﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2010v3.4">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-08-05T13:19:25-05:00</Timestamp>
    <TaxPeriodEndDate>2010-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>RENNER AND COMPANY CPA PC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>700 NORTH FAIRFAX ST SUITE 400</AddressLine1>
        <City>ALEXANDRIA</City>
        <State>VA</State>
        <ZIPCode>22314</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>541096334</EIN>
      <Name>
        <BusinessNameLine1>NATIONAL HOSPICE AND PALLIATIVE CARE</BusinessNameLine1>
        <BusinessNameLine2>ORGANIZATION INC</BusinessNameLine2>
      </Name>
      <NameControl>NATI</NameControl>
      <Phone>7038371500</Phone>
      <USAddress>
        <AddressLine1>1731 KING STREET NO 100</AddressLine1>
        <City>ALEXANDRIA</City>
        <State>VA</State>
        <ZIPCode>22314</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>GALEN MILLER</Name>
      <Title>EXECUTIVE VICE PRESIDENT</Title>
      <Phone>7038371500</Phone>
      <DateSigned>2011-08-05</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>JOAN MRENNER</Name>
      <Phone>7035351200</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-03-07 17:11:31Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="10">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>J DONALD SCHUMACHER</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>1731 KING STREET NO 100</AddressLine1>
        <City>ALEXANDRIA</City>
        <State>VA</State>
        <ZIPCode>22314</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>13537127</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.NHPCO.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1978</YearFormation>
      <StateLegalDomicile>DC</StateLegalDomicile>
      <ActivityOrMissionDescription>TO LEAD AND MOBILIZE SOCIAL CHANGE FOR IMPROVED CARE AT THE END OF LIFE.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>27</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>26</NbrIndependentVotingMembers>
      <TotalNbrEmployees>68</TotalNbrEmployees>
      <TotalNbrVolunteers>26</TotalNbrVolunteers>
      <TotalGrossUBI>74994</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>6862555</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>7762978</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>2741138</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>3240211</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>-146721</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>140239</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>2250190</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>1435528</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>11707162</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>12578956</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>935820</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>903824</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>5887449</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>5406872</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>454885</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>5977663</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>5965373</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>12800932</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>12276069</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-1093770</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>302887</RevenuesLessExpensesCY>
      <TotalAssetsBOY>7955922</TotalAssetsBOY>
      <TotalAssetsEOY>12163267</TotalAssetsEOY>
      <TotalLiabilitiesBOY>4815005</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>8714696</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>3140917</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>3448571</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>TO LEAD AND MOBILIZE SOCIAL CHANGE FOR IMPROVED CARE AT THE END OF LIFE.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>5728335</Expense>
      <Grants>497103</Grants>
      <Revenue>6830517</Revenue>
      <Description>PROVIDE SUPPORT AND ACCESS - BUILD PROVIDER CAPACITY TO ENSURE ACCESS TO HIGH QUALITY END-OF-LIFE CARE.</Description>
      <Activity2>
        <Expense>745603</Expense>
        <Grants>63268</Grants>
        <Revenue>889064</Revenue>
        <Description>MEMBERSHIP AND PRODUCT SERVICES - PROVIDE TECHNICAL ASSISTANCE AND EDUCATION TO MEMBERS AND THE PUBLIC WITH PRODUCTS THAT PROMOTE THE PRINCIPLES OF HOSPICE AND PALLIATIVE CONCEPTS.</Description>
      </Activity2>
      <Activity3>
        <Expense>2245845</Expense>
        <Grants>198841</Grants>
        <Revenue>2677965</Revenue>
        <Description>PUBLIC POLICY AND ADVOCACY - PROVIDE PUBLIC WITH THE INFORMATION AND THE MEANS TO BE A HOSPICE ADVOCATE.</Description>
      </Activity3>
      <ActivityOther>
        <Expense>1623006</Expense>
        <Grants>144612</Grants>
        <Revenue>1935287</Revenue>
        <Description>PHILANTHROPY - PROVIDE FUNDING RESOURCES TO HOSPICES AND TO ADVOCATE THE INDUSTRY OF HOSPICE AND PALLIATIVE CARE.</Description>
      </ActivityOther>
      <TotalOfOtherProgramServiceExp>1623006</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceGrnt>144612</TotalOfOtherProgramServiceGrnt>
