﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2013v4.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2015-05-19T15:00:03-05:00</ReturnTs>
    <TaxPeriodEndDt>2014-09-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>410746749</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1>CLIFTONLARSONALLEN LLP</BusinessNameLine1>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1>6810 INTERNATIONAL CENTER BLVD</AddressLine1>
        <City>FORT MYERS</City>
        <State>FL</State>
        <ZIPCode>33912</ZIPCode>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2013-10-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>592128697</EIN>
      <BusinessName>
        <BusinessNameLine1>HOPE HOSPICE AND COMMUNITY SERVICES INC</BusinessNameLine1>
      </BusinessName>
      <BusinessNameControlTxt>HOPE</BusinessNameControlTxt>
      <PhoneNum>2394824673</PhoneNum>
      <USAddress>
        <AddressLine1>9470 HEALTH PARK CIRCLE</AddressLine1>
        <City>FORT MYERS</City>
        <State>FL</State>
        <ZIPCode>33908</ZIPCode>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>JILL LAMPLEY</PersonNm>
      <PersonTitleTxt>CHIEF FINANCIAL OFFICER</PersonTitleTxt>
      <SignatureDt>2015-05-19</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Martin Redovan CPA</PreparerPersonNm>
      <PTIN>P01281045</PTIN>
      <PhoneNum>2392269900</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2013</TaxYr>
    <BuildTS>2016-02-25 16:41:14Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="11">
    <IRS990 documentId="IRS990" softwareId="13000248" softwareVersion="2013v3.1">
      <PrincipalOfcrBusinessAddress>
        <BusinessNameLine1>SAMIRA K BECKWITH</BusinessNameLine1>
      </PrincipalOfcrBusinessAddress>
      <USAddress>
        <AddressLine1>9470 HEALTH PARK CIRCLE</AddressLine1>
        <City>FORT MYERS</City>
        <State>FL</State>
        <ZIPCode>33908</ZIPCode>
      </USAddress>
      <GrossReceiptsAmt>91434230</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.HOPEHCS.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1981</FormationYr>
      <LegalDomicileStateCd>FL</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PROVIDE EXCEPTIONAL CARE TO INDIVIDUALS AND LOVED ONES AS THEY FULFILL LIFE'S JOURNEY.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>16</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>11</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>1001</TotalEmployeeCnt>
      <TotalVolunteersCnt>1050</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>2145277</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>5520207</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>101548642</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>82188324</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>713787</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>735798</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>1222765</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>346408</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>105630471</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>88790737</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>57245485</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>49736046</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>1015357</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>47888582</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>39967195</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>105134067</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>89703241</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>496404</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-912504</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>100832606</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>99292402</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>31356497</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>29999430</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>69476109</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>69292972</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>THE VISION OF HOPE IS TO CREATE AN ENVIRONMENT IN WHICH LIFE'S JOURNEY IS CHERISHED. THE MISSION OF HOPE IS TO PROVIDE EXCEPTIONAL CARE AND SUPPORT TO EVERY INDIVIDUAL AND THEIR LOVED ONES AS THEY FULFILL LIFE'S JOURNEY.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>72076168</ExpenseAmt>
      <RevenueAmt>67594058</RevenueAmt>
      <Desc>END OF LIFE CARE, COMFORT AND SUPPORT FOR PATIENTS AND THEIR FAMILIES. THE CARE IS PROVIDED IN PATIENT'S HOMES, ASSISTED LIVING FACILITIES, NURSING HOMES, HOSPITALS AND HOPE HOSPICE HOUSES. MEDICAL AND OTHER CARE PROFESSIONALS ARE DEDICATED TO MEETING THE NEEDS OF EACH PERON. THE ORGANIZATION PROVIDES SERVICES TO LEE, HENDRY, AND GLADES, COUNTIES. (DAILY CENSUS 872 PATIENTS FOR FISCAL YEAR 2013-14).</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>14654432</ExpenseAmt>
        <RevenueAmt>14594266</RevenueAmt>
        <Desc>PLEASE REFER TO SCHEDULE O FOR INFORMATION REGARDING HOPE HOSPICE'S PACE PROGRAM.</Desc>
      </ProgSrvcAccomActy2Grp>
      <TotalProgramServiceExpensesAmt>86730600</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
      <ConservationEasementsInd>false</ConservationEasementsInd>
      <CollectionsOfArtInd>false</CollectionsOfArtInd>
      <CreditCounselingInd>false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd>false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd>false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd>false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd>false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd>false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="IRS990ScheduleD">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd>false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="IRS990ScheduleG">true</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="IRS990ScheduleK1">true</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>false</InvestTaxExemptBondsInd>
      <EscrowAccountInd>false</EscrowAccountInd>
      <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="IRS990ScheduleL">true</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd referenceDocumentId="IRS990ScheduleL">true</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="IRS990ScheduleM">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="IRS990ScheduleR">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="IRS990ScheduleR">true</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>316</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>1001</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>true</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>true</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>16</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>11</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>true</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>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>FL</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1>JILL LAMPLEY CFO</BusinessNameLine1>
