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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>125943</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBRA WALLINGFORD</PersonNm>
        <TitleTxt>STAFF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>101662</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>504933</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>32903</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>ANTHEM BCBS KY GROUP</BusinessNameLine1>
            <BusinessNameLine2>ANTHEM BCBS KY GROUP</BusinessNameLine2>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 105124</AddressLine1>
            <AddressLine2>PO BOX 105124</AddressLine2>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30348</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INS BENEFITS</ServicesDesc>
        <CompensationAmt>1211229</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>MAYSVILLE NURSING &amp; REHAB FACILITY</BusinessNameLine1>
            <BusinessNameLine2>MAYSVILLE NURSING &amp; REHAB FACILITY</BusinessNameLine2>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>620 PARKER ROAD</AddressLine1>
            <AddressLine2>620 PARKER ROAD</AddressLine2>
            <City>MAYSVILLE</City>
            <State>KY</State>
            <ZIPCode>41056</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ROOM &amp; BOARD</ServicesDesc>
        <CompensationAmt>532442</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>MASS MUTUAL</BusinessNameLine1>
            <BusinessNameLine2>MASS MUTUAL</BusinessNameLine2>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1 GRIFFIN RD NORTH</AddressLine1>
            <AddressLine2>1 GRIFFIN RD NORTH</AddressLine2>
            <City>WINDSOR</City>
            <State>CT</State>
            <ZIPCode>06095</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMP RETIREMENT</ServicesDesc>
        <CompensationAmt>497181</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>COMMUNITY NURSING SERVICES INC</BusinessNameLine1>
            <BusinessNameLine2>COMMUNITY NURSING SERVICES INC</BusinessNameLine2>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>115 PIONEER TRACE</AddressLine1>
            <AddressLine2>115 PIONEER TRACE</AddressLine2>
            <City>FLEMINGSBURG</City>
            <State>KY</State>
            <ZIPCode>41041</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ROOM &amp; BOARD</ServicesDesc>
        <CompensationAmt>426930</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>OHIO VALLEY MANOR INC</BusinessNameLine1>
            <BusinessNameLine2>OHIO VALLEY MANOR INC</BusinessNameLine2>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>5280 US ROUTE 62-68</AddressLine1>
            <AddressLine2>5280 US ROUTE 62-68</AddressLine2>
            <City>RIPLEY</City>
            <State>OH</State>
            <ZIPCode>45167</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ROOM &amp; BOARD</ServicesDesc>
        <CompensationAmt>393085</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>1820</FundraisingAmt>
      <GovernmentGrantsAmt>150600</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>207241</AllOtherContributionsAmt>
      <NoncashContributionsAmt>1820</NoncashContributionsAmt>
      <TotalContributionsAmt>359661</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>14838086</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14838086</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>KENTON POINTE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>590381</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>590381</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT CONVENIENCE SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>69831</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>69831</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>15498298</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>266296</TotalRevenueColumnAmt>
        <ExclusionAmt>266296</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>1872</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1872</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1872</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1872</RelatedOrExemptFuncIncomeAmt>
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        <SecuritiesAmt>6811079</SecuritiesAmt>
        <OtherAmt>5966</OtherAmt>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>1618231</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>72045</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>1820</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>18116</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>53929</TotalRevenueColumnAmt>
        <ExclusionAmt>53929</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>370</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>370</OtherRevenueTotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>5397637</ProgramServicesAmt>
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        <ProgramServicesAmt>867034</ProgramServicesAmt>
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        <FundraisingAmt>8612</FundraisingAmt>
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        <ManagementAndGeneralAmt>5008</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>81806</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>2928</ProgramServicesAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>1118</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>23180</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>143619</ProgramServicesAmt>
        <ManagementAndGeneralAmt>235618</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>485485</TotalAmt>
        <ProgramServicesAmt>460238</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25247</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>4869</TotalAmt>
        <ManagementAndGeneralAmt>4869</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>95836</TotalAmt>
        <ManagementAndGeneralAmt>95836</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>498500</TotalAmt>
        <ProgramServicesAmt>322185</ProgramServicesAmt>
        <ManagementAndGeneralAmt>176315</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>13784</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER PATIENT SERVICES</Desc>
        <TotalAmt>3453285</TotalAmt>
        <ProgramServicesAmt>3453285</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PHARMACY</Desc>
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        <ProgramServicesAmt>485939</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>483593</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER EMPLOYEE RELATED EX</Desc>
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      <InvestmentIncomePYPct>0.01000</InvestmentIncomePYPct>
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      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
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    <IRS990ScheduleD documentId="RetDoc5">
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        <AssetsIncludedAmt>48860</AssetsIncludedAmt>
      </HeldWorksArtGrp>
