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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACK CARROLL</PersonNm>
        <TitleTxt>EX-OFFICIO TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROLYN HAMPTON</PersonNm>
        <TitleTxt>EX-OFFICIO TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA TAYLOR</PersonNm>
        <TitleTxt>EX-OFFICIO TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DORIS REED</PersonNm>
        <TitleTxt>EX-OFFICIO TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAM WYNN</PersonNm>
        <TitleTxt>EX-OFFICIO TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES EBERT</PersonNm>
        <TitleTxt>EX-OFFICIO TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA ANDREWS</PersonNm>
        <TitleTxt>EX-OFFICIO TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN ERICKSON</PersonNm>
        <TitleTxt>CORPORATE EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>172477</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43754</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STACY DOBSON</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>149387</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18180</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HOWARD DEWITT</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR (CV)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>142749</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6500</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WADE ROZIER</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR (WP)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>131837</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32393</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURIE STALLINGS</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR (CG)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>148789</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14715</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEATHER MARCH</PersonNm>
        <TitleTxt>CAMPUS ADMINISTRATOR (CV)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>122305</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33861</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH EVERETTE</PersonNm>
        <TitleTxt>DIRECTOR OF NURSING (CG)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>112222</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5876</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL ROYCROFT</PersonNm>
        <TitleTxt>DIRECTOR OF MARKETING (CV)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>100765</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6680</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY MCCAFFREY-MURPHY</PersonNm>
        <TitleTxt>DIRECTOR OF CLINIC OPERATIONS (CV)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>100276</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4601</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1180807</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>166560</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>MORRISON MANAGEMENT SPECIALISTS</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>4721 MORRISON DRIVE STE 300</AddressLine1>
            <City>MOBILE</City>
            <State>AL</State>
            <ZIPCode>36625</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIETARY MANAGEMENT</ServicesDesc>
        <CompensationAmt>2403395</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>BRASFIELD &amp; GORRIE LLC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>3700 GLENWOOD AVENUE SUITE 300</AddressLine1>
            <City>RALEIGH</City>
            <State>NC</State>
            <ZIPCode>27612</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GENERAL CONTRACTOR</ServicesDesc>
        <CompensationAmt>2021429</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>LIFE CARE SERVICES LLC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>400 LOCUST STREET SUITE 820</AddressLine1>
            <City>DES MOINES</City>
            <State>IA</State>
            <ZIPCode>50309</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT COMPANY</ServicesDesc>
        <CompensationAmt>2006874</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>HERITAGE HEALTHCARE INC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>536 OLD HOWELL ROAD</AddressLine1>
            <City>GREENVILLE</City>
            <State>SC</State>
            <ZIPCode>29615</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY PROVIDER</ServicesDesc>
        <CompensationAmt>1409054</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>FRANK BLUM CONSTRUCTION</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 4153</AddressLine1>
            <City>WINSTON SALEM</City>
            <State>NC</State>
            <ZIPCode>27115</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GENERAL CONTRACTOR</ServicesDesc>