      <TotalOfOtherProgramServiceRev>1935287</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>10342789</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="RetDoc1039600001">0</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="RetDoc1039600001">1</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1039900001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1039900001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1039900001">1</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1039900001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1039900001">0</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1039900001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1039900001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1039900001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1039900001">0</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1039900001">0</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1039900001">0</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1039900001">0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1039900001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="RetDoc1041900001">0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="RetDoc1053100001">1</TaxExemptBonds>
      <InvestTaxExemptBonds>0</InvestTaxExemptBonds>
      <EscrowAccount>0</EscrowAccount>
      <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity>1</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">1</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>97</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>68</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>1</UnrelatedBusinessIncome>
      <Form990-TFiled>1</Form990-TFiled>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>27</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>26</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>1</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>CATHY GIBNEY CPA</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>7038373129</TelephoneNumber>
        <AddressUS>
          <AddressLine1>1731 KING ST</AddressLine1>
          <City>ALEXANDRIA</City>
          <State>VA</State>
          <ZIPCode>22314</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>GRETCHEN MARCUM BROWN MSW</NamePerson>
        <Title>CHAIR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>J DONALD SCHUMACHER PSYD</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>429496</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>36131</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JANET L JONES BSN FAAMA</NamePerson>
        <Title>VICE CHAIR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RONALD A FRIED</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINDA L ROCK BA</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SAMIRA BECKWITH MSW FACHE</NamePerson>
        <Title>NATIONAL DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TARA L BRODBECK MS RN CHPN</NamePerson>
        <Title>NATIONAL DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KAVIN CARTMELL RN CHPN</NamePerson>
        <Title>NATIONAL DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ELIZABETH J CLARK PHD</NamePerson>
        <Title>NATIONAL DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KATE CUMMINGS BSN MA PHN</NamePerson>
        <Title>NATIONAL DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TONI CUTSON MD MHS</NamePerson>
        <Title>PALLIATIVE CARE DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRICKSON DIAMOND</NamePerson>
        <Title>NHF REPRESENTATIVE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHELE FEDDERLY EDD</NamePerson>
        <Title>COUNCIL OF STATES REPRESENTATIVE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LIZ GWYTHER</NamePerson>
        <Title>INTERNATIONAL OBSERVER</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRAD HUNTER</NamePerson>
        <Title>SOUTHEAST GEOGRAPHIC AREA REPRESENTATIVE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DALE O KNEE PHD</NamePerson>
        <Title>NATIONAL DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARY J LABYAK MSSW LCSW</NamePerson>
        <Title>SPHERE OF INFLUENCE/EXPERTISE DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT A LEFTON</NamePerson>
        <Title>NATIONAL DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SUSAN D LLOYD MSN RN</NamePerson>
        <Title>NORTHEAST GEOGRAPHICAL REPRESENTATIVE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REBECCA MCDONALD</NamePerson>
        <Title>FHSSA REPRESENTATIVE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LAURA MILLER RN MBA</NamePerson>
        <Title>WEST GEOGRAPHICAL REPRESENTATIVE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK M MURRAY BS</NamePerson>
        <Title>GREAT LAKES GEOGRAPHICAL REPRESENTATIVE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GLORIA RAMSEY JD RN FAAN</NamePerson>
        <Title>SPHERE OF INFLUENCE/EXPERTISE DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SHAREEFAH SABUR MA MNO CDP</NamePerson>
        <Title>NCHPP REPRESENTATIVE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DARLA SCHUETH RN MBA</NamePerson>
        <Title>NATIONAL DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARTHA TWADDLE MD</NamePerson>
        <Title>PALLIATIVE CARE DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ZACHARY MORFOGEN</NamePerson>
        <Title>FOUNDING CHAIRMAN EMERITUS</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KATHERINE BRANDT</NamePerson>
        <Title>SENIOR VICE PRESIDENT - EDUCATION</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>154747</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>17381</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CATHY GIBNEY</NamePerson>
        <Title>SENIOR VICE PRESIDENT - ADMINISTRATION</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>157603</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>17395</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JONATHAN KEYSERLING</NamePerson>
