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        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>47.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>122655</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18593</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>671283</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>101490</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAYSVILLE NURSING AND REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>620 PARKER RD</AddressLine1Txt>
            <CityNm>MAYSVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41056</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT NURSING HOME ROOM AND BOARD</ServicesDesc>
        <CompensationAmt>354661</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY NURSING SERVICE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>115 PIONEER TRACE</AddressLine1Txt>
            <CityNm>FLEMINGSBURG</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41041</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT NURSING HOME ROOM AND BOARD</ServicesDesc>
        <CompensationAmt>309200</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>H&amp;G NURSING HOME INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>10856 ST RT 41</AddressLine1Txt>
            <CityNm>MT ORAB</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45154</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT NURSING HOME ROOM AND BOARD</ServicesDesc>
        <CompensationAmt>253690</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CORE MEDICAL GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>655 SOUTH WILLOW STREET SUITE 128</AddressLine1Txt>
            <CityNm>MANCHESTER</CityNm>
            <StateAbbreviationCd>NH</StateAbbreviationCd>
            <ZIPCd>03103</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT NURSING HOME ROOM AND BOARD</ServicesDesc>
        <CompensationAmt>250367</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OHIO VALLEY MANOR</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5280 US ROUTE 62-68</AddressLine1Txt>
            <CityNm>RIPLEY</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45167</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT NURSING HOME ROOM AND BOARD</ServicesDesc>
        <CompensationAmt>222587</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>45371</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>84819</AllOtherContributionsAmt>
      <NoncashContributionsAmt>13287</NoncashContributionsAmt>
      <TotalContributionsAmt>130190</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>11336588</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11336588</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>KENTON POINTE</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>957788</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>957788</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT SERVICES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>17415</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17415</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>12311791</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>636307</TotalRevenueColumnAmt>
        <ExclusionAmt>636307</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>7448957</SecuritiesAmt>
        <OtherAmt>3854</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>6455278</SecuritiesAmt>
        <OtherAmt>36984</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>993679</SecuritiesAmt>
        <OtherAmt>-33130</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>960549</TotalRevenueColumnAmt>
        <ExclusionAmt>960549</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>28640</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>12766</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>15874</TotalRevenueColumnAmt>
        <ExclusionAmt>15874</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>812900</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2820</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2820</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>14057531</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1612730</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>166377</TotalAmt>
        <ManagementAndGeneralAmt>166377</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>422520</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>34</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4784</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>53283</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>384</ProgramServicesAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>5900</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63627</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>76874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>572474</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>89176</ProgramServicesAmt>
        <ManagementAndGeneralAmt>129137</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>465420</TotalAmt>
        <ProgramServicesAmt>452532</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12888</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>2705</TotalAmt>
        <ManagementAndGeneralAmt>2705</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97926</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>83909</ProgramServicesAmt>
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        <ProgramServicesAmt>44997</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53516</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER PATIENT SERVICES</Desc>
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        <ProgramServicesAmt>2887512</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>451136</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PHARMACY</Desc>
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        <ProgramServicesAmt>332700</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>269895</TotalAmt>
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        <ManagementAndGeneralAmt>117968</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ManagementAndGeneralAmt>127069</ManagementAndGeneralAmt>
        <FundraisingAmt>3495</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>60008</EOYAmt>
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        <EOYAmt>70441</EOYAmt>
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      </InvestmentsPubTradedSecGrp>
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      <TotalAssetsGrp>
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        <CurrentTaxYearAmt>18694</CurrentTaxYearAmt>
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      <InvestmentIncomePYPct>0.03770</InvestmentIncomePYPct>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2018 AMOUNT: $ 1,563. 2019 AMOUNT: $ 25,861. 2020 AMOUNT: $ 1,630. 2021 AMOUNT: $ 1,705. 2022 AMOUNT: $ 2,820. NET FUNDRAISING - 2021 AMOUNT: $ 17,781. 2022 AMOUNT: $ 15,874.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS, SENDING OR DISTRIBUTING LETTERS OR PUBLICATIONS TO MEMBERS OR TO THE GENERAL PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
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        <ExplanationTxt>THE PURPOSE OF THE ENDOWMENT IS TO SUPPORT THE GENERAL MISSION OF THE ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</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 EITHER OF THE YEARS ENDED DECEMBER 31, 2022 AND 2021. 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. CURRENTLY, THE PRIOR THREE YEARS ARE OPEN UNDER FEDERAL AND STATE STATUTE OF LIMITATIONS AND REMAIN SUBJECT TO REVIEW AND CHANGE. THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT, NOR HAS THE ORGANIZATION BEEN CONTACTED BY THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE ORGANIZATIONS' TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED FOR EITHER OF THE YEARS ENDED DECEMBER 31, 2022 OR 2021.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLOWANCES 46,169.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES 12,766.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLOWANCES 46,169.</ExplanationTxt>
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        <Event2Nm>GALA FUNDRAISER</Event2Nm>
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        <GrossRevenueEvent2Amt>11849</GrossRevenueEvent2Amt>
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        <OtherEventsTotalCnt>3</OtherEventsTotalCnt>
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        <EntertainmentTotalEventsAmt>500</EntertainmentTotalEventsAmt>
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        <DirectExpenseSummaryEventsAmt>7049</DirectExpenseSummaryEventsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, 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 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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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</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, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES THIS INFORMATION AVAILABLE TO ANYONE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
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          <CityNm>MAYSVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
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