        </BusinessName>
        <PhoneNum>2394824673</PhoneNum>
        <USAddress>
          <AddressLine1>9470 HEALTHPARK CIRCLE</AddressLine1>
          <City>FORT MYERS</City>
          <State>FL</State>
          <ZIPCode>33908</ZIPCode>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>BO TURBEVILLE</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES IDELSON</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DICK ACKERT</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REV DR TIM HALVERSON</PersonNm>
        <TitleTxt>PAST CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDY ROBINSON</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRED PEZESHKAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY NICHOLS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY HART</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA UHLER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUIS INSIGNARES</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MADLYN DORNAUS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NORENN DIPLACIDO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RON SMALLEY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE PERSONETTE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TOM GILES</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JILL LAMPLEY</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>236071</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17824</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAMIRA K BECKWITH</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <AverageHoursPerWeekRt>55.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>510277</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22422</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLOTTE KING</PersonNm>
        <TitleTxt>CHIEF HR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>226742</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24950</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUIS CORTES DO</PersonNm>
        <TitleTxt>CHIEF MEDICAL SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>38.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>194904</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29050</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT J GRIFFIN</PersonNm>
        <TitleTxt>COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>38.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>242764</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24710</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BAKTHAVATSALAM VARDHINI</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>183125</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32003</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CINDY HARRIS</PersonNm>
        <TitleTxt>PACE MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>166821</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11014</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EMILIYA HILL</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>183306</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22583</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FELICIA STONEDALE</PersonNm>
        <TitleTxt>ASSOC. MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>207882</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11812</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE ROUGEUX</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>171780</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22583</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREGORY R SONN</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>171075</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2494747</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>218951</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>27</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>SHELL POINT VILLAGE</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>15000 SHELL POINT BLVD</AddressLine1>
            <City>FORT MYERS</City>
            <State>FL</State>
            <ZIPCode>33908</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SKILLED NURSING FACILITY</ServicesDesc>
        <CompensationAmt>2146118</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>PAGE REHABILITATION</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>2310 N AIRPORT ROAD</AddressLine1>
            <City>FORT MYERS</City>
            <State>FL</State>
            <ZIPCode>33907</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SKILLED NURSING FACILITY</ServicesDesc>
        <CompensationAmt>1277952</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>EVANS HEALTHCARE ASSOCIATES LLC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>3735 EVANS AVE</AddressLine1>
            <City>FORT MYERS</City>
            <State>FL</State>
            <ZIPCode>33901</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SKILLED NURSING FACILITY</ServicesDesc>
        <CompensationAmt>1085403</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>HEALTHPARK CARE CENTER</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>16131 ROSERUSH COURT</AddressLine1>
            <City>FORT MYERS</City>
            <State>FL</State>
            <ZIPCode>33908</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SKILLED NURSING FACILITY</ServicesDesc>
        <CompensationAmt>878953</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>LEHIGH ACRES HEALTH AND REHABILITATION</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1550 LEE BOULEVARD</AddressLine1>
            <City>LEHIGH ACRES</City>
            <State>FL</State>
            <ZIPCode>33936</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SKILLED NURSING FACILITY</ServicesDesc>
        <CompensationAmt>792660</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>82</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>104819</FundraisingAmt>
      <GovernmentGrantsAmt>123399</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>5291989</AllOtherContributionsAmt>
      <NoncashContributionsAmt>2288238</NoncashContributionsAmt>
      <TotalContributionsAmt>5520207</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HOSPICE PATIENT SERVICES</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>82188324</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>82188324</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>82188324</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>306729</TotalRevenueColumnAmt>
        <ExclusionAmt>306729</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2805862</SecuritiesAmt>