        <Title>SENIOR VICE PRESIDENT - HEALTH POLICY</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>196012</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20893</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JUDI LUND PERSON</NamePerson>
        <Title>VICE PRESIDENT - COMPLIANCE</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>156300</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>17776</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN MASTROJOHN</NamePerson>
        <Title>SENIOR VICE PRESIDENT - PHILANTHROPY</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>161719</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>18138</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GALEN MILLER</NamePerson>
        <Title>EXECUTIVE VICE PRESIDENT</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>246869</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>24225</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAMALA BOUCHARD</NamePerson>
        <Title>VICE PRESIDENT - MEMBERSHIP</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>235956</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>22260</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PHILIP DISORBO</NamePerson>
        <Title>SENIOR TECHNICAL ADVISOR</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>126742</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15291</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JENNIFER KENNEDY</NamePerson>
        <Title>REGULATORY AND COMPLIANCE DIRECTOR</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>112931</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>14299</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JON RADULOVIC</NamePerson>
        <Title>VICE PRESIDENT - COMMUNICATIONS</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>121688</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15412</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SHELLEY SMITH</NamePerson>
        <Title>DIRECTOR - FHSSA</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>119801</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>14749</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EMIL ZUBERBUELER</NamePerson>
        <Title>DIRECTOR - STRATEGIC PROGRAMS</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>119449</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15417</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2339313</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>249367</TotalOtherCompensation>
      <NumberIndividualsGT100K>13</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>LORI ADAMS LEIS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>521 GOLDFINCH LANE</AddressLine1>
            <City>AMBLER</City>
            <State>PA</State>
            <ZIPCode>19002</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>GRAPHIC DESIGN</DescriptionOfServices>
        <Compensation>253733</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>FREE RANGE STUDIOS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1605 CONNECTICUT AVE NW 4TH FL</AddressLine1>
            <City>WASHINGTON</City>
            <State>DC</State>
            <ZIPCode>20009</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>WEB DESIGN</DescriptionOfServices>
        <Compensation>170969</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>THE MORAN COMPANY LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1655 N FORT MYER DRIVE SUITE 1250</AddressLine1>
            <City>ARLINGTON</City>
            <State>VA</State>
            <ZIPCode>22209</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HEALTH CARE RESEARCH CONSULTANTS</DescriptionOfServices>
        <Compensation>163375</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>HOGAN LOVELLS US LLP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>555 THIRTEENTH STREET NW</AddressLine1>
            <City>WASHINGTON</City>
            <State>DC</State>
            <ZIPCode>20004</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LEGAL AND LOBBYING SERVICES</DescriptionOfServices>
        <Compensation>109800</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>4</NumberOfContractorsGT100K>
      <MembershipDues>6658895</MembershipDues>
      <RelatedOrganizations>879031</RelatedOrganizations>
      <AllOtherContributions>225052</AllOtherContributions>
      <TotalContributions>7762978</TotalContributions>
      <ProgramServiceRevenue>
        <Description>CONFERENCES &amp; SYMPOSIA</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>2203580</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2203580</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CONTRACTUAL REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>842393</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>842393</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PUBLICATIONS</Description>
        <BusinessCode>511190</BusinessCode>
        <TotalRevenueColumn>119244</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>119244</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>ADVERTISING</Description>
        <BusinessCode>541800</BusinessCode>
        <TotalRevenueColumn>74994</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>74994</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>3240211</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>81252</TotalRevenueColumn>
        <ExclusionAmount>81252</ExclusionAmount>
      </InvestmentIncome>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>109302</TotalRevenueColumn>
