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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK J GATTUSO JR</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <AverageHoursPerWeekRt>12.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>28.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>39685</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>93837</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>39685</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>93837</TotReportableCompRltdOrgAmt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REHABCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>680 SOUTH FOURTH STREET</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40202</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT THERAP</ServicesDesc>
        <CompensationAmt>996372</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GUARDIAN MIDSOUTH PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3110 STAGE POST DRIVE</AddressLine1Txt>
            <CityNm>BARTLETT</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>38135</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT PHARMA</ServicesDesc>
        <CompensationAmt>404234</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>1339</AllOtherContributionsAmt>
      <TotalContributionsAmt>1339</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>BOARD AND CARE</Desc>
        <TotalRevenueColumnAmt>13039459</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13039459</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ASSISTED LIVING RENTS</Desc>
        <TotalRevenueColumnAmt>2983859</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2983859</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ADULT DAY CARE FEES</Desc>
        <TotalRevenueColumnAmt>174701</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>174701</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SUPPLIES</Desc>
        <TotalRevenueColumnAmt>165033</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>165033</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER INCOME</Desc>
        <TotalRevenueColumnAmt>152679</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>152679</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>63953</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>63953</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>16579684</TotalProgramServiceRevenueAmt>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>5500</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>117088</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-111588</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-111588</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-111588</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>16469435</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16468096</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>39685</TotalAmt>
        <ProgramServicesAmt>36510</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3175</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9126159</TotalAmt>
        <ProgramServicesAmt>8404682</ProgramServicesAmt>
        <ManagementAndGeneralAmt>721477</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>427698</TotalAmt>
        <ProgramServicesAmt>424561</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3137</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>698693</TotalAmt>
        <ProgramServicesAmt>640800</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57893</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>88010</TotalAmt>
        <ManagementAndGeneralAmt>88010</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>22750</TotalAmt>
        <ManagementAndGeneralAmt>22750</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1609216</TotalAmt>
        <ProgramServicesAmt>1609216</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>38871</TotalAmt>
        <ProgramServicesAmt>6178</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32693</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>138148</TotalAmt>
        <ProgramServicesAmt>55693</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82455</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>818336</TotalAmt>
        <ProgramServicesAmt>818336</ProgramServicesAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>12193</TotalAmt>
        <ProgramServicesAmt>12193</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>381866</TotalAmt>
        <ProgramServicesAmt>381866</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1047128</TotalAmt>
        <ProgramServicesAmt>1047128</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>445244</TotalAmt>
        <ProgramServicesAmt>445244</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>567085</TotalAmt>
        <ProgramServicesAmt>567085</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES &amp; DUES</Desc>
        <TotalAmt>549643</TotalAmt>
        <ManagementAndGeneralAmt>549643</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>267734</TotalAmt>
        <ProgramServicesAmt>243212</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24522</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>255904</TotalAmt>
        <ProgramServicesAmt>255904</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>549957</TotalAmt>
        <ProgramServicesAmt>124552</ProgramServicesAmt>
        <ManagementAndGeneralAmt>425405</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>17084320</TotalAmt>
        <ProgramServicesAmt>15073160</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2011160</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>537604</BOYAmt>
        <EOYAmt>2701577</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1272818</BOYAmt>
        <EOYAmt>888084</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>32828</BOYAmt>
        <EOYAmt>112575</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>33562670</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11275331</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>23079551</BOYAmt>
        <EOYAmt>22287339</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>6733</BOYAmt>
        <EOYAmt>5000</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>24929534</BOYAmt>
        <EOYAmt>25994575</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>626705</BOYAmt>
        <EOYAmt>372120</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>765997</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>13146200</BOYAmt>
        <EOYAmt>12663411</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <EOYAmt>1995100</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>140000</BOYAmt>
        <EOYAmt>20000</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>5756945</BOYAmt>
        <EOYAmt>5676255</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>19669850</BOYAmt>
        <EOYAmt>21492883</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>5259684</BOYAmt>
        <EOYAmt>4501692</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5259684</BOYAmt>
        <EOYAmt>4501692</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>24929534</BOYAmt>
        <EOYAmt>25994575</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-614885</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-143107</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>131114</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>155233</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>110601</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4050</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1339</CurrentTaxYearAmt>
        <TotalAmt>402337</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>13178851</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14209628</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14848628</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16434643</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16579684</CurrentTaxYearAmt>