        <CompensationAmt>909406</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>27</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>1533172</AllOtherContributionsAmt>
      <NoncashContributionsAmt>437690</NoncashContributionsAmt>
      <TotalContributionsAmt>1533172</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>43119914</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>43119914</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID PAYMENTS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>8066673</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8066673</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>AMORT. OF ADVANCE FEES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>7021302</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7021302</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT FEE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>109988</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>109988</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>58317877</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1720990</TotalRevenueColumnAmt>
        <ExclusionAmt>1720990</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>13553</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>13553</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>13553</TotalRevenueColumnAmt>
        <ExclusionAmt>13553</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>8322030</SecuritiesAmt>
        <OtherAmt>12155</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>8220119</SecuritiesAmt>
        <OtherAmt>463724</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>101911</SecuritiesAmt>
        <OtherAmt>-451569</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-349658</TotalRevenueColumnAmt>
        <ExclusionAmt>-349658</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC OPERATING REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>-144148</TotalRevenueColumnAmt>
        <ExclusionAmt>-144148</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>LOSS ON DISCONTINUED EXPANSION PR</Desc>
        <BusinessCd>323000</BusinessCd>
        <TotalRevenueColumnAmt>-1380747</TotalRevenueColumnAmt>
        <ExclusionAmt>-1380747</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>3158</TotalRevenueColumnAmt>
        <ExclusionAmt>3158</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>-1521737</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>59714197</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>58317877</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-136852</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>23460</TotalAmt>
        <ProgramServicesAmt>23460</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>654858</TotalAmt>
        <ProgramServicesAmt>654858</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1135044</TotalAmt>
        <ManagementAndGeneralAmt>1135044</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>17232371</TotalAmt>
        <ProgramServicesAmt>15743753</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1488618</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>234573</TotalAmt>
        <ProgramServicesAmt>182466</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52107</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1991787</TotalAmt>
        <ProgramServicesAmt>1704012</ProgramServicesAmt>
        <ManagementAndGeneralAmt>287775</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1426096</TotalAmt>
        <ProgramServicesAmt>1244223</ProgramServicesAmt>
        <ManagementAndGeneralAmt>181873</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>2081608</TotalAmt>
        <ProgramServicesAmt>293771</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1787837</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>73838</TotalAmt>
        <ManagementAndGeneralAmt>73838</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>93740</TotalAmt>
        <ManagementAndGeneralAmt>93740</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>313915</TotalAmt>
        <ManagementAndGeneralAmt>313915</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>814411</TotalAmt>
        <ProgramServicesAmt>464176</ProgramServicesAmt>
        <ManagementAndGeneralAmt>350235</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>326690</TotalAmt>
        <ProgramServicesAmt>5272</ProgramServicesAmt>
        <ManagementAndGeneralAmt>321418</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>171897</TotalAmt>
        <ProgramServicesAmt>36</ProgramServicesAmt>
        <ManagementAndGeneralAmt>171861</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>2105552</TotalAmt>
        <ProgramServicesAmt>1383979</ProgramServicesAmt>
        <ManagementAndGeneralAmt>721573</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>45527</TotalAmt>