        <ExclusionAmount>109302</ExclusionAmount>
      </RoyaltiesRevenue>
      <GrossAmountSalesAssets>
        <Securities>543157</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>484170</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>58987</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>58987</TotalRevenueColumn>
        <ExclusionAmount>58987</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossSalesOfInventory>986798</GrossSalesOfInventory>
      <CostOfGoodsSold>474001</CostOfGoodsSold>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>512797</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>512797</RelatedOrExemptFunctionIncome>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>SHARED RESOURCE REIMBU</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>703958</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>703958</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>109471</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>109471</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>813429</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>12578956</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4491443</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>74994</UnrelatedBusinessRevenue>
        <ExclusionAmount>249541</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>903824</Total>
        <ProgramServices>903824</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>1912901</Total>
        <ProgramServices>1587708</ProgramServices>
        <ManagementAndGeneral>248677</ManagementAndGeneral>
        <Fundraising>76516</Fundraising>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>2700012</Total>
        <ProgramServices>2241010</ProgramServices>
        <ManagementAndGeneral>351002</ManagementAndGeneral>
        <Fundraising>108000</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>349558</Total>
        <ProgramServices>290133</ProgramServices>
        <ManagementAndGeneral>45443</ManagementAndGeneral>
        <Fundraising>13982</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>87878</Total>
        <ProgramServices>72938</ProgramServices>
        <ManagementAndGeneral>11424</ManagementAndGeneral>
        <Fundraising>3516</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>356523</Total>
        <ProgramServices>295914</ProgramServices>
        <ManagementAndGeneral>46348</ManagementAndGeneral>
        <Fundraising>14261</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>68838</Total>
        <ProgramServices>57135</ProgramServices>
        <ManagementAndGeneral>8949</ManagementAndGeneral>
        <Fundraising>2754</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>45000</Total>
        <ProgramServices>37350</ProgramServices>
        <ManagementAndGeneral>5850</ManagementAndGeneral>
        <Fundraising>1800</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>66000</Total>
        <ProgramServices>54780</ProgramServices>
        <ManagementAndGeneral>8580</ManagementAndGeneral>
        <Fundraising>2640</Fundraising>
      </FeesForServicesLobbying>
      <FeesForServicesInvstMgmntFees>
        <Total>29173</Total>
        <ProgramServices>24214</ProgramServices>
        <ManagementAndGeneral>3792</ManagementAndGeneral>
        <Fundraising>1167</Fundraising>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>938176</Total>
        <ProgramServices>778686</ProgramServices>
        <ManagementAndGeneral>121963</ManagementAndGeneral>
        <Fundraising>37527</Fundraising>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>320837</Total>
        <ProgramServices>266294</ProgramServices>
        <ManagementAndGeneral>41709</ManagementAndGeneral>
        <Fundraising>12834</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>480786</Total>
        <ProgramServices>399053</ProgramServices>
        <ManagementAndGeneral>62502</ManagementAndGeneral>
        <Fundraising>19231</Fundraising>
      </InformationTechnology>
      <Occupancy>
        <Total>343846</Total>
        <ProgramServices>285392</ProgramServices>
        <ManagementAndGeneral>44700</ManagementAndGeneral>
        <Fundraising>13754</Fundraising>
      </Occupancy>
      <Travel>
        <Total>766191</Total>
        <ProgramServices>635938</ProgramServices>
        <ManagementAndGeneral>99605</ManagementAndGeneral>
        <Fundraising>30648</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>913259</Total>
        <ProgramServices>758006</ProgramServices>
        <ManagementAndGeneral>118724</ManagementAndGeneral>
        <Fundraising>36529</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>9952</Total>
        <ProgramServices>8260</ProgramServices>
        <ManagementAndGeneral>1294</ManagementAndGeneral>
        <Fundraising>398</Fundraising>
      </Interest>
      <DepreciationDepletion>
        <Total>345637</Total>
        <ProgramServices>286879</ProgramServices>
        <ManagementAndGeneral>44933</ManagementAndGeneral>
        <Fundraising>13825</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>37114</Total>
        <ProgramServices>30805</ProgramServices>
        <ManagementAndGeneral>4825</ManagementAndGeneral>
        <Fundraising>1484</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>DONATIONS, AWARDS, AND</Description>
        <Total>368457</Total>
        <ProgramServices>368457</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSES</Description>
        <Total>244112</Total>
        <ProgramServices>244112</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PUBLICATION AND PRINTIN</Description>