      <SolicitedAssetsSaleInd>false</SolicitedAssetsSaleInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>5948690</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>22100</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>5970790</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>5948690</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>5948690</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>7118458</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-1169768</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>5948690</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>6333199</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>785259</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>7118458</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>4764811</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1568388</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>6333199</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>712773</OtherCostOrOtherBasisAmt>
        <BookValueAmt>712773</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>10165708</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>475560</DepreciationAmt>
        <BookValueAmt>9690148</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>291179</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>517070</DepreciationAmt>
        <BookValueAmt>-225891</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2083523</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1174157</DepreciationAmt>
        <BookValueAmt>909366</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>92908</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>67548</DepreciationAmt>
        <BookValueAmt>25360</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>11111756</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>COMMON STOCKS</Desc>
        <BookValueAmt>8874694</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>CORPORATE BONDS &amp; NOTES</Desc>
        <BookValueAmt>2651961</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>MUTUAL FUNDS</Desc>
        <BookValueAmt>1390964</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>CASH EQUIVALENTS</Desc>
        <BookValueAmt>1193379</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>REAL ESTATE INVESTMENTS</Desc>
        <BookValueAmt>290327</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>US GOVERNMENT OBLIGATIONS</Desc>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>14401325</TotalBookValueSecuritiesAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>17916686</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>99913</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>18116</OtherRevenueAmt>
      <RevenueNotReportedAmt>118029</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>17798657</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>17798657</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15409825</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>18116</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>18116</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>15391709</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>15391709</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <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, 2013 AND 2012. 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, 2013 AND 2012.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSE 18,116</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 18,116</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc6">
      <FundraisingEventInformationGrp>
        <NameOfEvent1Amt>GALA FUNDRAISER</NameOfEvent1Amt>
        <GrossReceiptsEvent1Amt>20226</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>20226</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>11959</OtherDirectExpensesEvent1Amt>
        <NameOfEvent2Amt>LETTER APPEAL C</NameOfEvent2Amt>
        <GrossReceiptsEvent2Amt>19150</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>19150</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>659</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>3</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>25711</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>25711</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>2917</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>65087</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>65087</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>15535</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>15535</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>49552</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc7">
      <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>DR PAUL F JUNKER</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>151869</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>306</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>3841</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10284</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>166300</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc8">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MEADOWVIEW REGIONAL MEDICAL CENTER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>K CARTMELL</RelationshipDescriptionTxt>
        <TransactionAmt>31261</TransactionAmt>
        <TransactionDesc>MEDICAL SVC PMTS</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JENNIE FELICE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EXE DIR SISTER</RelationshipDescriptionTxt>
        <TransactionAmt>70313</TransactionAmt>
        <TransactionDesc>WAGES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>COMMUNITY NURSING SERVICES INC</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ROBIN WALTON</RelationshipDescriptionTxt>
        <TransactionAmt>426930</TransactionAmt>
        <TransactionDesc>MEDICAL SVC PMTS</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) NAME OF PERSON: MEADOWVIEW REGIONAL MEDICAL CENTER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: KAVIN CARTMELL, EXECUTIVE DIRECTOR, IS A BOARD MEMBER OF MEADOWVIEW REGIONAL MEDICAL CENTER. (C) AMOUNT OF TRANSACTION 31,261 (D) DESCRIPTION OF TRANSACTION: PAYMENTS FOR MEDICAL SERVICES PROVIDED TO HOSPICE PATIENTS THROUGHOUT THE YEAR. (E) SHARING OF ORGANIZATION REVENUES?: NO. (A) NAME OF PERSON: JENNIE FELICE (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JENNIE IS THE SISTER OF KAVIN AND IS EMPLOYED BY HOSPICE OF HOPE. (C) AMOUNT OF TRANSACTION: 70,313 (D) DESCRIPTION OF TRANSACTION: JENNIE FELICE IS EMPLOYED FULL-TIME AS A NURSING SUPERVISOR OF HOSPICE OF HOPE, INC. AND RECEIVED COMPENSATION WITHIN THE ESTABLISHED JOB GRADE RANGE APPROVED FOR THE SAME TYPE OF POSITION WITH SIMILAR EDUCATION AND WORK EXPERIENCE. (E) SHARING OF ORGANIZATION REVENUES? = NO. (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: 426,930 (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>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <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>
      </SupplementalInformationDetail>
      <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES THIS INFORMATION AVAILABLE TO ANYONE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSE 18,116 FUNDRAISING EXPENSES -18,116</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 12, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc10">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>KENTON POINTE LLC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>1455 KENTON POINTE WAY</AddressLine1>
          <City>MAYSVILLE</City>
          <State>KY</State>
          <ZIPCode>41056</ZIPCode>
        </USAddress>
        <EIN>454495363</EIN>
        <PrimaryActivitiesTxt>AST LV FAC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <TotalIncomeAmt>720024</TotalIncomeAmt>
        <EndOfYearAssetsAmt>71791</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOSPICE</BusinessNameLine1>
          <BusinessNameLine2>HOSPICE OF HOPE INC</BusinessNameLine2>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>