        <ProgramServicesAmt>19579</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25948</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>99712</TotalAmt>
        <ProgramServicesAmt>41258</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58454</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>5038024</TotalAmt>
        <ProgramServicesAmt>4908043</ProgramServicesAmt>
        <ManagementAndGeneralAmt>129981</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>7733000</TotalAmt>
        <ProgramServicesAmt>5082901</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2650099</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>718837</TotalAmt>
        <ManagementAndGeneralAmt>718837</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>4071203</TotalAmt>
        <ProgramServicesAmt>4071203</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTED LABOR</Desc>
        <TotalAmt>3869030</TotalAmt>
        <ProgramServicesAmt>3441417</ProgramServicesAmt>
        <ManagementAndGeneralAmt>427613</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ANCILLARY EXPENSES</Desc>
        <TotalAmt>2843332</TotalAmt>
        <ProgramServicesAmt>2843332</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND MA</Desc>
        <TotalAmt>920118</TotalAmt>
        <ProgramServicesAmt>836825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83293</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1574534</TotalAmt>
        <ProgramServicesAmt>955115</ProgramServicesAmt>
        <ManagementAndGeneralAmt>619419</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>55593157</TotalAmt>
        <ProgramServicesAmt>43899679</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11693478</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1400</BOYAmt>
        <EOYAmt>3555</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>16150062</BOYAmt>
        <EOYAmt>30523786</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1897697</BOYAmt>
        <EOYAmt>3508856</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2624255</BOYAmt>
        <EOYAmt>2766888</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>103736</BOYAmt>
        <EOYAmt>133121</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>536460</BOYAmt>
        <EOYAmt>771784</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>204267024</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>72632553</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>100073085</BOYAmt>
        <EOYAmt>131634471</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>36236963</BOYAmt>
        <EOYAmt>59522871</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>31129</BOYAmt>
        <EOYAmt>31320</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
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        <ExplanationTxt>CHANGE IN SPLIT INTEREST AGREEMENT 161,987. CHANGE IN VALUE OF PLEDGES -90,832. SPECIFIC INDIVIDUAL ASSISTANCE -635,158. BEAUTY AND BARBER EXPENSE -179,286. PATIENT SERVICE REVENUE DISCOUNTS -627,233. CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 239,862. BAD DEBT EXPENSE OR RECOVERY 7,242.</ExplanationTxt>
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        <ExplanationTxt>SPECIFIC INDIVIDUAL ASSISTANCE 635,158. BEAUTY &amp; BARBER EXPENSE 179,286. PATIENT SERVICE REVENUE DISCOUNTS 627,233. BAD DEBT EXPENSE OR RECOVERY -7,242.</ExplanationTxt>
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        <ExplanationTxt>UPON REVIEW OF EACH RESIDENT'S INDIVIDUAL FINANCIAL SITUATION, THE COMPANY MAY PERMIT THE RESIDENT TO REMAIN AT THE FACILITY FOR A LESSER FEE BASED ON THE RESIDENT'S ABILITY TO PAY BUT ONLY AFTER MEETING ALL OF THE SPEND-DOWN PROVISIONS OF ELIGIBILITY FOR THE MEDICAID PROGRAM AND ANY PUBLIC ASSISTANCE FUNDS. THE UNITED METHODIST RETIREMENT HOMES HAS FOUR POST-SECONDARY EDUCATION SCHOLARSHIP PROGRAMS FOR EMPLOYEES OF UNITED METHODIST RETIREMENT HOMES AND ITS CONTRACTORS. THE SCHOLARSHIPS ARE FUNDED BY DONORS AND ARE AWARDED ANNUALLY. SCHOLARSHIP RECIPIENTS ARE NOMINATED BY THEIR MANAGEMENT AND ARE SELECTED BY A THREE-MEMBER COMMITTEE COMPRISING THE MANAGER OF THE SCHOLARSHIP APPLICANTS, THE DIRECTORS OF HUMAN RESOURCES FOR CROASDAILE VILLAGE AND CYPRESS GLEN, AND THE VICE PRESIDENT OF THE UNITED METHODIST RETIREMENT HOMES FOUNDATION. THE COMMITTEE MAKES SELECTIONS OF SCHOLARSHIP RECIPIENTS BASED ON THE POLICY FOR DONOR-DIRECTED SCHOLARSHIP FUNDS, AND ON THE DONOR'S CRITERIA FOR AWARDING THE SCHOLARSHIP.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURIE STALLINGS</PersonNm>
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    <IRS990ScheduleK documentId="RetDoc1053100001">
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        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
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        <VariableRateIssueInd>1</VariableRateIssueInd>