        <Total>148358</Total>
        <ProgramServices>148358</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT RENTAL AND RE</Description>
        <Total>130865</Total>
        <ProgramServices>130865</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>POSTAGE</Description>
        <Total>129691</Total>
        <ProgramServices>129691</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>579081</Total>
        <ProgramServices>306987</ProgramServices>
        <ManagementAndGeneral>208075</ManagementAndGeneral>
        <Fundraising>64019</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>12276069</Total>
        <ProgramServices>10342789</ProgramServices>
        <ManagementAndGeneral>1478395</ManagementAndGeneral>
        <Fundraising>454885</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>527217</BOY>
        <EOY>572791</EOY>
      </CashNonInterestBearing>
      <PledgesAndGrantsReceivable>
        <BOY>9984</BOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>752598</BOY>
        <EOY>621533</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>1531611</BOY>
        <EOY>1629201</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>190582</BOY>
        <EOY>341155</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>7729251</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1443607</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1443958</BOY>
        <EOY>6285644</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>3119747</BOY>
        <EOY>2707943</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>380225</BOY>
        <EOY>5000</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>7955922</BOY>
        <EOY>12163267</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1548530</BOY>
        <EOY>1239563</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
        <BOY>848736</BOY>
        <EOY>166827</EOY>
      </GrantsPayable>
      <DeferredRevenue>
        <BOY>431454</BOY>
        <EOY>584943</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <EOY>5223363</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>1100000</BOY>
        <EOY>1500000</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>886285</BOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>4815005</BOY>
        <EOY>8714696</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1198098</BOY>
        <EOY>3448571</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>1942819</BOY>
        <EOY>0</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3140917</BOY>
        <EOY>3448571</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>7955922</BOY>
        <EOY>12163267</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>302887</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>4767</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>5609906</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>6068236</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6350546</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6862555</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>7762978</CurrentTaxYear>
        <Total>32654221</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>5609906</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>6068236</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6350546</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6862555</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>7762978</CurrentTaxYear>
        <Total>32654221</Total>
      </Total170>
      <AmountsSubstContributorsTotal>123530</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>32530691</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>546149</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>664533</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>217356</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>-113273</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>249541</CurrentTaxYear>
        <Total>1564306</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <CurrentTaxYearMinus2Years>11983</CurrentTaxYearMinus2Years>
        <Total>11983</Total>
      </NetUBI>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>402192</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1713176</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1654271</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1583503</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>813429</CurrentTaxYear>
        <Total>6166571</Total>
      </OtherIncome170>
      <TotalSupport>40397081</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>17792276</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.80530</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.71020</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalDirectLobbying>
        <FilingOrganizationsTotals>68326</FilingOrganizationsTotals>
      </TotalDirectLobbying>
      <TotalLobbyingExpenditures>
        <FilingOrganizationsTotals>68326</FilingOrganizationsTotals>
      </TotalLobbyingExpenditures>
      <OtherExemptPurposeExpenditures>
        <FilingOrganizationsTotals>12207743</FilingOrganizationsTotals>
      </OtherExemptPurposeExpenditures>
      <TotalExemptPurposeExpenditures>
        <FilingOrganizationsTotals>12276069</FilingOrganizationsTotals>
      </TotalExemptPurposeExpenditures>
      <LobbyingNontaxableAmount>
        <FilingOrganizationsTotals>763803</FilingOrganizationsTotals>
      </LobbyingNontaxableAmount>
      <GrassrootsNontaxableAmount>
        <FilingOrganizationsTotals>190951</FilingOrganizationsTotals>
      </GrassrootsNontaxableAmount>
      <TotLobbyingGrassrootMinusNonTx>
