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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PHIL STEENBERGEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TANYA J TYLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLA R WHALEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRAN MARKO</PersonNm>
        <TitleTxt>ADMINISTRATOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>140856</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>60811</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEITH ROBERT KNAPP</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>235415</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29676</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM R MARSHALL</PersonNm>
        <TitleTxt>EXEC VP &amp; COO</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>207401</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27218</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY LYNN SPALDING</PersonNm>
        <TitleTxt>VP OF HCBS</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>169315</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5931</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NICHOLAS ANDREW HARSHFIELD</PersonNm>
        <TitleTxt>VP OF FINANCE &amp; CFO</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>168875</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27211</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA ANNE COLVIN POPP</PersonNm>
        <TitleTxt>VICE PRES HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>133559</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20566</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM H COLLINS</PersonNm>
        <TitleTxt>EXEC DIR-CORBIN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>112664</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16210</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAYMOND ALLEN DICKISON JR</PersonNm>
        <TitleTxt>EXEC DIR-LOUISVILLE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>136470</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13249</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ISREAL RAY</PersonNm>
        <TitleTxt>EXEC DIR-HOPKINSVILLE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>127063</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12707</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>517053</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>914565</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>213579</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>REHAB CARE</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 503534</AddressLine1>
            <City>ST LOUIS</City>
            <State>MO</State>
            <ZIPCode>631503534</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>3133233</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>MED CARE PHARMACY</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>603 WEST MAIN STREET</AddressLine1>
            <City>GLASGOW</City>
            <State>KY</State>
            <ZIPCode>42141</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY SERVICES</ServicesDesc>
        <CompensationAmt>1417661</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>GORDON FOOD SERV-ID</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PAYMENT PROCESSING CENTER DEPT CH 1</AddressLine1>
            <City>PALATINE</City>
            <State>IL</State>
            <ZIPCode>600550490</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIETARY SERVICES</ServicesDesc>
        <CompensationAmt>1223304</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>MCKESSON MEDICAL SURGICAL</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>MINNESOTA SUPPLY INC PO BOX 27100</AddressLine1>
            <City>GOLDEN VALLEY</City>
            <State>MN</State>
            <ZIPCode>554270100</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OTHER SERVICES</ServicesDesc>
        <CompensationAmt>891737</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>FREDRICK ASSET PROTECTION</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1505 ROASEWOOD AVE 19</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40204</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY</ServicesDesc>
        <CompensationAmt>238773</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>1095870</AllOtherContributionsAmt>
      <NoncashContributionsAmt>171951</NoncashContributionsAmt>
      <TotalContributionsAmt>1095870</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID PAYMENTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>25057048</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25057048</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NURSING CARE/PHARMACY</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>4340615</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4340615</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>APT RENTAL/SERVICE FEES</Desc>
        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>2274441</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2274441</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FEES AND CONTRACTS FROM GOVERNMEN</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>89879</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>89879</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT AND CONSULTING SERVICE</Desc>
        <BusinessCd>541610</BusinessCd>
        <TotalRevenueColumnAmt>33893</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>33893</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>31795876</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>420702</TotalRevenueColumnAmt>
        <ExclusionAmt>420702</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>18110</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>18110</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>18110</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>18110</UnrelatedBusinessRevenueAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>7033465</SecuritiesAmt>
        <OtherAmt>4855</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>6471023</SecuritiesAmt>
        <OtherAmt>71512</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>562442</SecuritiesAmt>
        <OtherAmt>-66657</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>495785</TotalRevenueColumnAmt>
        <ExclusionAmt>495785</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>101703</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>33049</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>68654</TotalRevenueColumnAmt>
        <ExclusionAmt>68654</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEALS/VENDING/LAUNDRY</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>203992</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>203992</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>TV/PHONE</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>36721</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>36721</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>GUEST APT/BEAUTY SHOP</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>17891</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17891</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>13593</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13593</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>272197</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>34167194</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32068073</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>18110</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>985141</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>747003</TotalAmt>
        <ProgramServicesAmt>675522</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71481</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>13755702</TotalAmt>
        <ProgramServicesAmt>12439414</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1316288</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1458</TotalAmt>
        <ManagementAndGeneralAmt>1458</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2095879</TotalAmt>
        <ProgramServicesAmt>1932912</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162967</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1051358</TotalAmt>
        <ProgramServicesAmt>946877</ProgramServicesAmt>
        <ManagementAndGeneralAmt>104481</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>2665588</TotalAmt>
        <ProgramServicesAmt>3996</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2661592</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>43065</TotalAmt>
        <ProgramServicesAmt>43065</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>37937</TotalAmt>
        <ManagementAndGeneralAmt>37937</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1685293</TotalAmt>