        <OtherAmt>216601</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>2374099</SecuritiesAmt>
        <OtherAmt>219295</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>431763</SecuritiesAmt>
        <OtherAmt>-2694</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>429069</TotalRevenueColumnAmt>
        <ExclusionAmt>429069</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>52775</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>104819</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>50099</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>2676</TotalRevenueColumnAmt>
        <ExclusionAmt>2676</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>FOOD SERVICES INCOME</Desc>
        <BusinessCd>722210</BusinessCd>
        <TotalRevenueColumnAmt>129907</TotalRevenueColumnAmt>
        <ExclusionAmt>129907</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>213825</TotalRevenueColumnAmt>
        <ExclusionAmt>213825</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>343732</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>88790737</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>82188324</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1082206</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1384050</TotalAmt>
        <ProgramServicesAmt>1057910</ProgramServicesAmt>
        <ManagementAndGeneralAmt>280963</ManagementAndGeneralAmt>
        <FundraisingAmt>45177</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>36835167</TotalAmt>
        <ProgramServicesAmt>36320783</ProgramServicesAmt>
        <ManagementAndGeneralAmt>416184</ManagementAndGeneralAmt>
        <FundraisingAmt>98200</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>0</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>8846672</TotalAmt>
        <ProgramServicesAmt>8642403</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142091</ManagementAndGeneralAmt>
        <FundraisingAmt>62178</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2670157</TotalAmt>
        <ProgramServicesAmt>2616861</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36256</ManagementAndGeneralAmt>
        <FundraisingAmt>17040</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>39594</TotalAmt>
        <ProgramServicesAmt>37269</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2325</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>50449</TotalAmt>
        <ProgramServicesAmt>47486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2963</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3302106</TotalAmt>
        <ProgramServicesAmt>2978306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>177025</ManagementAndGeneralAmt>
        <FundraisingAmt>146775</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>179604</TotalAmt>
        <ProgramServicesAmt>172500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7104</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1678012</TotalAmt>
        <ProgramServicesAmt>1557891</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117114</ManagementAndGeneralAmt>
        <FundraisingAmt>3007</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>5003291</TotalAmt>
        <ProgramServicesAmt>4359665</ProgramServicesAmt>
        <ManagementAndGeneralAmt>209787</ManagementAndGeneralAmt>
        <FundraisingAmt>433839</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>0</TotalAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>175388</TotalAmt>
        <ProgramServicesAmt>175388</ProgramServicesAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>3013986</TotalAmt>
        <ProgramServicesAmt>2594480</ProgramServicesAmt>
        <ManagementAndGeneralAmt>419506</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>656508</TotalAmt>
        <ProgramServicesAmt>617950</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38558</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>NURSING HOME - ROOM &amp; BOARD</Desc>
        <TotalAmt>9301514</TotalAmt>
        <ProgramServicesAmt>9301514</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY</Desc>
        <TotalAmt>3958648</TotalAmt>
        <ProgramServicesAmt>3958648</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>INPATIENT</Desc>
        <TotalAmt>3922032</TotalAmt>
        <ProgramServicesAmt>3922032</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OXYGEN/DME</Desc>
        <TotalAmt>2380098</TotalAmt>
        <ProgramServicesAmt>2380098</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>6305965</TotalAmt>
        <ProgramServicesAmt>5989416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107408</ManagementAndGeneralAmt>
        <FundraisingAmt>209141</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>89703241</TotalAmt>
        <ProgramServicesAmt>86730600</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1957284</ManagementAndGeneralAmt>
        <FundraisingAmt>1015357</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <TotalJointCostsGrp>
        <TotalAmt>0</TotalAmt>
      </TotalJointCostsGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>19268103</BOYAmt>
        <EOYAmt>12041421</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>6224389</BOYAmt>
        <EOYAmt>5994532</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>38869</BOYAmt>
        <EOYAmt>19352</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1607544</BOYAmt>
        <EOYAmt>5286340</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>428230</BOYAmt>
        <EOYAmt>341009</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>791045</BOYAmt>
        <EOYAmt>932879</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>77672493</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>24173382</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>53694475</BOYAmt>
        <EOYAmt>53499111</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>17100891</BOYAmt>
        <EOYAmt>18624334</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1679060</BOYAmt>
        <EOYAmt>2553424</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>100832606</BOYAmt>
        <EOYAmt>99292402</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>7456497</BOYAmt>
        <EOYAmt>6999430</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>23900000</BOYAmt>
        <EOYAmt>23000000</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>31356497</BOYAmt>
        <EOYAmt>29999430</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>69296309</BOYAmt>
        <EOYAmt>69113172</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>179800</BOYAmt>
        <EOYAmt>179800</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>69476109</BOYAmt>
        <EOYAmt>69292972</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>100832606</BOYAmt>
