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSE 16,275</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 16,275</ExplanationTxt>
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        <Event1Nm>GALA FUNDRAISER</Event1Nm>
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        <GrossRevenueEvent1Amt>24125</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>10076</OtherDirectExpensesEvent1Amt>
        <Event2Nm>BUILDING CAMPAI</Event2Nm>
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        <GrossReceiptsTotalAmt>70195</GrossReceiptsTotalAmt>
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        <GrossRevenueTotalEventsAmt>41848</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>16276</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>16276</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>25572</NetIncomeSummaryAmt>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>KAVIN CARTMELL</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <PersonNm>JULIA HAY</PersonNm>
        <TitleTxt>PHARMACY MANAGER</TitleTxt>
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          <PersonNm>COMMUNITY NURSING SERVICES INC</PersonNm>
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        <RelationshipDescriptionTxt>ROBIN WALTON</RelationshipDescriptionTxt>
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        <TransactionDesc>MEDICAL SVC PMTS</TransactionDesc>
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        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) NAME OF PERSON: ROBIN WALTON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ROBIN IS A BOARD MEMBER OF HOSPICE OF HOPE. ROBIN AND HER SPOUSE ARE 1/3 OWNERS OF COMMUNITY NURSING SERVICES, INC. IN FLEMINGSBURG, KY. ,(C) AMOUNT OF TRANSACTION: 347,899 (D) DESCRIPTION OF TRANSACTION: HOSPICE OF HOPE CONTRACTS WITH COMMUNITY NURSING SERVICES, INC. TO PROVIDE HOSPICE CARE FOR RESIDENTS. THE MAJORITY OF THE PAYMENT FOR SERVICES IS FOR NURSING HOME ROOM &amp; BOARD THAT IS REIMBURSED AT 100% OF THE MEDICAID ROOM &amp; BOARD RATE AS STIPULATED UNDER MEDICARE AND MEDICAID GUIDELINES. SERVICES ARE CONTRACTED AT RATES SIMILAR WITH OTHER NURSING HOMES IN OUR SERVICE AREA. THIS RELATIONSHIP WAS CREATED UPON THE INHERITANCE OF THE BUSINESS FROM A FAMILY MEMBER OF HER SPOUSE. (E) SHARING OF ORGANIZATION REVENUES?: NO.</ExplanationTxt>
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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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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR WILL BE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD ANNUALLY. THE EXECUTIVE DIRECTOR WILL PROVIDE THE COMMITTEE WITH A SELF-APPRAISAL BASED ON THE GOALS AND OBJECTIVES ESTABLISHED FOR THE PRIOR YEAR. THE EXECUTIVE DIRECTOR WILL BE PROVIDED REASONABLE COMPENSATION AS DETERMINED BY THE BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES COMPENSATION BASED ON THE ANNUAL PERFORMANCE REVIEW COMPLETED BY SUPERVISOR.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES THIS INFORMATION AVAILABLE TO ANYONE UPON REQUEST.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
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          <AddressLine1Txt>1455 KENTON POINTE WAY</AddressLine1Txt>
          <CityNm>MAYSVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41056</ZIPCd>
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        <EIN>454495363</EIN>
        <PrimaryActivitiesTxt>AST LV FAC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>HOSPICE</BusinessNameLine1Txt>
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