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        <ReportableCompFromOrgAmt>105999</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4976</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERRY REX</PersonNm>
        <TitleTxt>HIGHEST COMPENSATED EMPLOYEE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>102005</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2340</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1592663</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>206304</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>20</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACCOUNTING PRINCIPALS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>DEPT CH 14031</AddressLine1Txt>
            <CityNm>PALATINE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60055</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OFFICE TEMP WORK</ServicesDesc>
        <CompensationAmt>120270</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>D&amp;S FOOD SERVICES INC (DBA DAVIANS)</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>N56 W16300 SILVER SPRING DR</AddressLine1Txt>
            <CityNm>MENOMONEE FALLS</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>53051</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICE</ServicesDesc>
        <CompensationAmt>112286</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACTION GRAPHICS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5203 N 125TH STREET</AddressLine1Txt>
            <CityNm>BUTLER</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>53007</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GRAPHICS / PRINTING</ServicesDesc>
        <CompensationAmt>110087</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COLUMBIA ST MARY'S</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4425 N PORT WASHINGTON RD</AddressLine1Txt>
            <CityNm>GLENDALE</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>53212</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>VARIOUS SERVICES</ServicesDesc>
        <CompensationAmt>102542</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>5000</FederatedCampaignsAmt>
      <FundraisingAmt>45725</FundraisingAmt>
      <AllOtherContributionsAmt>22200</AllOtherContributionsAmt>
      <TotalContributionsAmt>72925</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID/MEDICARE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>21670256</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21670256</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE INSURANCE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>7502964</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7502964</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE PAY</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>2690457</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2690457</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COUNTY</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1978009</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1978009</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>25343</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25343</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>33867029</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>6684</TotalRevenueColumnAmt>
        <ExclusionAmt>6684</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>12231</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>11578</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>653</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>653</TotalRevenueColumnAmt>
        <ExclusionAmt>653</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>152085</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>45725</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>62531</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>89554</TotalRevenueColumnAmt>
        <ExclusionAmt>89554</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>34036845</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>33867029</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>96891</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1026302</TotalAmt>
        <ManagementAndGeneralAmt>1026302</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
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        <TotalAmt>20576281</TotalAmt>
        <ProgramServicesAmt>16127610</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4448671</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>288273</TotalAmt>
        <ProgramServicesAmt>235611</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52662</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2959733</TotalAmt>
        <ProgramServicesAmt>1224162</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1735571</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1631902</TotalAmt>
        <ProgramServicesAmt>1185690</ProgramServicesAmt>
        <ManagementAndGeneralAmt>446212</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>8505</TotalAmt>
        <ManagementAndGeneralAmt>8505</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>12400</TotalAmt>
        <ManagementAndGeneralAmt>12400</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>379575</TotalAmt>
        <ProgramServicesAmt>267000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112575</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>295998</TotalAmt>
        <ManagementAndGeneralAmt>295998</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1169591</TotalAmt>
        <ProgramServicesAmt>92927</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1076664</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>993275</TotalAmt>
        <ManagementAndGeneralAmt>993275</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>788753</TotalAmt>
        <ProgramServicesAmt>733384</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55369</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>27268</TotalAmt>
        <ManagementAndGeneralAmt>27268</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1607</TotalAmt>
        <ManagementAndGeneralAmt>1607</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>366867</TotalAmt>
        <ManagementAndGeneralAmt>366867</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>159451</TotalAmt>
        <ManagementAndGeneralAmt>159451</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL EXPENSES</Desc>
        <TotalAmt>1811447</TotalAmt>
        <ProgramServicesAmt>1811447</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HOSPITAL AND NURSING EX</Desc>
        <TotalAmt>307262</TotalAmt>
        <ProgramServicesAmt>307262</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSES</Desc>
        <TotalAmt>265318</TotalAmt>
        <ManagementAndGeneralAmt>265318</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EMPLOYEE WELLNESS</Desc>