        <ProgramServicesAmt>1672634</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12659</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>211277</TotalAmt>
        <ProgramServicesAmt>211277</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1580259</TotalAmt>
        <ProgramServicesAmt>1569872</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10387</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1464662</TotalAmt>
        <ProgramServicesAmt>1464662</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>131726</TotalAmt>
        <ProgramServicesAmt>130798</ProgramServicesAmt>
        <ManagementAndGeneralAmt>928</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>33742</TotalAmt>
        <ProgramServicesAmt>29668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4074</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>702687</TotalAmt>
        <ProgramServicesAmt>499919</ProgramServicesAmt>
        <ManagementAndGeneralAmt>202768</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>1544488</TotalAmt>
        <ProgramServicesAmt>1528820</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15668</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>490368</TotalAmt>
        <ProgramServicesAmt>481882</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8486</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>ANCILLARY FEES</Desc>
        <TotalAmt>4552137</TotalAmt>
        <ProgramServicesAmt>4552137</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD/DAIRY</Desc>
        <TotalAmt>1284322</TotalAmt>
        <ProgramServicesAmt>1284322</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES, DUES, AND FEE</Desc>
        <TotalAmt>451526</TotalAmt>
        <ProgramServicesAmt>269961</ProgramServicesAmt>
        <ManagementAndGeneralAmt>181565</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY</Desc>
        <TotalAmt>103184</TotalAmt>
        <ProgramServicesAmt>103184</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>34633661</TotalAmt>
        <ProgramServicesAmt>29840922</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4792739</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>133360</BOYAmt>
        <EOYAmt>73636</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2389041</BOYAmt>
        <EOYAmt>2474449</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4725295</BOYAmt>
        <EOYAmt>4131227</EOYAmt>
      </AccountsReceivableGrp>
      <LandBldgEquipCostOrOtherBssAmt>47425544</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>23218482</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>24937409</BOYAmt>
        <EOYAmt>24207062</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>19498148</BOYAmt>
        <EOYAmt>18648128</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>569036</BOYAmt>
        <EOYAmt>498054</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>40412485</BOYAmt>
        <EOYAmt>43168145</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>92664774</BOYAmt>
        <EOYAmt>93200701</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3404825</BOYAmt>
        <EOYAmt>4092935</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>233363</BOYAmt>
        <EOYAmt>161558</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>16043319</BOYAmt>
        <EOYAmt>15777185</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>8186056</BOYAmt>
        <EOYAmt>8866979</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>21884376</BOYAmt>
        <EOYAmt>20386028</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>49751939</BOYAmt>
        <EOYAmt>49284685</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>36890082</BOYAmt>
        <EOYAmt>37740022</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>368435</BOYAmt>
        <EOYAmt>521676</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>5654318</BOYAmt>
        <EOYAmt>5654318</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>42912835</BOYAmt>
        <EOYAmt>43916016</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
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        <PoolFinancingInd>0</PoolFinancingInd>
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        <BondReferenceCd>A</BondReferenceCd>
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        <SubstantialCompletionYr>1994</SubstantialCompletionYr>
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        <AdvanceRefundingInd>0</AdvanceRefundingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        <AdvanceRefundingInd>0</AdvanceRefundingInd>
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        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
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        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
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          <BusinessNameLine1>MORGAN STANLEY</BusinessNameLine1>
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        <SuperintegratedHedgeInd>0</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>0</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
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        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
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    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesMiscellaneousGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>171951</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesMiscellaneousGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD AND MADE AVAILABLE TO ALL BOARD MEMBERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON ELECTION TO THE BOARD OF DIRECTORS, THE MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT. ON AN ANNUAL BASIS, EACH BOARD MEMBER IS ASKED TO ASSESS WHETHER THEY HAVE A CONFLICT OF INTEREST, AND TO TAKE APPROPRIATE ACTION IF A CONFLICT EXISTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PARTICIPATES IN REGULAR SALARY SURVEYS THAT COMPARE SALARIES PAID FOR POSITIONS AT CHRISTIAN CARE TO THOSE PAID IN OTHER ORGANIZATIONS. IN ADDITION, CHRISTIAN CARE'S BOARD OF DIRECTORS COMPENSATION TASKFORCE EXAMINES PAY LEVELS AND STRUCTURES ANNUALLY AND EVALUATES THE STRATEGIC AND OPERATIONAL EFFECTIVENESS OF CURRENT PAY PROGRAMS. TASKFORCE MEMBERS MONITOR INDUSTRY AND BROADER MARKET BEST PRACTICES AND EMERGING TRENDS BY REVIEWING THE ANNUAL SURVEY SPONSORED BY THE LEADING AGE THROUGH THE CHIEF EXECUTIVES OF MULTI-FACILITY ORGANIZATIONS (CEMO) CONDUCTED BY THE RODEGHERO CONSULTING GROUP. THIS ANNUAL REVIEW IS BUILT INTO FORMAL AGENDAS BY THE TASKFORCE CHAIR AND MANAGEMENT. EVALUATION IS A CONTINUOUS PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>MADE AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON INTEREST RATE SWAP 1,093,265.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART X1, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS OF AUDIT OVERSIGHT HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
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        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>12710 TOWNEPARK WAY</AddressLine1>
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          <State>KY</State>
          <ZIPCode>40243</ZIPCode>
        </USAddress>
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      </IdDisregardedEntitiesGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>CCHK - CORBIN PROPERTIES</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>1365 MASTERS STREET 101</AddressLine1>
          <City>CORBIN</City>
          <State>KY</State>
          <ZIPCode>40701</ZIPCode>
        </USAddress>
        <EIN>611352468</EIN>
        <PrimaryActivitiesTxt>RESIDENTIAL RENTAL PROPERTY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHRISTIAN CARE COMMUNITIES</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-10</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1370677</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
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      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>GARDEN GRACE LTD</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>PO BOX 619</AddressLine1>
          <City>LEITCHFIELD</City>
          <State>KY</State>
          <ZIPCode>42755</ZIPCode>
        </USAddress>
        <EIN>203231812</EIN>
        <PrimaryActivitiesTxt>RESIDENTIAL RENTAL PROPERTY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>GARRY WATKINS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
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        <ShareOfEOYAssetsAmt>258011</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>1</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>1</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
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          <BusinessNameLine1>CHRISTIAN CARE COMMUNITIES INC - GROUP</BusinessNameLine1>
        </OtherOrganizationName>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>