﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2020v4.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2021-04-08T11:05:37-05:00</ReturnTs>
    <TaxPeriodEndDt>2020-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1Txt>ANDERSON SMITH &amp; WIKE PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>220 E WASHINGTON ST</AddressLine1Txt>
        <CityNm>ROCKINGHAM</CityNm>
        <StateAbbreviationCd>NC</StateAbbreviationCd>
        <ZIPCd>28379</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2020-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>581678217</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>RICHMOND COUNTY HOSPICE INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>RICH</BusinessNameControlTxt>
      <PhoneNum>9109974464</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1119 N US HWY 1</AddressLine1Txt>
        <CityNm>ROCKINGHAM</CityNm>
        <StateAbbreviationCd>NC</StateAbbreviationCd>
        <ZIPCd>28379</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>KRISTINA LEYDEN</PersonNm>
      <PersonTitleTxt>CHIEF EXECUTIVE OFFI</PersonTitleTxt>
      <PhoneNum>9109974464</PhoneNum>
      <SignatureDt>2021-04-01</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>KRISTINA</PersonFirstNm>
        <PersonLastNm>LEYDEN</PersonLastNm>
      </PersonFullName>
    </SigningOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>KENNETH ANDERSON</PreparerPersonNm>
      <PTIN>P01432428</PTIN>
      <PhoneNum>9105571176</PhoneNum>
      <PreparationDt>2021-04-08</PreparationDt>
      <SelfEmployedInd>X</SelfEmployedInd>
    </PreparerPersonGrp>
    <TaxYr>2020</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="4">
    <IRS990 documentId="RetDoc1" referenceDocumentId="RetDoc3">
      <PrincipalOfcrBusinessName>
        <BusinessNameLine1Txt>KRISTINA LEYDEN</BusinessNameLine1Txt>
      </PrincipalOfcrBusinessName>
      <USAddress>
        <AddressLine1Txt>1119 N US HWY 1</AddressLine1Txt>
        <CityNm>ROCKINGHAM</CityNm>
        <StateAbbreviationCd>NC</StateAbbreviationCd>
        <ZIPCd>28379</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>5330375</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.RICHMONDCOUNTYHOSPICE.COM</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1985</FormationYr>
      <LegalDomicileStateCd>NC</LegalDomicileStateCd>
      <ActivityOrMissionDesc>OUR MISSION IS TO COMFORT THE BODY AND HEAL THE HEART THROUGH COMPASSIONATE QUALITY CARE DURING END-OF-LIFE EXPERIENCES, SO PATIENTS AND FAMILIES MAY LIVE EACH DAY WITH PEACE, COMFORT AND DIGNITY. WE ALSO SERVE THE COMMUNITY BY PROVIDING SERVICES SUCH AS CHILDREN'S GRIEF CAMP, BEREAVEMENT SUPPORT GROUPS, CAREGIVER CLASSES, AND VARIOUS EDUCATIONAL AND OUTREACH EVENTS IN THE COMMUNITY.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>14</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>14</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>75</TotalEmployeeCnt>
      <TotalVolunteersCnt>31</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>140065</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>874894</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>4326133</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>4336889</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>124125</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>118592</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>4590323</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>5330375</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>3465064</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>3616714</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1206704</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1197716</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>4671768</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>4814430</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-81445</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>515945</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>7068534</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>8049101</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>293571</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>259612</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>6774963</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>7789489</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>SEE PART I, LINE 1</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <Desc>COORDINATED PROGRAM OF SUPPORTIVE CARE FOR TERMINALLY ILL PERSONS AND THEIR FAMILIES.</Desc>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>3960381</ExpenseAmt>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>3960381</TotalOtherProgSrvcExpenseAmt>
      <TotalProgramServiceExpensesAmt>3960381</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc4">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>false</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc2">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc2">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc2">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc2">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc2">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc2">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc2">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc2">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc2">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc2">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc2">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc2">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc2">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>19</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>75</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>14</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>14</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>false</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>false</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>KRISTINA LEYDEN</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>9109974464</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1119 N US HWY 1</AddressLine1Txt>
          <CityNm>ROCKINGHAM</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28379</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <NoListedPersonsCompensatedInd>X</NoListedPersonsCompensatedInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE CREWS</PersonNm>
        <TitleTxt>CHAIRPERSON</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GERALD WITHERSPOON</PersonNm>
        <TitleTxt>VICE CHAIRPE</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WAYNE BURGESS</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON HUTCHINSON</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHUCK COBB</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS HAWKS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA ARRINGTON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLEVE BAXLEY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE PARRISH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATTI JENKINS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>CARLOTTA KNOTTS</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY KATE LAMBETH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS QUICK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SETH ALLEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SPRUCE LTC GROUP LLC</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>769 HWY 177 S HAMLET NC 28345</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ServicesDesc>SKILLED NURSES</ServicesDesc>
        <CompensationAmt>319834</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FIRST CAROLINA CARE</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>42 MEMORIAL DRIVE PINEHURST NC 283</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ServicesDesc>EMPLOYEE INS</ServicesDesc>
        <CompensationAmt>267793</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RAYMOND JAMES</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>PO BOX 75495 CHICAGO IL 60675</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ServicesDesc>LOAN SERVICING</ServicesDesc>
        <CompensationAmt>175188</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MABRY'S HOME CARE</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>PO BOX 791 HAMLET NC 28345</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ServicesDesc>MEDICAL EQUIP</ServicesDesc>
        <CompensationAmt>163644</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WADESBORO HEALTH &amp; REHAB</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>2051 COUNTY CLUB RD WADESBORO NC 2</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ServicesDesc>SKILLED NURSES</ServicesDesc>
        <CompensationAmt>135459</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>843</MembershipDuesAmt>
