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      <RelatedOrganizationsAmt>1019083</RelatedOrganizationsAmt>
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      <NoncashContributionsAmt>700000</NoncashContributionsAmt>
      <TotalContributionsAmt>1028614</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>3014648</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTUAL SERVICES INCOME</Desc>
        <BusinessCd>621610</BusinessCd>
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      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>3251531</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>57</TotalRevenueColumnAmt>
        <ExclusionAmt>57</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>2500</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>2500</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>2500</TotalRevenueColumnAmt>
        <ExclusionAmt>2500</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>20756</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>14176</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>6580</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>6580</TotalRevenueColumnAmt>
        <ExclusionAmt>6580</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>460</TotalRevenueColumnAmt>
        <ExclusionAmt>460</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>GAIN ON INSURANCE PROCEEDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>15068</TotalRevenueColumnAmt>
        <ExclusionAmt>15068</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>15528</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4304810</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3251531</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>24665</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>127129</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127129</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1419814</TotalAmt>
        <ProgramServicesAmt>811474</ProgramServicesAmt>
        <ManagementAndGeneralAmt>608340</ManagementAndGeneralAmt>
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      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>390901</TotalAmt>
        <ProgramServicesAmt>259092</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131809</ManagementAndGeneralAmt>
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      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>127816</TotalAmt>
        <ProgramServicesAmt>67343</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>18339</TotalAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>1426</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>563016</ProgramServicesAmt>
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      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>40516</TotalAmt>
        <ProgramServicesAmt>11297</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>46810</TotalAmt>
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      <OccupancyGrp>
        <TotalAmt>62710</TotalAmt>
        <ProgramServicesAmt>26242</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36468</ManagementAndGeneralAmt>
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      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>81039</TotalAmt>
        <ProgramServicesAmt>58215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22824</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>10948</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10948</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>94508</TotalAmt>
        <ProgramServicesAmt>51391</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43117</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>133369</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77220</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>25602</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>332042</TotalAmt>
        <ProgramServicesAmt>323727</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8315</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32295</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>COMMUNICATIONS</Desc>
        <TotalAmt>107124</TotalAmt>
        <ProgramServicesAmt>64275</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42849</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL</Desc>
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        <ProgramServicesAmt>21269</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14178</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>1129</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1956</ManagementAndGeneralAmt>
        <FundraisingAmt>61</FundraisingAmt>
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        <ProgramServicesAmt>2435780</ProgramServicesAmt>
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      <CashNonInterestBearingGrp>
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      <AccountsReceivableGrp>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>17107</EOYAmt>
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        <EOYAmt>73734</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>1202101</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2841899</BOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>20374</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>4068964</BOYAmt>
        <EOYAmt>4032318</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>340005</BOYAmt>
        <EOYAmt>267058</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>120198</BOYAmt>
        <EOYAmt>61641</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2305563</BOYAmt>
        <EOYAmt>2255136</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>102465</BOYAmt>
        <EOYAmt>48931</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2868231</BOYAmt>
        <EOYAmt>2632766</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>1200733</BOYAmt>
        <EOYAmt>1399552</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1200733</BOYAmt>
        <EOYAmt>1399552</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4068964</BOYAmt>
        <EOYAmt>4032318</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>198819</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="00000002" softwareId="14000261">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <PublicSupportTotal170Amt>0</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <TotalAmt>0</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <PublicSupportCY170Pct>0</PublicSupportCY170Pct>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>89182</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>68206</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>153531</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>392937</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1028614</CurrentTaxYearAmt>
        <TotalAmt>1732470</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>5932510</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5289128</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4882575</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4140928</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3251531</CurrentTaxYearAmt>
        <TotalAmt>23496672</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>6021692</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5357334</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5036106</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4533865</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4280145</CurrentTaxYearAmt>
        <TotalAmt>25229142</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>25229142</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>5524</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8335</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5808</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2971</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2557</CurrentTaxYearAmt>
        <TotalAmt>25195</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>5524</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8335</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5808</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2971</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2557</CurrentTaxYearAmt>
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      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>1511</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7688</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6013</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1222</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15528</CurrentTaxYearAmt>
        <TotalAmt>31962</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <TotalAmt>25286299</TotalAmt>
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      <PublicSupportCY509Pct>0.99770</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99850</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00100</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00090</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Pt II Ln 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Income Part III, Line 12 Description: MISCELLANEOUS INCOME 2010: 1511. 2011: 7688. 2012: 6013. 2013: 1222. 2014: 460. Description: GAIN ON INSURANCE PROCEEDS 2010: 0. 2011: 0. 2012: 0. 2013: 0. 2014: 15068.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="00000003">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="00000004" softwareId="14000261">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>700000</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>88764</OtherCostOrOtherBasisAmt>
        <BookValueAmt>788764</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3087676</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>763467</DepreciationAmt>
        <BookValueAmt>2324209</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>500742</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>414495</DepreciationAmt>
        <BookValueAmt>86247</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>146489</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>24139</DepreciationAmt>
        <BookValueAmt>122350</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3321570</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OBLIGATIONS UNDER CAPITAL LEASE</Desc>
        <Amt>48931</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>48931</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>4304810</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>4304810</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>4304810</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4105991</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>4105991</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>4105991</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleM documentId="00000005">
      <RealEstateOtherGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>700000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV APPRAISAL</MethodOfDeterminingRevenuesTxt>
      </RealEstateOtherGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="00000006" softwareId="14000261">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE CHAIRPERSON AND APPROVED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR FILING. THE 990 IS PRESENTED TO THE BOARD OF</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS BY THE OUTSIDE ACCOUNTANT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>A CONFLICT OF INTEREST STATEMENT IS SIGNED BY ALL BOARD</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS AT THEIR TIME OF APPOINTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BUDGET PROCESS INCLUDES PROCEDURES TO ASSIST WITH</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF SALARIES AND PROVIDES BENCHMARKS TO COMPARABLE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATIONS. SUMMARIES OF BOARD DECISIONS ARE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTED IN THE APPROPRIATE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BUDGET PROCESS INCLUDES PROCEDURES TO ASSIST WITH</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF SALARIES AND PROVIDES BENCHMARKS TO COMPARABLE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATIONS. SUMMARIES OF BOARD DECISIONS ARE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTED IN THE APPROPRIATE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990EZ, Part I, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990EZ, Part I, Line 16</FormAndLineReferenceDesc>
        <ExplanationTxt>DUES AND SUBSCRIPTIONS DURABLE MEDICAL EQUIPMENT BAD DEBTS CONTRACT SERVICES VEHICLE INSURANCE RECRUITMENT GENERAL CONTENTS INSUR PROF LIAB INSURANCE MISCELLANEOUS EXPENSE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990EZ, Part II, Line 24</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE - NET INVENTORIES PREPAIDS INVESTMENTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990EZ, Part II, Line 26</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS PAYABLE &amp; ACCRUED EXPENSES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES CONTRACT SERVICES 218596. 0. 251897.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24f</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS EXPENSE 1317. 0. 1317. 0. VEHICLE REPAIRS 1599. 960. 639. 0. VOLUNTEER EXPENSES 169. 169. 0. 0. FUNDRAISING EXPENSES 61. 0. 0. 61.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="00000007" softwareId="14000261">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CAROLINA EAST HOME CARE &amp; HOSPICE FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 887</AddressLine1Txt>
          <CityNm>KENANSVILLE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28349</ZIPCd>
        </USAddress>
        <EIN>561885911</EIN>
        <PrimaryActivitiesTxt>FUND RAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>