        <TotalAmt>68130</TotalAmt>
        <ManagementAndGeneralAmt>68130</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>141086</TotalAmt>
        <ProgramServicesAmt>31118</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109968</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>33279024</TotalAmt>
        <ProgramServicesAmt>22016211</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11262813</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3994256</BOYAmt>
        <EOYAmt>3354508</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>562711</BOYAmt>
        <EOYAmt>384911</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>5403577</BOYAmt>
        <EOYAmt>7247917</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>440235</BOYAmt>
        <EOYAmt>301296</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3802529</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1965485</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1976326</BOYAmt>
        <EOYAmt>1837044</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>11856</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>222392</BOYAmt>
        <EOYAmt>272241</EOYAmt>
      </IntangibleAssetsGrp>
      <TotalAssetsGrp>
        <BOYAmt>12611353</BOYAmt>
        <EOYAmt>13397917</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3813296</BOYAmt>
        <EOYAmt>3574771</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>329820</BOYAmt>
        <EOYAmt>691561</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>211598</BOYAmt>
        <EOYAmt>117403</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>4354714</BOYAmt>
        <EOYAmt>4383735</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>7693928</BOYAmt>
        <EOYAmt>8629271</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>562711</BOYAmt>
        <EOYAmt>384911</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8256639</BOYAmt>
        <EOYAmt>9014182</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>12611353</BOYAmt>
        <EOYAmt>13397917</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>757821</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-278</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>317401</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>80699</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1125171</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>157911</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>72925</CurrentTaxYearAmt>
        <TotalAmt>1754107</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>24980920</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>27978988</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>29615609</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>32912489</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>33867029</CurrentTaxYearAmt>
        <TotalAmt>149355035</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>25298321</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>28059687</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>30740780</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>33070400</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>33939954</CurrentTaxYearAmt>
        <TotalAmt>151109142</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>151109142</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>2978</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1574</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1534</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>995</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6684</CurrentTaxYearAmt>
        <TotalAmt>13765</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>2978</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1574</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1534</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>995</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6684</CurrentTaxYearAmt>
        <TotalAmt>13765</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>49893</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>231146</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>281039</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>25351192</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>28292407</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>30742314</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>33071395</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>33946638</CurrentTaxYearAmt>
        <TotalAmt>151403946</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99810</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99750</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00010</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00010</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>130150</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>14948</DepreciationAmt>
        <BookValueAmt>115202</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1999990</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1350971</DepreciationAmt>
        <BookValueAmt>649019</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1672389</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>599566</DepreciationAmt>
        <BookValueAmt>1072823</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1837044</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYABLE TO RELATED PARTIES</Desc>
        <Amt>27023</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OLIGATIONS UNDER CAPITAL LEASE</Desc>
        <Amt>90380</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>117403</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>34143942</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-278</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>44844</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>62531</OtherRevenueAmt>
      <RevenueNotReportedAmt>107097</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>34036845</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>34036845</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>33386399</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>44844</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>62531</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>107375</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>33279024</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>33279024</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, HORIZON DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. HORIZON RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS IN 2013 AND 2012. FEDERAL TAX RETURNS FOR TAX YEARS 2010 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 62,531.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 62,531.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>MATTERS OF THE HEART GALA</Event1Nm>