        <FilingOrganizationsTotals>0</FilingOrganizationsTotals>
      </TotLobbyingGrassrootMinusNonTx>
      <TotLobbyExpendMnsLobbyingNontx>
        <FilingOrganizationsTotals>0</FilingOrganizationsTotals>
      </TotLobbyExpendMnsLobbyingNontx>
      <LobbyingNontaxableAmount2>
        <CurrentYearMinus3>810354</CurrentYearMinus3>
        <CurrentYearMinus2>820367</CurrentYearMinus2>
        <CurrentYearMinus1>821259</CurrentYearMinus1>
        <CurrentYear>763803</CurrentYear>
        <Total>3215783</Total>
      </LobbyingNontaxableAmount2>
      <LobbyingCeilingAmount>4823675</LobbyingCeilingAmount>
      <TotalLobbyingExpenditures2>
        <CurrentYearMinus3>171833</CurrentYearMinus3>
        <CurrentYearMinus2>48220</CurrentYearMinus2>
        <CurrentYearMinus1>109371</CurrentYearMinus1>
        <CurrentYear>68326</CurrentYear>
        <Total>397750</Total>
      </TotalLobbyingExpenditures2>
      <GrassrootsNontaxableAmount2>
        <CurrentYearMinus3>202589</CurrentYearMinus3>
        <CurrentYearMinus2>205092</CurrentYearMinus2>
        <CurrentYearMinus1>205315</CurrentYearMinus1>
        <CurrentYear>190951</CurrentYear>
        <Total>803947</Total>
      </GrassrootsNontaxableAmount2>
      <GrassrootsCeilingAmount>1205921</GrassrootsCeilingAmount>
      <GrassrootsLobbyingExpenditures>
        <CurrentYearMinus3>26223</CurrentYearMinus3>
        <Total>26223</Total>
      </GrassrootsLobbyingExpenditures>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1039900001">
      <ArtPublicExhibitionAmts>
        <AssetsInPartX>9800</AssetsInPartX>
      </ArtPublicExhibitionAmts>
      <CollectUsedForPublicExhibition>X</CollectUsedForPublicExhibition>
      <SolicitedAssetsForSale>0</SolicitedAssetsForSale>
      <Buildings>
        <OtherCostOrOtherBasis>5901592</OtherCostOrOtherBasis>
        <BookValue>5901592</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>164402</OtherCostOrOtherBasis>
        <Depreciation>79291</Depreciation>
        <BookValue>85111</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>1131697</OtherCostOrOtherBasis>
        <Depreciation>882094</Depreciation>
        <BookValue>249603</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>531560</OtherCostOrOtherBasis>
        <Depreciation>482222</Depreciation>
        <BookValue>49338</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>6285644</TotalOfBookValueLandBuildings>
      <Form990ScheduleDPartXIV>
        <ReturnReference>PART III, LINE 4:</ReturnReference>
        <Explanation>COLLECTIONS ARE UTILIZED TO SIGNIFY VISUAL INTERPRETATIONS OF THE ORGANIZATION'S MISSION AND PURPOSE AND IS INTENDED FOR PUBLIC VIEWING.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ALLIANCE FOR CARE AT THE END OF LIFE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1731 KING STREET</AddressLine1>
          <City>ALEXANDRIA</City>
          <State>VA</State>
          <ZIPCode>22314</ZIPCode>
        </AddressUS>
        <EINOfRecipient>208725837</EINOfRecipient>
        <IRCSection>501 (C)(4)</IRCSection>
        <AmountOfCashGrant>567513</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORT FOR AFFILIATE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ARKANSAS HOSPICE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>5600 WEST 12TH STREET</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72204</ZIPCode>
        </AddressUS>
        <EINOfRecipient>710846826</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>28499</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CALIFORNIA HOSPICE FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>384 NORTH FREEWAY</AddressLine1>
          <City>SACRAMENTO</City>
          <State>CA</State>
          <ZIPCode>95834</ZIPCode>
        </AddressUS>
        <EINOfRecipient>942900226</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>38333</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANTGRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COLORADO CENTER FOR HOSPICE AND PALLIATIVE CARE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2594 TRAILRIDGE DRIVE</AddressLine1>
          <City>LAFAYETTE</City>
          <State>CO</State>
          <ZIPCode>80026</ZIPCode>
        </AddressUS>
        <EINOfRecipient>841046613</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>8333</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COMMUNITY HEALTH AND COUNSELING SERVICES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>42 CEDAR STREET</AddressLine1>
          <City>BANGOR</City>
          <State>ME</State>
          <ZIPCode>04401</ZIPCode>
        </AddressUS>
        <EINOfRecipient>010211483</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>6215</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CONNECTICUT ASSOCIATION FOR HOME CARE AND HOSPICE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>110 BARNES ROAD</AddressLine1>
          <City>WILLINGFORD</City>
          <State>CT</State>
          <ZIPCode>06492</ZIPCode>
        </AddressUS>
        <EINOfRecipient>060867238</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>8333</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COVENANT HOSPICE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>5041 N 12TH AVE</AddressLine1>
          <City>PENSACOLA</City>
          <State>FL</State>
          <ZIPCode>32504</ZIPCode>
        </AddressUS>
        <EINOfRecipient>592208300</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>8333</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>DELAWARE HOSPICE INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3515 SILVERSIDE ROAD</AddressLine1>