        <EOYAmt>99292402</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-912504</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>729748</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-381</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="13000248" softwareVersion="2013v3.1">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3206181</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3218757</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4718126</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2145277</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5520207</CurrentTaxYearAmt>
        <TotalAmt>18808548</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TaxRevLeviedOrgnztnlBnft170Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>3206181</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3218757</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4718126</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2145277</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5520207</CurrentTaxYearAmt>
        <TotalAmt>18808548</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>18808548</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>311558</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>311070</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>319732</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>424810</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>306729</CurrentTaxYearAmt>
        <TotalAmt>1673899</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearAmt>2676</CurrentTaxYearAmt>
        <TotalAmt>2676</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1307476</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>343732</CurrentTaxYearAmt>
        <TotalAmt>1651208</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>22136331</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>566099364</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.84960</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.84630</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartIVGrp>
        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10, Other Income</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION - , COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 0; DESCRIPTION - OTHER EXCLUDED REVENUE, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 1307476, COLUMN E - 343732, COLUMN F - 1651208; DESCRIPTION - , COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 0;</ExplanationTxt>
      </Form990ScheduleAPartIVGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="13000248" softwareVersion="2013v3.1">
      <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="IRS990ScheduleD" softwareId="13000248" softwareVersion="2013v3.1">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>13935801</OtherCostOrOtherBasisAmt>
        <BookValueAmt>13935801</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>43809879</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>16666735</DepreciationAmt>
        <BookValueAmt>27143144</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>8289269</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3153514</DepreciationAmt>
        <BookValueAmt>5135755</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>11442567</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4353133</DepreciationAmt>
        <BookValueAmt>7089434</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>194977</OtherCostOrOtherBasisAmt>
        <BookValueAmt>194977</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>53499111</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <TotalLiabilityAmt>0</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>89573300</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>729700</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>70</OtherRevenueAmt>
      <RevenueNotReportedAmt>729770</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>88843530</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-52793</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-52793</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>88790737</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>89756600</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>53359</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>53359</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>89703241</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>89703241</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS ALSO NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX AS UNRELATED BUSINESS INCOME, EXCISE, OR OTHER TAXES. THE TAX RETURNS FOR THE FISCAL YEARS ENDING 2012 TO 2014 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE ORGANIZATION IS IN COMPLIANCE WITH THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THIS GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. THE IMPLEMENTATION OF THIS STANDARD HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 2d, Other revenues in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING - 70;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4b, Other revenues in form 990 not in audited financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF FIXED ASSETS - -2694; EXPENSES FOR FUNDRAISING EXPENSES - -50099;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 2d, Other expenses in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF FIXED ASSETS - 2694; EXPENSES FOR FUNDRAISING EVENTS - 50099; ROUNDING - 566;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="13000248" softwareVersion="2013v3.1">
      <FundraisingEventInformationGrp>
        <NameOfEvent1Amt>2014 WINE DINNER</NameOfEvent1Amt>
        <GrossReceiptsEvent1Amt>64120</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>35195</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>28925</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>21115</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>2338</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>1076</OtherDirectExpensesEvent1Amt>
        <NameOfEvent2Amt>SPRING LUNCHEON</NameOfEvent2Amt>
        <GrossReceiptsEvent2Amt>70141</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>46291</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>23850</GrossRevenueEvent2Amt>
        <NonCashPrizesEvent2Amt>1019</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>16754</RentFacilityCostsEvent2Amt>
        <EntertainmentEvent2Amt>300</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>7497</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>23333</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>23333</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>0</GrossRevenueOtherEventsAmt>