        <TotalAmt>75251434</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>13309965</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14364861</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14959229</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16438693</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16581023</CurrentTaxYearAmt>
        <TotalAmt>75653771</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>75653771</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>72264</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14980</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>87244</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>72264</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14980</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>87244</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>13382229</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14379841</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14959229</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16438693</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16581023</CurrentTaxYearAmt>
        <TotalAmt>75741015</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99880</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99760</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>922007</OtherCostOrOtherBasisAmt>
        <BookValueAmt>922007</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>28404589</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>9285162</DepreciationAmt>
        <BookValueAmt>19119427</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4236074</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1990169</DepreciationAmt>
        <BookValueAmt>2245905</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>22287339</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO FOUNDATION</Desc>
        <Amt>5111479</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PAYROLL &amp; TAXES</Desc>
        <Amt>540772</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OBLIGATION UNDER INTEREST RATE SWAP</Desc>
        <Amt>152138</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PATIENT TRUST FUND LIABILITY</Desc>
        <Amt>20340</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ASSISTED LIVING DEPOSIT LIABILITY</Desc>
        <Amt>11000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED EXPENSES</Desc>
        <Amt>8687</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>UNAMORTIZED DISCOUNT DEBT ISSUANCE</Desc>
        <Amt>-168161</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>5676255</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>16437916</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>16437916</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>31519</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>31519</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>16469435</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>17195908</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>17195908</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>-111588</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>-111588</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>17084320</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF SWAP AGREEMENT 143,107 LOSS ON SALE OF FIXED ASSETS -111,588</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON SALE OF FIXED ASSETS -111,588</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleK documentId="RetDoc4">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>SHELBY COUNTY TENNESSEE</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>PINNACLE BANK</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>621826162</BondIssuerEIN>
        <BondIssuedDt>2016-06-23</BondIssuedDt>
        <IssuePriceAmt>6879500</IssuePriceAmt>
        <PurposeDesc>THE BONDS REFINANCED THE PRIOR REVENUE REFUNDING AND IMPROVEMENT BONDS WHICH WERE ISSUED 8/11/2010 I</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>SHELBY COUNTY TENNESSEE</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>PINNACLE BANK</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>621826162</BondIssuerEIN>
        <BondIssuedDt>2016-06-23</BondIssuedDt>
        <IssuePriceAmt>7120500</IssuePriceAmt>
        <PurposeDesc>THE PROCEEDS FROM THE SALE OF THE SERIES 2016B BONDS FINANCED THE CONSTRUCTION OF FIVE 12-BED COTTAG</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>6879500</RetiredAmt>
        <TotalProceedsAmt>6879500</TotalProceedsAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>7120500</TotalProceedsAmt>
        <CapitalExpendituresAmt>7120500</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2018</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>SHELBY COUNTY TENNESSEE THE BONDS REFINANCED THE PRIOR REVENUE REFUNDING AND IMPROVEMENT BONDS WHICH WERE ISSUED 8/11/2010 IN THE AMOUNT OF 9,400,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>SHELBY COUNTY TENNESSEE THE PROCEEDS FROM THE SALE OF THE SERIES 2016B BONDS FINANCED THE CONSTRUCTION OF FIVE 12-BED COTTAGES FOR THE PROVISION OF SKILLED NURSING CARE, TO BE LOCATED ON THE CAMPUS OF AVE MARIA HOME IN BARTLETT, TENNESSEE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO ASSIST THE AGED, SICK, AND DESTITUTE THROUGH: IMPROVING THE MORAL, SOCIAL, AND SPIRITUAL CONDITIONS OF ITS BENEFICIARIES; CONTINUING THE STEWARDSHIP OF HUMAN, PHYSICAL, AND FINANCIAL RESOURCES IN CONJUNCTION WITH THE CATHOLIC COMMUNITY; FACILITATING VISITATION BY FAMILY, FRIENDS, AND MEMBERS OF THE COMMUNITY; AND PROVIDING A COMMITMENT TO LONG-TERM AND REHABILITATIVE CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE K, PART II - THE ISSUER ISSUED ITS 6,879,500 REVENUE REFUNDING BONDS DATED JUNE 23, 2016 TO REFINANCE PRIOR BONDS ORIGINALLY ISSUED IN THE AMOUNT OF 9,400,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>ADULT DAY CARE - OPERATION OF A SOCIAL MODEL TO PROVIDE STRUCTURED SOCIALIZATION FOR THE FRAIL AND ELDERLY. ALZHEIMERS/DEMENTIA CARE - PROGRAM IS DESIGNED TO PROMOTE FAMILIAR SCHEDULES AND SURROUNDINGS WHILE PROVIDING PERSONAL ASSISTANCE WITH DAILY ACTIVITIES. HOME AND COMMUNITY BASED SERVICES - PROVIDE SERVICES TO ADULTS AGE 60 AND OVER AND TO ADULTS WITH PHYSICAL DISABILITIES, BOTH OF WHOM ARE AT RISK OF ENTERING LONG-TERM CARE FACILITIES, THE OPTION OF RECEIVING CARE SERVICES IN THEIR HOME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER THE FORM 990 IS PREPARED, THE BOARD MEMBERS RESPONSIBLE FOR TAX FILINGS REVIEW THE RETURN FOR ACCURACY AND COMPLETENESS. IF THE RETURN IS SATISFACTORY, IT IS SIGNED AND FILED BY THE BOARD TREASURER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BOARD REVIEWS THE COMPENSATION OF THE EXECUTIVE DIRECTOR ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE BOARD OF DIRECTORS AND THEIR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF SWAP AGREEMENT -143,107</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc6">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST CLARE HEALTH &amp; REHABILITATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1755 ELDRIDGE AVENUE</AddressLine1Txt>
          <CityNm>MEMPHIS</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38108</ZIPCd>
        </USAddress>
        <EIN>811621997</EIN>
        <PrimaryActivitiesTxt>CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <TotalIncomeAmt>1936938</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1443456</EndOfYearAssetsAmt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AVE MARIA FOUNDATION OF MEMPHISINC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2805 CHARLES BRYAN ROAD</AddressLine1Txt>
          <CityNm>MEMPHIS</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38134</ZIPCd>
        </USAddress>
        <EIN>621826162</EIN>
        <PrimaryActivitiesTxt>FUNDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AVE MARIA FOUNDATION OF MEMPHIS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>232654</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>