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        <PersonNm>FRANK J GATTUSO JR</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>133600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>133600</TotalReportableCompFromOrgAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <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>971449</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALBERTINE CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2176 WEST STREET 207</AddressLine1Txt>
            <CityNm>GERMANTOWN</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>38138</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>563989</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>336290</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>4050</AllOtherContributionsAmt>
      <TotalContributionsAmt>4050</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>BOARD AND CARE</Desc>
        <TotalRevenueColumnAmt>12637883</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12637883</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ASSISTED LIVING RENTS</Desc>
        <TotalRevenueColumnAmt>2987819</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2987819</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HCBS - REVENUE</Desc>
        <TotalRevenueColumnAmt>321975</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>321975</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ADULT DAY CARE FEES</Desc>
        <TotalRevenueColumnAmt>297585</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>297585</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SUPPLIES</Desc>
        <TotalRevenueColumnAmt>121509</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>121509</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>67872</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>67872</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>16434643</TotalProgramServiceRevenueAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>16438693</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16434643</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>21911</TotalAmt>
        <ProgramServicesAmt>21911</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>133600</TotalAmt>
        <ManagementAndGeneralAmt>133600</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9245472</TotalAmt>
        <ProgramServicesAmt>8630134</ProgramServicesAmt>
        <ManagementAndGeneralAmt>615338</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>520516</TotalAmt>
        <ProgramServicesAmt>456080</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64436</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>713268</TotalAmt>
        <ProgramServicesAmt>663925</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49343</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1779161</TotalAmt>
        <ProgramServicesAmt>1694544</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84617</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>33875</TotalAmt>
        <ProgramServicesAmt>3158</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30717</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>145619</TotalAmt>
        <ProgramServicesAmt>39335</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106284</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>688427</TotalAmt>
        <ProgramServicesAmt>688427</ProgramServicesAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>17540</TotalAmt>
        <ProgramServicesAmt>17540</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>426729</TotalAmt>
        <ProgramServicesAmt>426729</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1039118</TotalAmt>
        <ProgramServicesAmt>1039118</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>459312</TotalAmt>
        <ManagementAndGeneralAmt>459312</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>523227</TotalAmt>
        <ProgramServicesAmt>523227</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSE &amp; DUES</Desc>
        <TotalAmt>483490</TotalAmt>
        <ManagementAndGeneralAmt>483490</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>368599</TotalAmt>
        <ProgramServicesAmt>340570</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28029</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>254781</TotalAmt>
        <ProgramServicesAmt>254781</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>342041</TotalAmt>
        <ProgramServicesAmt>114521</ProgramServicesAmt>
        <ManagementAndGeneralAmt>227520</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>17196686</TotalAmt>
        <ProgramServicesAmt>14914000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2282686</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>483818</BOYAmt>
        <EOYAmt>537604</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>770471</BOYAmt>
        <EOYAmt>1272818</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>188571</BOYAmt>
        <EOYAmt>32828</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>33350868</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>10271317</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>12875295</BOYAmt>
        <EOYAmt>23079551</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>10202007</BOYAmt>
        <EOYAmt>6733</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>24520162</BOYAmt>
        <EOYAmt>24929534</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1490442</BOYAmt>
        <EOYAmt>626705</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>12516890</BOYAmt>
        <EOYAmt>13146200</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>180000</BOYAmt>
        <EOYAmt>140000</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>4142937</BOYAmt>
        <EOYAmt>5756945</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>18330269</BOYAmt>
        <EOYAmt>19669850</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>6189893</BOYAmt>
        <EOYAmt>5259684</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>6189893</BOYAmt>
        <EOYAmt>5259684</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>24520162</BOYAmt>
        <EOYAmt>24929534</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-757993</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-172216</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>105846</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>131114</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>155233</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>110601</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4050</CurrentTaxYearAmt>
        <TotalAmt>506844</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>12967331</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13178851</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14209628</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14848628</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16434643</CurrentTaxYearAmt>
        <TotalAmt>71639081</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>13073177</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13309965</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14364861</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14959229</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16438693</CurrentTaxYearAmt>
        <TotalAmt>72145925</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>72145925</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>87290</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>72264</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14980</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>174534</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>87290</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>72264</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14980</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>174534</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>13160467</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13382229</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14379841</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14959229</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16438693</CurrentTaxYearAmt>
        <TotalAmt>72320459</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99760</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99660</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>928607</OtherCostOrOtherBasisAmt>
        <BookValueAmt>928607</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>28374948</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7840390</DepreciationAmt>
        <BookValueAmt>20534558</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4047313</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2430927</DepreciationAmt>
        <BookValueAmt>1616386</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>23079551</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO FOUNDATION</Desc>
        <Amt>5366180</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PAYROLL &amp; TAXES</Desc>
        <Amt>457924</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ASSISTED LIVING DEPOSIT LIABILITY</Desc>
        <Amt>51250</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PATIENT TRUST FUND LIABILITY</Desc>
        <Amt>26672</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED EXPENSES</Desc>
        <Amt>22057</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OBLIGATION UNDER INTEREST RATE SWAP</Desc>
        <Amt>9031</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>UNAMORTIZED DISCOUNT OF DEBT ISSUANC</Desc>
        <Amt>-176169</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>5756945</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>16244566</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>16244566</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>194127</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>194127</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>16438693</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>17174775</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>17174775</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>21911</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>21911</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>17196686</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF SWAP AGREEMENT 172,216 EXPENSES PAID FOR AVE MARIA FOUNDATION 21,911</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES PAID FOR FOUNDATION 21,911</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc4">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AVE MARIA FOUNDATION OF MEMPHIS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2805 CHARLES BRYAN ROAD</AddressLine1Txt>
          <CityNm>BARTLETT</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38134</ZIPCd>
        </USAddress>
        <RecipientEIN>621826162</RecipientEIN>
        <IRCSectionDesc>501(C)</IRCSectionDesc>
        <CashGrantAmt>21911</CashGrantAmt>
        <PurposeOfGrantTxt>OFFICE SUPPLIES</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleK documentId="RetDoc5">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>SHELBY COUNTY TENNESSEE</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>PINNACLE BANK</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>621826162</BondIssuerEIN>
        <BondIssuedDt>2016-06-23</BondIssuedDt>
        <IssuePriceAmt>7115500</IssuePriceAmt>
        <PurposeDesc>THE BONDS REFINANCED THE PRIOR REVENUE REFUNDING AND IMPROVEMENT BONDS</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 WILL FINANCE THE</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>
        <SubstantialCompletionYr>2018</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</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>SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>SHELBY COUNTY TENNESSEE WHICH WERE ISSUED 8/11/2010 IN THE AMOUNT OF 9,400,000. SHELBY COUNTY TENNESSEE 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="RetDoc6">
      <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.</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 IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>THERAPY &amp; PHARMACY 1,445,880 0 0 THERAPY &amp; PHARMACY 40,270 0 0 PROFESSIONAL FEES 0 84,617 0 CONTRACT NURSES 110,050 0 0 CONTRACT NURSES 98,344 0 0 TOTAL 1,694,544 84,617 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF SWAP AGREEMENT -172,216 EXPENSES PAID FOR AVE MARIA FOUNDATION -21,911 EXPENSES PAID FOR FOUNDATION 21,911 TOTAL -172,216</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc7">
      <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>2416515</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1171879</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>false</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>C</TransactionTypeTxt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>