        <GrossReceiptsTotalAmt>157594</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>104819</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>52775</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>0</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>1019</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>37869</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>2338</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>300</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>8573</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>50099</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>2676</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="13000248" softwareVersion="2013v3.1">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLOTTE KING</PersonNm>
        <TitleTxt>CHIEF HR</TitleTxt>
        <BaseCompensationFilingOrgAmt>212426</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>14316</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24950</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>251692</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FELICIA STONEDALE</PersonNm>
        <TitleTxt>ASSOC. MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>207882</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11812</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>219694</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EMILIYA HILL</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>181725</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1581</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22583</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>205889</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BAKTHAVATSALAM VARDHINI</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>178952</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4173</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32003</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>215128</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GREGORY R SONN</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>171075</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>171075</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE ROUGEUX</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>171780</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22583</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>194363</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JILL LAMPLEY</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>219451</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>16620</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17824</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>253895</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT J GRIFFIN</PersonNm>
        <TitleTxt>COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>232107</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10657</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24710</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>267474</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SAMIRA K BECKWITH</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>440664</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>44708</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>24905</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22422</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>532699</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CINDY HARRIS</PersonNm>
        <TitleTxt>PACE MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>153887</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>12934</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11014</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>177835</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LUIS CORTES DO</PersonNm>
        <TitleTxt>CHIEF MEDICAL SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>190673</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4231</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29050</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>223954</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING EMPLOYEES CONTRIBUTED TO A NONQUALIFIED RETIREMENT 457(F) PLAN: SAMIRA BECKWITH 17,500; ROBERT GRIFFIN 17,500; JILL LAMPLEY 17,500; FELICIA STONEDALE 17,500</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK1" softwareId="13000248" softwareVersion="2013v3.1">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>LEE COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <BondIssuerEIN>591793462</BondIssuerEIN>
        <CUSIPNum>52349ECN8</CUSIPNum>
        <BondIssuedDt>2008-07-22</BondIssuedDt>
        <IssuePriceAmt>27200000</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION OF HOSPICE HOUSE</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>27200000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>17200000</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>68000</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>9932000</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2010</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Sch K, Part IV, Line 2c, ISSUER NAME: LEE COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY: No Rebate Due.</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 2/25/2014.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="13000248" softwareVersion="2013v3.1">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>CHARLES IDELSON</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER OF ORGANIZATION AND PRESIDENT, INVESTOR'S SECURITY TRUST</RelationshipDescriptionTxt>
        <TransactionAmt>59800</TransactionAmt>
        <TransactionDesc>THE ORGANIZATION HAS AN ACCOUNT WITH INVESTOR'S SECURITY TRUST THAT IS USED AS A DEPOSITORY FOR INVESTMENTS OF THE ORGANIZATION TOTALING $12,940,800. PAYMENTS TOTALING $59,800 WERE PAID FOR INVESTMENT MANAGEMENT SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>SAMIRA BECKWITH</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>PRESIDENT AND CEO OF ORGANIZATION, BOARD MEMBER OF INVESTOR'S SECURITY TRUST</RelationshipDescriptionTxt>
        <TransactionAmt>59800</TransactionAmt>
        <TransactionDesc>THE ORGANIZATION HAS AN ACCOUNT WITH INVESTOR'S SECURITY TRUST THAT IS USED AS A DEPOSITORY FOR INVESTMENTS OF THE ORGANIZATION TOTALING $12,940,800. PAYMENTS TOTALING $59,800 WERE PAID FOR INVESTMENT MANAGEMENT SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>RICHARD ACKERT</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER OF ORGANIZATION AND BOARD MEMBER OF INVESTOR'S SECURITY TRUST</RelationshipDescriptionTxt>
        <TransactionAmt>59800</TransactionAmt>
        <TransactionDesc>THE ORGANIZATION HAS AN ACCOUNT WITH INVESTOR'S SECURITY TRUST THAT IS USED AS A DEPOSITORY FOR INVESTMENTS OF THE ORGANIZATION TOTALING $12,940,800. PAYMENTS TOTALING $59,800 WERE PAID FOR INVESTMENT MANAGEMENT SERVICES.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>BO TURBEVILLE</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER OF ORGANIZATION AND CEO OF ACCENT BUSINESS PRODUCTS</RelationshipDescriptionTxt>