      <GovernmentGrantsAmt>797955</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>76096</AllOtherContributionsAmt>
      <TotalContributionsAmt>874894</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID PAYMENTS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>4245132</TotalRevenueColumnAmt>
        <ExclusionAmt>4245132</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE INSURANCE/OTHER REV</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>91757</TotalRevenueColumnAmt>
        <ExclusionAmt>91757</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>4336889</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>118592</TotalRevenueColumnAmt>
        <ExclusionAmt>118592</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>5330375</TotalRevenueColumnAmt>
        <ExclusionAmt>4455481</ExclusionAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2857128</TotalAmt>
        <ProgramServicesAmt>2341089</ProgramServicesAmt>
        <ManagementAndGeneralAmt>516039</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>99849</TotalAmt>
        <ProgramServicesAmt>81876</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17973</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>441167</TotalAmt>
        <ProgramServicesAmt>361757</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79410</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>218570</TotalAmt>
        <ProgramServicesAmt>178761</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39809</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>27820</TotalAmt>
        <ManagementAndGeneralAmt>27820</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>159306</TotalAmt>
        <ProgramServicesAmt>68362</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90944</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>101733</TotalAmt>
        <ProgramServicesAmt>67822</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33911</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>112073</TotalAmt>
        <ProgramServicesAmt>99690</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12383</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>138136</TotalAmt>
        <ProgramServicesAmt>114211</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23925</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>49389</TotalAmt>
        <ProgramServicesAmt>37554</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11835</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DME</Desc>
        <TotalAmt>188231</TotalAmt>
        <ProgramServicesAmt>188231</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER PATIENT RELATED EXP</Desc>
        <TotalAmt>140515</TotalAmt>
        <ProgramServicesAmt>140515</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>115393</TotalAmt>
        <ProgramServicesAmt>115393</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MILEAGE/VEHICLES EXPENSE</Desc>
        <TotalAmt>95326</TotalAmt>
        <ProgramServicesAmt>95326</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>69794</TotalAmt>
        <ProgramServicesAmt>69794</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4814430</TotalAmt>
        <ProgramServicesAmt>3960381</ProgramServicesAmt>
        <ManagementAndGeneralAmt>854049</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>41656</BOYAmt>
        <EOYAmt>393087</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>811835</BOYAmt>
        <EOYAmt>844067</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>18646</BOYAmt>
        <EOYAmt>20930</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>21271</BOYAmt>
        <EOYAmt>48025</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>4558025</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2032107</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2575213</BOYAmt>
        <EOYAmt>2525918</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>3599913</BOYAmt>
        <EOYAmt>4217074</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>7068534</BOYAmt>
        <EOYAmt>8049101</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>213571</BOYAmt>
        <EOYAmt>259612</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>80000</BOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>293571</BOYAmt>
        <EOYAmt>259612</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>6710636</BOYAmt>
        <EOYAmt>7716472</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>64327</BOYAmt>
        <EOYAmt>73017</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>6774963</BOYAmt>
        <EOYAmt>7789489</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>7068534</BOYAmt>
        <EOYAmt>8049101</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>515945</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>498581</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc4">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>269930</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>258058</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>93419</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>140065</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>874894</CurrentTaxYearAmt>
        <TotalAmt>1636366</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus4YearsAmt>3984174</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3749231</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3859470</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4326133</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4336889</CurrentTaxYearAmt>
        <TotalAmt>20255897</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>4254104</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4007289</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3952889</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4466198</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5211783</CurrentTaxYearAmt>
        <TotalAmt>21892263</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>21892263</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>148721</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>150701</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>170014</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>124125</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>118592</CurrentTaxYearAmt>
        <TotalAmt>712153</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>148721</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>150701</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>170014</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>124125</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>118592</CurrentTaxYearAmt>
        <TotalAmt>712153</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>4402825</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4157990</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4122903</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4590323</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5330375</CurrentTaxYearAmt>
        <TotalAmt>22604416</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.96850</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97120</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.03000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.03000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>184878</OtherCostOrOtherBasisAmt>
        <BookValueAmt>184878</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3727360</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1442277</DepreciationAmt>
        <BookValueAmt>2285083</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>645787</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>589830</DepreciationAmt>
        <BookValueAmt>55957</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2525918</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>5330375</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>5330375</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>5330375</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4814430</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>4814430</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>4814430</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc3">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 WAS PROVIDED TO EACH BOARD MEMBER. THE BOARD REVIEWED THE FORM 990 AND VOTED TO APPROVE AND ACCEPT THE FORM 990 AS PRESENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARY RANGES WERE GATHERED FROM RICHMOND COUNTY, NORTH CAROLINA AND REGIONAL HOSPICES, AS WELL AS HOSPICES ALL OVER THE COUNTRY. THE SALARY AMOUNTS FOR THE EXECUTIVE DIRECTOR AND CFO WERE AGREED UPON AND VOTED ON BY THE BOARD OF DIRECTORS AND DOCUMENTED IN THE MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARIES WERE SET BASED ON THE AVERAGE RANGES AND BUDGET CONSTRAINTS. THE SALARY RANGES FOR ALL EMPLOYEES WERE APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR REVIEW IN THE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>