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          <BusinessNameLine1>BB&amp;T</BusinessNameLine1>
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        <BondReferenceCd>A</BondReferenceCd>
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        <BondReferenceCd>A</BondReferenceCd>
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          <BusinessNameLine1>NORTH CAROLINA MEDICAL CARE COMMISSION</BusinessNameLine1>
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        <BondReferenceCd>A</BondReferenceCd>
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        <RefundingEscrowAmt>7971578</RefundingEscrowAmt>
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        <BondReferenceCd>A</BondReferenceCd>
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        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>1</Form8038TFiledInd>
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        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
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        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>8</ContributionCnt>
        <NoncashContributionsRptF990Amt>437690</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>HI-LOW AVERAGE</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER ON PART I REPRESENTS CONTRIBUTORS.</ExplanationTxt>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>AT OCTOBER 1, 2013 CYPRESS GLEN RETIREMENT COMMUNITY(CYPRESS GLEN) EIN 56-1961935, IRC CODE SEC 501(C)(3) MERGED WITH THE UNITED METHODIST RETIREMENT HOMES, INC (UMRH), EIN 56-0634527, IRC CODE SEC 501(C)(3) . UMRH IS THE SURVIVING ENTITY. THE MERGED ENTITY, THE UNITED METHODIST RETIREMENT HOMES, INC CONTINUES WITH THE ARTICLES OF INCORPORATION AND BY-LAWS OF UMRH. THE CURRENT BOARD OF TRUSTEES IS COMPRISED OF THE FORMER TRUSTEES OF CYPRESS GLEN AND UMRH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JONATHAN ERICKSON (CORPORATE EXECUTIVE DIRECTOR) AND STACY DOBSON (CHIEF FINANCIAL OFFICER) SERVE AS OFFICERS OF UNITED METHODIST RETIREMENT HOMES AFFORDABLE HOUSING, INC. JONATHAN ERICKSON IS THE PRESIDENT OF UMRH AFFORDABLE HOUSING, INC. THE FOLLOWING MEMBERS OF THE BOARD OF TRUSTEES ARE ALSO MEMBERS OF THE BOARD OF TRUSTEES FOR UNITED METHODIST RETIREMENT HOMES FOUNDATION, INC., A RELATED ENTITY DISCLOSED ON SCHEDULE R: JONATHAN ERICKSON, STACY DOBSON, JD ADAMS, JOHN GRISSOM, CARL HAMILL, LEE HARRISS, DON METZGER, GARY WHALEY, ARTIE ROGERS, AND NANCY MARKS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ADOPTED AMENDED BYLAWS IN OCTOBER 2013. BYLAWS WERE AMENDED FOR THE MERGER OF CYPRESS GLEN RETIREMENT COMMUNITY INTO UMRH, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CHIEF FINANCIAL OFFICER REVIEWS THE 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE UMRH, INC. BOARD FILLS OUT THE CONFLICT OF INTEREST POLICY FORM EACH SEPTEMBER NOTING ANY CONTINUED CONFLICTS OF INTEREST. NEW BOARD MEMBERS ARE ORIENTED TO THE POLICY AND SIGN THE FORM UPON BECOMING MEMBERS. EACH BOARD MEMBER IS REQUIRED TO DISCLOSE ANY CONFLICTS TO THE CHAIRMAN PRIOR TO A VOTE BEING TAKEN. THE MEMBER MUST ABSTAIN FROM VOTING. THE CONFLICT OF INTEREST POLICY IS ALSO REVIEWED FOR THE EMPLOYEES AT ORIENTATION AND AT ANNUAL REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ROUTINELY CONSULTS THE SERVICES OF AN OUTSIDE AGENCY TO EVALUATE THE ORGANIZATION'S WAGE SCALES AND PAY GRADES. THE RESULTING WAGE SCALE AND THE EMPLOYEE'S PERFORMANCE AND ACCOMPLISHMENTS ARE CONSIDERED IN THE ANNUAL REVIEW PROCESS. IN SOME INSTANCES, A SOFTWARE PROGRAM CALLED "PERFORMANCE NOW" IS USED TO SIMPLIFY THE COMMUNICATION OF THE REVIEW AND ITS RESULTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN SPLIT INTEREST AGREEMENT 161,987. CHANGE IN VALUE OF PLEDGES -90,832. CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 239,862. ACQUISITION OF CYPRESS GLEN RETIREMENT COMMUNITY NET ASSETS 13,821,488.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A</FormAndLineReferenceDesc>
        <ExplanationTxt>HOURS TO RELATED ORGANIZATION: JONATHAN ERICKSON - 1 HOUR PER WEEK TO UNITED METHODIST HOMES FOUNDATION, INC. AS A MEMBER OF THE BOARD OF TRUSTEES. THE FOLLOWING MEMBERS OF THE BOARD OF TRUSTEES ARE ALSO MEMBERS OF THE BOARD OF TRUSTEES FOR UNITED METHODIST RETIREMENT HOMES FOUNDATION, INC. AND PROVIDE 1 HOUR OF SERVICE PER WEEK: STACY DOBSON, JD ADAMS, JOHN GRISSOM, CARL HAMILL, LEE HARRISS, DON METZGER, ARTIE ROGERS, GARY WHALEY, AND NANCY MARKS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A, COLUMN F</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN COLUMN F, PART VII AND NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS.</ExplanationTxt>
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          <AddressLine1>2600 CROASDAILE FARM PKWY STE A-500</AddressLine1>
          <City>DURHAM</City>
          <State>NC</State>
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