        <TransactionAmt>61100</TransactionAmt>
        <TransactionDesc>ACCENT BUSINESS PRODUCTS PROVIDED OFFICE MACHINES UNDER LEASE AGREEMENTS, TO WHICH PAYMENTS ARE MADE MONTHLY. PAYMENTS MADE DIRECTLY TOTALED $61,100.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>SANDY ROBINSON</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER OF ORGANIZATION AND PRESIDENT, NORTHERN TRUST BANK BRANCH</RelationshipDescriptionTxt>
        <TransactionAmt>211700</TransactionAmt>
        <TransactionDesc>FEES PAID FOR LINE OF CREDIT TOTALED $147,300 AND INVESTMENT MANAGEMENT FEES TOTALING $45,200 IN CONNECTION WITH THE ORGANIZATION'S INVESTMENT ACCOUNTS. ADDITIONAL BANK FEES PAID TO THE TRUST COMPANY TOTALED $19,200.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="13000248" softwareVersion="2013v3.1">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>1013238</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <RealEstateCommercialGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>1275000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </RealEstateCommercialGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I, Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>REAL ESTATE - COMMERCIAL: THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, part I, column (b), Line 16, Number of contributions or items contributed.</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, part I, column (b), Line 5, Number of contributions or items contributed.</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="13000248" softwareVersion="2013v3.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>, HOPE HOSPICE NARRATIVE - PART 1</FormAndLineReferenceDesc>
        <ExplanationTxt>HOPE HOSPICE (LATER RENAMED HOPE HOSPICE AND COMMUNITY SERVICES; HEREAFTER REFERRED TO AS "HOPE") WAS INCORPORATED ON SEPTEMBER 11, 1981, AFTER ITS FORMATION BY A GROUP OF LOCAL VOLUNTEERS, AND LICENSED BY THE STATE OF FLORIDA SINCE 1984. HOPE IS A NOT-FOR-PROFIT, 501 (C)(3)-STATUS COMMUNITY-BASED AGENCY. AT ITS INCEPTION, HOPE HOSPICE SERVED ONLY A FEW PATIENTS EACH DAY IN THE IMMEDIATE FORT MYERS, FLORIDA AREA. TODAY HOPE SERVES MORE THAN 2,000 PEOPLE DAILY IN SOUTHWEST FLORIDA WITH A VARIETY OF CARE PROGRAMS. THROUGH THE YEARS, HOPE'S MISSION AND VISION HAVE BEEN CONSTANT. THE VISION OF HOPE IS TO CREATE AN ENVIRONMENT IN WHICH LIFE'S JOURNEY IS CHERISHED. THE MISSION OF HOPE IS TO PROVIDE EXCEPTIONAL CARE AND SUPPORT TO EVERY INDIVIDUAL AND THEIR LOVED ONES AS THEY FULFILL LIFE'S JOURNEY. HOPE'S VISION AND MISSION ARE SUPPORTED BY ITS PILLARS OF EXCELLENCE: SERVICE - PROVIDE EXTRAORDINARY, TIMELY CARE AND SERVICE QUALITY - PROVIDE EXCELLENCE EACH DAY AND DEMONSTRATE CONTINUOUS IMPROVEMENT STEWARDSHIP - CREATE AND MANAGE THE RESOURCES NEEDED FOR OUR CURRENT AND FUTURE SUCCESS PEOPLE - RECRUIT AND RETAIN STAFF WHO ARE ENGAGED, EMPOWERED AND COMMITTED THE ORGANIZATION'S GOALS ARE TO REMOVE ALL BARRIERS TO ACCESS; TO BE GOOD STEWARDS OF ALL RESOURCES; AND TO PROVIDE THE HIGHEST POSSIBLE QUALITY CARE. HOPE'S GOALS AND INITIATIVES ARE FRAMED IN RESPONSE TO STRATEGIC QUESTIONS, INCLUDING: * HOW DO WE IDENTIFY AND CHANGE HABITS THAT DO NOT SUPPORT GOOD CARE? * HOW DO WE USE LESSONS FROM OTHER INDUSTRIES TO IMPROVE OUR CARE AND SERVICES? * HOW DO WE IMPROVE OUR ABILITY TO REDUCE PAIN AND SUFFERING? * HOW DO WE ENSURE WE ARE THE EMPLOYER OF CHOICE? * HOW DO WE CREATE AND SUSTAIN A CULTURE THAT LEADS TO CONTINUOUS IMPROVEMENT? HOPE MAKES MAKE CERTAIN THAT ITS ORGANIZATIONAL CAPABILITIES ENSURE: * NO NEEDLESS PAIN OR SUFFERING EXISTS IN THE COMMUNITIES WE SERVE * NO HELPLESSNESS FELT BY THOSE WE SERVE * NO UNWANTED WAITING FOR THOSE WE SERVE * NO WASTE OF RESOURCES OR INEFFICIENCIES IN PROVIDING OUR SERVICES "HOPE HOSPICE" BECOMES "HOPE HOSPICE AND COMMUNITY SERVICES" IN SUPPORT OF HOPE'S VISION, MISSION AND GOALS, AN OVERARCHING QUESTION WAS, "HOW CAN WE INCREASE OUR CONTINUUM OF CARE AND SERVICES, GIVING MORE PEOPLE ACCESS TO THE COMFORT AND SAFETY THEY NEED?" TRADITIONALLY, THE STARTING POINT IN HOSPICE CARE IS THE PHYSICIAN'S REFERRAL, INDICATING THE PATIENT HAS ONLY SIX MONTHS OR LESS TO LIVE. BEGINNING AT THE END, LITTLE THOUGHT IS GIVEN TO THE PATIENT'S OVERALL SITUATION AND CIRCUMSTANCE. THIS CAN RESULT IN A LESS THAN OPTIMAL CARE EXPERIENCE AND OUTCOME FOR THE PATIENT AND FAMILY. HOPE LOOKS AT THE ENTIRE PATIENT SITUATION AND CIRCUMSTANCES PRIOR TO DEVELOPING A COMPREHENSIVE PLAN OF CARE. IN RECENT YEARS, HOPE HAS RECOGNIZED THAT THE PALLIATIVE CARE SKILLS OF HOSPICE PROFESSIONALS NEED NOT BE LIMITED TO THE CARE OF THE DYING, IN HOSPICE. THESE SAME SKILLS CAN BE APPLIED TO ALLEVIATE PAIN AND SUFFERING FOR THOSE WHO ARE SERIOUSLY ILL YET NOT AT THE END OF LIFE. HOPE HAS INTRODUCED A NUMBER OF NEW CARE PROGRAMS TO MEET THOSE NEEDS. HOPE'S INNOVATION HAS CREATED A NEW DIMENSION IN HEALTH CARE. HOPE HOSPICE AND COMMUNITY SERVICES PROVIDES A CONTINUUM OF PALLIATIVE CARE SERVICES UNLIKE ANY OTHER HEALTH CARE PROGRAM IN THE UNITED STATES. HOPE'S INNOVATION IS BEST DESCRIBED WITH TWO WORDS: PROACTIVE COORDINATION. EACH CARE PROGRAM AND SERVICE HAS ITS OWN SPECIFIC STAFF, DELIVERING PALLIATIVE CARE IN A SPECIFIC SETTING OR PROGRAM. HOPE IS UNIQUELY APPLYING THE PRINCIPLES OF PALLIATIVE CARE (I.E. TO PREVENT AND RELIEVE SUFFERING WHILE FOCUSING ON THE QUALITY OF LIFE FOR THE INDIVIDUAL) ACROSS A LARGER CONTINUUM OF CARE BEYOND END OF LIFE CARE. HOPE'S PALLIATIVE CARE PHILOSOPHY ENCOMPASSES EVERY ASPECT OF THE INDIVIDUAL'S WELL BEING - BODY, MIND AND SPIRIT. AT THE HEART OF THE PHILOSOPHY IS THE COMMITMENT TO MAKE SURE THE SYSTEM IS WORKING TO MEET SPECIFIC PERSONAL NEEDS, NOT IN TRYING TO MAKE A PATIENT FIT INTO A SYSTEM. SERVICES ARE AVAILABLE TO PEOPLE OF ALL AGES, IN ALL PROGRAMS, WHO ARE TOUCHED BY SERIOUS ILLNESS, REGARDLESS OF THEIR ABILITY TO PAY. THE TEAM INCLUDES PHYSICIANS, NURSES, PHARMACISTS, SOCIAL WORKERS, PERSONAL CARE SPECIALISTS, VOLUNTEERS, CHAPLAINS, HOMEMAKERS, BEREAVEMENT COUNSELORS, MASSAGE THERAPISTS, ART THERAPISTS AND MUSIC THERAPISTS AS NEEDED TO CARE FOR THE INDIVIDUAL NEEDS OF EACH PERSON AND FAMILY. HOPE'S PROGRAMS OF CARE BENEFIT ALL DEMOGRAPHICS. HOPE HOSPICE AND COMMUNITY SERVICES SERVES THE RESIDENTS OF LEE, GLADES, HENDRY, CHARLOTTE, DESOTO AND COLLIER COUNTIES IN SOUTHWEST AND MID-FLORIDA, OF WHICH APPROXIMATELY 76 PERCENT ARE WHITE, 15 PERCENT LATINO, 8 PERCENT AFRICAN-AMERICAN AND 1 PERCENT ASIAN. THE AREA INCLUDES URBAN, SUBURBAN AND RURAL COMMUNITIES. HOSPICE CARE IS USUALLY COVERED BY MEDICARE, MEDICAID OR INSURANCE, ALTHOUGH HOPE PROVIDES HOSPICE CARE TO EVERYONE IN NEED REGARDLESS OF AGE, ETHNICITY, TYPE OF ILLNESS, THE