        <GrossReceiptsEvent1Amt>114797</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>3315</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>111482</GrossRevenueEvent1Amt>
        <FoodAndBeverageEvent1Amt>21797</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>4368</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>15521</OtherDirectExpensesEvent1Amt>
        <Event2Nm>LIFE LIGHTS</Event2Nm>
        <GrossReceiptsEvent2Amt>19510</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>846</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>18664</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>1800</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>2456</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>600</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>6702</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>4311</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>4311</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>560</RentFcltyCostsOtherEventsAmt>
        <EntertainmentOtherEventsAmt>500</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>714</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>138618</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>4161</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>134457</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>2360</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>24253</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>5468</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>22937</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>55018</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>79439</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>1</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY HAYNOR</PersonNm>
        <TitleTxt>PRESIDENT/CEO; BOD ASST SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>217523</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>37206</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2025</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6407</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16335</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>279496</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COLEEN SCHMIDT</PersonNm>
        <TitleTxt>VP DIRECTOR-CLINICAL SERVICES &amp; COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>123447</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>13413</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>255</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3164</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28063</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>168342</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LINDA FELIX</PersonNm>
        <TitleTxt>RN CASE MANAGER</TitleTxt>
        <BaseCompensationFilingOrgAmt>160875</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3497</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>31</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3918</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26109</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>194430</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENISE SCHERER</PersonNm>
        <TitleTxt>RN CASE MANAGER</TitleTxt>
        <BaseCompensationFilingOrgAmt>136474</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3330</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1571</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18109</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>159494</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO MARY HAYNOR - CONTRIBUTION TO 457(B) PLAN $17,500; CFO VICKI MEYER - CONTRIBUTION TO 457(B) PLAN $17,500</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT/CEO, THE CFO, AND THE COO PARTICIPATE IN AN INCENTIVE PROGRAM THAT USES AGENCY NET INCOME AS ONE COMPONENT OF THE TOTAL INCENTIVE COMPENSATION PAID/ACCRUED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION SHALL HAVE TWO MEMBERS. THE MEMBERS OF THE CORPORATION SHALL BE COLUMBIA ST. MARY'S, INC., A WISCONSIN NONSTOCK CORPORATION; AND FROEDTERT &amp; COMMUNITY HEALTH, INC., A WISCONSIN NONSTOCK CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH MEMBER SHALL HAVE THE POWER TO APPOINT FOUR DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS ANNUALLY APPROVE ANY MATCH OR DISCRETIONARY CONTRIBUTIONS FOR THE 403(B) PLAN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE REVIEWS THE 990 TAX RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH MEMBER OF THE BOARD OF DIRECTORS FILLS OUT AND RETURNS TO HORIZON A STATEMENT DISCLOSING ANY CONFLICT OF INTERESTS. THEY ARE COMPLETED ANNUALLY AND RETAINED BY HORIZON. EVERY EMPLOYEE OF HORIZON, INCLUDING OFFICERS AND KEY EMPLOYEES, ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST STATEMENT UPON HIRE. EACH EMPLOYEE IS REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS IMMEDIATELY TO THEIR MANAGER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESIDENT/CEO COMPENSATION PROCESS: THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION LEVEL OF THE PRESIDENT/CEO ANNUALLY. A MARKET SURVEY IS DONE TO COMPARE SALARY LEVELS FOR THE PRESIDENT/CEO POSITION IN THE HOME CARE INDUSTRY FOR AGENCIES OF A COMPARABLE SIZE AS HORIZON. THE EXECUTIVE COMMITTEE SENDS OUT A QUESTIONNAIRE TO KEY EMPLOYEES OF HORIZON ASKING THEM TO RATE THE PRESIDENT/CEO'S PERFORMANCE. BASED ON THIS INFORMATION AND THE OVERALL PERFORMANCE OF THE ORGANIZATION, THE ANNUAL SALARY LEVEL FOR THE PRESIDENT/CEO IS SET. IN ADDITION, THE BOARD OF DIRECTORS HAS ESTABLISHED AN INCENTIVE COMPENSATION PLAN FOR THE TOP THREE EXECUTIVES OF HORIZON - THE PRESIDENT/CEO, THE CFO AND THE VICE PRESIDENT OF NURSING. THE BOARD SETS TARGET GOALS EACH YEAR IN AREA'S SUCH AS PROFITABILITY, GROWTH AND CUSTOMER SERVICES. DEPENDING ON THE AGENCY'S PERFORMANCE, AN INCENTIVE BONUS IS PAID OUT IF TARGETS ARE ACHIEVED. EMPLOYEE COMPENSATION PROCESS: THE COMPENSATION FOR THE CHIEF FINANCIAL OFFICER IS DETERMINED IN THE EXACT SAME MANNER AS FOR THE PRESIDENT/CEO- I.E. -A MARKET SURVEY IS DONE, QUESTIONNAIRE IS SENT TO KEY EMPLOYEES AND THE EXECUTIVE COMMITTEE OF THE BOARD USES THIS INFORMATION, ALONG WITH THE PERFORMANCE OF HORIZON TO DETERMINE THE SALARY LEVEL OF THE CFO. THE VICE PRESIDENT OF NURSING'S SALARY IS DETERMINED BY THE PRESIDENT/CEO, BASED ON PERFORMANCE OF ESSENTIAL JOB FUNCTIONS, ALONG WITH A MARKET SURVEY. BOTH THE CFO AND THE VICE PRESIDENT OF NURSING ALSO PARTICIPATE IN THE SAME INCENTIVE COMPENSATION PLAN WITH THE PRESIDENT/CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>HORIZON HOME CARE &amp; HOSPICE DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OR INTEREST POLICY AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>