ABILITY TO PAY OR ANY OTHER LIFE CIRCUMSTANCES. THIS COMPREHENSIVE, COORDINATED PROGRAM OF CARE IS OFFERED TO THEM BY NO ONE ELSE IN THE ENTIRE AREA. IT IS OF GREAT BENEFIT TO MANY IN THE COMMUNITY WHO ARE PARTICULARLY VULNERABLE IN THESE TIMES OF A DOWN TURNED ECONOMY AND AN UNCERTAIN FUTURE FOR US HEALTH CARE, INCLUDING THOSE WITH NO MEDICAL COVERAGE; NO FINANCIAL RESOURCES WHATSOEVER; THE HOMELESS; VETERANS AND OTHERS. HOPE'S ARRAY OF SERVICES HOPE HOSPICE: END-OF-LIFE CARE FOR PEOPLE OF ALL AGES AND THEIR FAMILIES, PROVIDED REGARDLESS OF THEIR ABILITY TO PAY. HOPE CONNECTIONS: FOR MANY RURAL RESIDENTS OF GLADES AND HENDRY COUNTIES, THE ONLY SOURCE OF WARM MEALS, BALANCED NUTRITION, AND PERSONAL CARE AT HOME. HOPE KIDS CARE: ENABLES CHILDREN WITH POTENTIALLY LIFE-LIMITING CONDITIONS TO BENEFIT FROM PALLIATIVE CARE WITHOUT HOSPICE ENROLLMENT. PAIN AND SYMTOM MANAGEMENT, IN-HOME CARE, COUNSELING AND RESPITE CARE. THE RAINBOW TRAILS BEREAVEMENT CAMP ENABLES GRIEVING CHILDREN TO COPE WITH THE LOSS OF A LOVED ONE. THE CAMP IS PROVIDED AT NO COST TO THE FAMILY. HOPE PACE: THE ALL-INCLUSIVE PROGRAM OF CARE FOR THE ELDERLY. FOR PEOPLE 55 AND OLDER WHO ARE CHRONICALLY ILL OR FRAIL ELDERLY WHO ARE ELIGIBLE FOR NURSING HOME CARE BUT WANT TO REMAIN AT HOME. ALL MEDICAL SERVICES PROVIDED AT HOME AND AT FOUR HOPE PACE CENTERS. HOPE COMFORT CARE: CARE MANAGEMENT AND SUPPORT FOR THOSE WITH SERIOUS ILLNESS. THE HOPE PARKINSON PROGRAM: THE ONLY PROGRAM IN LEE COUNTY FLORIDA PROVIDING RESOURCES, SERVICES AND FAMILY SUPPORT AT NO COST TO THOSE WHO SUFFER FROM THIS DISEASE. HOPE VISITING NURSES: HOME HEALTH CARE, PRIVATE DUTY NURSING AND HOME HEALTH AIDE SERVICES. HOPE HEALING HEARTS: COUNSELING AND SUPPORT FOR THOSE WHO HAVE EXPERIENCED THE LOSS OF A LOVED ONE. THE COMMUNITY HAS ENTHUSIASTICALLY WELCOMED HOPE'S ARRAY OF QUALITY-OF-LIFE, COORDINATED CARE PROGRAMS THAT FOCUS ON MEETING THEIR NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>, HOPE HOSPICE NARRATIVE - PART 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ENSURING QUALITY CARE IN NOVEMBER 2010, THE DARTMOUTH INSTITUTE FOR HEALTH POLICY AND CLINICAL PRACTICE PUBLISHED A STUDY TITLED "QUALITY OF END-OF-LIFE CANCER CARE FOR MEDICARE BENEFICIARIES." ACCORDING TO THE REPORT, 75.6 PERCENT OF CANCER PATIENTS IN THE FORT MYERS AREA WHO DIED DURING THE PERIOD FROM 2003 TO 2007 USED HOSPICE SERVICES DURING THEIR LAST MONTH OF LIFE - DRAMATICALLY ECLIPSING THE NATIONAL FIGURE OF 55 PERCENT, AND AMONG THE HIGHEST RANKINGS OF ALL HOSPICES. HOPE IS THE ONLY HOSPICE SERVING THE FORT MYERS AREA. ALL OF HOPE'S SERVICES AND PROGRAMS COORDINATE CARE ALONG THE CONTINUUM USING THE PRINCIPLES OF PALLIATIVE CARE. EACH SERVICE IS MEASURED FOR ITS EFFECTIVENESS AND BENEFIT TO PATIENTS AND FAMILIES. OUTCOME MEASUREMENTS ARE IN PLACE THROUGHOUT THE CONTINUUM AS PART OF THE ONGOING QUALITY IMPROVEMENT PLAN. IN ADDITION TO REGULAR, INTENSIVE REVIEW OF ALL ACTIVITIES, HOPE CONDUCTS FREQUENT AND REGULAR PATIENT SURVEYS IN PATIENTS' HOMES, IN NURSING AND ASSISTED LIVING FACILITIES AND IN HOPE HOSPICE HOUSES. THESE PATIENT SURVEYS FOCUS ON: PAIN AND SYMPTOM CONTROL; STAFF SENSITIVITY; WHETHER EXPRESSIVE AND INTEGRATIVE THERAPIES WERE OFFERED; EXTENDED HOURS SERVICES AND SUPPORT; AND WHETHER MEDICAL EQUIPMENT AND SUPPLIES MET NEEDS. OUTCOMES ARE ALSO MEASURED BY THE COMMUNITY HEALTH ACCREDITATION PROGRAM (CHAP), THE NATIONAL LEADER IN IMPROVING THE QUALITY OF CARE IN THE HOME CARE INDUSTRY. ONE OF CHAP'S PRIMARY OBJECTIVES IS TO ENABLE HOSPICES AND OTHER HEALTH CARE ORGANIZATIONS TO DEVELOP AND MAINTAIN STATE-OF-THE ART NATIONAL STANDARDS OF EXCELLENCE. DURING THEIR EXHAUSTIVE REVIEW OF HOPE'S OPERATIONS, CHAP DISCOVERED WHAT MAKES THE ORGANIZATION GREAT. HOPE'S HIGH SCORE WAS "EXTREMELY RARE," THEY SAID, FOR SEVERAL REASONS, INCLUDING: HIGH EMPLOYEE MORALE AND JOB SATISFACTION WHICH CONTRIBUTES TO A POSITIVE WORK ENVIRONMENT; EXPERIENCED MANAGEMENT TEAM AND BOARD OF DIRECTORS WHO ARE COMMITTED TO QUALITY CARE AND STANDARDS OF EXCELLENCE; AND COLLABORATION WITH THE EDUCATIONAL COMMUNITY TO INCREASE STUDENTS' AWARENESS OF PALLIATIVE CARE OPPORTUNITIES. INNOVATION IN HEALTHCARE: MEETING THE CHALLENGES IN 2008, HOPE HOSPICE AND COMMUNITY SERVICES WAS AMONG THE COUNTRY'S FIRST RECIPIENTS OF THE QUALITY IN PALLIATIVE CARE LEADERSHIP AWARD, IN RECOGNITION OF ITS INNOVATIVE PATIENT CARE. THE LEADERSHIP AWARD IS PRESENTED BY THE NATIONAL CONSENSUS PROJECT FOR QUALITY CARE AND THE NATIONAL QUALITY FORUM TO ORGANIZATIONS WORKING TO IMPROVE THE QUALITY OF AMERICAN HEALTH CARE. HOPE WAS ONE OF ONLY NINE HEALTH CARE ORGANIZATIONS IN THE COUNTRY TO BE HONORED IN THE AWARD'S FIRST YEAR. HOPE RECEIVED THE CIRCLE OF LIFE AWARD IN 2004 FOR ITS INNOVATIVE PROGRAM THAT IMPROVES THE CARE OF INDIVIDUALS AT THE END OF LIFE AND ITS STRATEGY TO MAKE SERVICES AVAILABLE TO ANYONE WHO NEEDS HOSPICE CARE, REGARDLESS OF AGE, DIAGNOSIS, OR ABILITY TO PAY. HOPE WAS RECOGNIZED IN 2003 BY THE AMERICAN PHARMACISTS ASSOCIATION FOUNDATION FOR ITS INNOVATIVE AND VISIONARY APPROACH IN DELIVERING A CONSISTENTLY HIGH LEVEL OF CARE TO ITS PATIENTS. THE RECIPIENTS ARE RECOGNIZED FOR PIONEERING INNOVATIVE WAYS TO IMPROVE THE MEDICATION USE PROCESS AND INCREASE COMMUNICATION BETWEEN ALL MEMBERS OF THE HEALTH CARE TEAM. BECAUSE OF THE SIGNIFICANT PUBLIC HEALTH PROBLEM ASSOCIATED WITH THE INAPPROPRIATE USE OF MEDICATIONS, HOPE PIONEERED INNOVATIVE WAYS TO IMPROVE THE MEDICATION USE PROCESS AND INCREASE COMMUNICATION AMONG ALL MEMBERS OF THE HEALTH CARE TEAM. HOPE HOSPICE CREATED, IMPLEMENTED AND MAINTAINS A COLLABORATIVE PRACTICE MEDICATION AND MANAGEMENT SYSTEM TO MANAGE MEDICATION THERAPY. IT INVOLVES PHARMACISTS, HOPE PHYSICIANS AND NURSES, MANY INDEPENDENT REFERRING PHYSICIANS, AND INDEPENDENT CLINICAL PHARMACY AND MEDICATION DISTRIBUTION SYSTEMS LINKED TOGETHER BY WEB-BASED DOCUMENTATION AND COMMUNICATION TOOLS. USING INTEGRATED, STATE-OF-THE-ART TECHNOLOGY THAT ENABLES PROFESSIONALS FROM DIFFERENT DISCIPLINES TO PARTICIPATE IN A PATIENT'S CARE AND MAKE INFORMED DECISIONS BASED ON CURRENT INFORMATION, HOPE IS ABLE TO DELIVER AND UNPARALLELED LEVEL OF QUALITY CARE TO ITS PATIENTS. THE FUTURE OF HOPE AND THE FUTURE OF HEALTHCARE THE UNITED STATES IS BEING CHALLENGED AS NEVER BEFORE TO MAKE THE BEST USE OF OUR RESOURCES IN HEALTHCARE IN ORDER TO BEST MEET THE CHANGING AND INCREASING NEEDS OF THE PEOPLE IN OUR COMMUNITIES. HEALTHCARE PROVIDERS MUST MAKE VERY CAREFUL AND STRATEGIC DECISIONS TO ENSURE THAT FUTURE NEEDS WILL BE MET. HOPE HAS TAKEN A LEADERSHIP ROLE IN RAISING AWARENESS AND SHAPING POLICY ON THE STATE AND NATIONAL LEVELS. HOPE'S PRESIDENT AND CEO, SAMIRA K. BECKWITH WAS APPOINTED BY FLORIDA GOVERNOR JEB BUSH TO HELP THE STATE CONCENTRATE ON PROVIDING MORE SERVICES TO ENHANCE THE QUALITY OF LIFE FOR SENIOR CITIZENS. GOVERNOR RICK SCOTT APPOINTED BECKWITH TO HIS HEALTH AND HUMAN SERVICES TRANSITION TEAM, TO ADDRESS MEDICAID REFORM, HEALTH, HEALTH-CARE ADMINISTRATION, CHILDREN AND FAMILIES, ELDER AFFAIRS, PERSONS WITH DISABILITIES AND VETERANS' AFFAIRS. BECKWITH ADDRESSED THE 2015 NATIONAL SUMMIT ON ADVANCED ILLNESS CARE: DRIVING CHANGE THROUGH LEADERSHIP, EVIDENCE AND ACTION IN WASHINGTON, D.C., SERVING ON A PANEL TITLED, "THE CONTINUUM OF CARE," WHERE SHE SHARED HOPE AS A MODEL FOR PROVIDING EXCEPTIONAL CARE AND SUPPORT TO INDIVIDUALS AND THEIR LOVED ONES AS THEY FULFILL LIFE'S JOURNEY. IN 2014, BECKWITH PARTICIPATED IN A U.S. SENATE SPECIAL COMMITTEE ON AGING PANEL IN WASHINGTON, D.C. THAT FOCUSED ON END-OF-LIFE ISSUES AND HOW THE PRIVATE SECTOR AND GOVERNMENT CAN BE MORE RESPONSIVE TO PATIENTS AND THEIR FAMILIES. HOPE WILL CONTINUE TO APPLY THE PRINCIPLES OF PALLIATIVE CARE ACROSS A LARGER CONTINUUM BEYOND END-OF-LIFE CARE, IN SEARCH OF NEW OPPORTUNITIES TO PROVIDE CARE TO MORE PEOPLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4C, HOPE HOSPICE'S PACE PROGRAM</FormAndLineReferenceDesc>
        <ExplanationTxt>PREVENTIVE, PRIMARY, ACUTE AND LONG-TERM CARE SERVICES ARE PROVIDED TO THE FRAIL ELDERLY THROUGH HOPE PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY), ENABLING THEM TO CONTINUE TO LIVE INDEPENDENTLY AT HOME. UPON ENROLLMENT, PARTICIPANTS MAY RECEIVE: - PRIMARY MEDICAL AND NURSING CARE - OCCUPATIONAL, PHYSICAL AND SPEECH THERAPY - MEDICATIONS AND MEDICAL EQUIPMENT - LABORATORY AND DIAGNOSTIC SERVICES - ALL NECESSARY PRESCRIPTION DRUGS - SKILLED HOME CARE AND PERSONAL CARE AIDES - HOSPITALIZATION, SKILLED NURSING FACILITY CARE AND END-OF-LIFE CARE -CARE FROM MEDICAL SPECIALISTS IN CARDIOLOGY, NEPHROLOGY, OPHTHALMOLOGY, DERMATOLOGY, ORTHOPEDICS, SURGERY AND PODIATRY - TRANSPORTATION TO MEDICAL APPOINTMENTS CURRENTLY SERVING APPROXIMATELY 260 CLIENTS THE ORIGINAL HOPE PACE PROGRAM IS LOCATED IN FORT MYERS. A CENTER IS NOW OPEN IN PORT CHARLOTTE, LEHIGH ACRES AND NAPLES. INCLUDED IN THE PACE PROGRAM IS AN ADULT DAY HEALTH PROGRAM THAT PROVIDES CLIENTS WITH ASSISTANCE WITH DAILY ACTIVITIES IN A CENTER SETTING. LIGHT EXERCISE SESSIONS HELP THE CLIENTS TO MAINTAIN BODY STRENGTH, PRIMARILY FOR BALANCE AND FALL PREVENTION. THE DAY ALSO INCLUDES REST PERIODS, GAMES, CRAFTS, GARDENING, ART, MUSIC AND PET THERAPY, AND EVEN DANCING IF DESIRED. A WARM LUNCH AND SNACKS ARE SERVED. PHYSICAL AND OCCUPATIONAL THERAPIES ARE AVAILABLE, AND A NURSE IS ALWAYS ON SITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEAR THE BOARD OF DIRECTORS DELEGATED BROAD AUTHORITY TO ACT ON ITS BEHALF TO AN EXECUTIVE COMMITTEE COMPOSED OF THE CHAIR, VICE CHAIR, SECRETARY, AND TREASURER. THE EXECUTIVE COMMITTEE IS AUTHORIZED TO HANDLE ANY MATTERS REFERRED TO IT BY THE BOARD OF DIRECTORS. IN ADDITION, IT IS AUTHORIZED ALL POWERS OF THE BOARD DURING THE INTERVAL BETWEEN MEETINGS OF THE BOARD, EXCEPT AND EXCLUDING PURCHASE, SALE, LEASE OR ENCUMBERING OF REAL PROPERTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec A, Line 2, Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>CHARLES IDELSON, SAMIRA BECKWITH, RICHARD ACKERT - BUSINESS RELATIONSHIP</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES), AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTOR'S ON MAY 19, 2015, PRIOR TO ITS FILING WITH THE IRS. IN ADDITION, THE MANAGEMENT PRESENTED A FORM 990 SUMMARY REPORT AT THIS MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>AS ORGANIZATION PERSONNEL, MEMBERS OF THE GOVERNING BODY AND ADVISORY BOARDS ARE COVERED UNDER ORGANIZATION'S CONFLICT OF INTEREST POLICY. IN THE EVENT THAT A SITUATION ARISES WHEREBY AN EMPLOYEE HAS A CONFLICT OF INTEREST, HE/SHE IS OBLIGATED TO REPORT THAT POTENTIAL TO THE PRESIDENT/CEO. DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST AND THE PRESIDENT/CEO'S DECISION REGARDING THE ACTIONS WILL BE NOTED IN A FILE KEPT BY THE PRESIDENT/CEO. IN THE EVENT A SITUATION EXISTS WHEREBY A MEMBER OF THE GOVERNING BODY OR ADVISORY COMMITTEE HAS A CONFLICT OF INTEREST, HE/SHE IS OBLIGATED TO REPORT THAT POTENTIAL TO THE GOVERNING BODY. THE GOVERNING BODY WILL THEN RENDER A DECISION OF THAT MEMBER'S ELIGIBILITY TO VOTE ON ANY PARTICULAR ISSUE. DISCLOSURE OF A POTENTIAL CONFLICT AND THE GOVERNING BODY'S DECISION REGARDING THE CONFLICT WILL BE NOTED IN THE MINUTES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT/CEO'S COMPENSATION IS ESTABLISHED AND APPROVED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE UTILIZES DATA PROVIDED BY INDEPENDENT COMPENSATION CONSULTANT STUDIES TO PROVIDE A BASIS FOR COMPARISON. ADDITIONALLY, AN APPRAISAL OF PERFORMANCE IS ALSO DISCUSSED WITH ALL BOARD MEMBERS. THE APPROVAL OF THE PRESIDENT/CEO'S COMPENSATION IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMPENSATION PROGRAM WHICH APPLIES TO ALL PERSONNEL EXCEPT THE PRESIDENT/CEO. THE POLICIES AND PROCEDURES DEFINE THE GENERAL RULES OF OPERATION OF THE COMPENSATION PROGRAM AND THE PRESIDENT/CEO AND BOARD RETAINS THE AUTHORITY TO REVISE THE POLICY AS NEEDED FOR THE EFFECTIVE MANAGEMENT OF THE PROGRAM. THE COMPENSATION PROGRAM WAS INITIALLY DEVELOPED BY AN INDEPENDENT HUMAN RESOURCE CONSULTANT AND IS REVIEWED AS NEEDED. THE SALARY STRUCTURE IS REVIEWED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec C, Line 19, Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. HOWEVER, THE FEDERAL FORM 990 IS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 , Part XI, Line 9, Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING - -381;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT/AUDITOR SELECTION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS OF ASSUMING RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="13000248" softwareVersion="2013v3.1">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>VISITING NURSES ASSOCIATION OF SW FLORIDA</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>3653 CENTRAL AVENUE</AddressLine1>
          <City>FORT MYERS</City>
          <State>FL</State>
          <ZIPCode>33901</ZIPCode>
        </USAddress>
        <EIN>596175593</EIN>
        <PrimaryActivitiesTxt>TO PROVIDE HOME AND COMMUNITY BASED HEALTH CARE SERVICES.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOPE HOSPICE &amp; COMMUNITY SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</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>
          <BusinessNameLine1>VISITING NURSES ASSOCIATION OF SW FLORIDA INC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>902564</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ORGANIZATION ACCOUNTING RECORDS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>VISITING NURSES ASSOCIATION OF SW FLORIDA INC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>936414</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ORGANIZATION'S ACCOUNTING RECORDS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>