          <City>WILMINGTON</City>
          <State>DE</State>
          <ZIPCode>19810</ZIPCode>
        </AddressUS>
        <EINOfRecipient>510258883</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>38333</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HINDS HOSPICE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1616 WEST SHAW AVE SUITE C-1</AddressLine1>
          <City>FRESNO</City>
          <State>CA</State>
          <ZIPCode>93711</ZIPCode>
        </AddressUS>
        <EINOfRecipient>770071360</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>8333</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HOLYOAK VISITING NURSE ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>113 HAMPDEN STREET</AddressLine1>
          <City>HOLYOKE</City>
          <State>MA</State>
          <ZIPCode>01040</ZIPCode>
        </AddressUS>
        <EINOfRecipient>042104310</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>7523</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HOSPICE AND PALLIATIVE CARE CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>101 HOSPICE LANE SUITE 141</AddressLine1>
          <City>GRASS VALLEY</City>
          <State>CA</State>
          <ZIPCode>95945</ZIPCode>
        </AddressUS>
        <EINOfRecipient>581343313</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>8333</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HOSPICE OF CHATTANOOGA INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4411 OAKWOOD DRIVE</AddressLine1>
          <City>CHATTANOOGA</City>
          <State>TN</State>
          <ZIPCode>37416</ZIPCode>
        </AddressUS>
        <EINOfRecipient>581426458</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>38333</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HOSPICE OF THE BLUEGRASS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2312 ALEXANDRIA DRIVE</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40504</ZIPCode>
        </AddressUS>
        <EINOfRecipient>610978097</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>35345</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HOSPICE OF THE FOOTHILLS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>11270 ROUGH AND READY HIGHWAY</AddressLine1>
          <City>GRASS VALLEY</City>
          <State>CA</State>
          <ZIPCode>95945</ZIPCode>
        </AddressUS>
        <EINOfRecipient>942674084</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>8333</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>LINK OF HAMPTON ROADS INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>10412 WARWICK BLVD</AddressLine1>
          <City>NEWPORT NEWS</City>
          <State>VA</State>
          <ZIPCode>23601</ZIPCode>
        </AddressUS>
        <EINOfRecipient>541556503</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>38333</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NEW JERSEY HOSPICE AND PALLIATIVE CARE ORGANIZATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>175 GLENSIDE AVENUE</AddressLine1>
          <City>SCOTCH PLAINS</City>
          <State>NJ</State>
          <ZIPCode>07076</ZIPCode>
        </AddressUS>
        <EINOfRecipient>222357931</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>6802</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>TENNESEE HOSPICE ORGANIZATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>500 INTERSTATE BLVD SOUTH</AddressLine1>
          <City>NASHVILLE</City>
          <State>TN</State>
          <ZIPCode>37210</ZIPCode>
        </AddressUS>
        <EINOfRecipient>621406154</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>5800</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE REACHING OUT GRANT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>BROWN UNIVERSITY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>BROWN UNIVERSITY</AddressLine1>
          <City>PROVIDENCE</City>
          <State>RI</State>
          <ZIPCode>02912</ZIPCode>
        </AddressUS>
        <EINOfRecipient>050258809</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>25312</AmountOfCashGrant>
        <PurposeOfGrant>GRANT FUNDS FOR THE HOSPICE DATA PROJECT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>17</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>1</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: GRANT FUNDS AWARDED TO GRANTEES ARE MONITORED FOR COMPLIANCE TO THE ORIGINAL TERMS OF THE GRANT(S) THROUGH REQUIRED SUBMISSION OF PROGRAMMATIC AND FINANCIAL REPORTS TO THE GRANT MANAGER(S).</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>J DONALD SCHUMACHER PSYD</NamePerson>
        <BaseCompensationFilingOrg>404496</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>25000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>17150</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11906</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>458552</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KATHERINE BRANDT</NamePerson>
        <BaseCompensationFilingOrg>147247</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>7500</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10306</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>165053</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CATHY GIBNEY</NamePerson>
        <BaseCompensationFilingOrg>150103</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>7500</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10320</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>167923</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JONATHAN KEYSERLING</NamePerson>
        <BaseCompensationFilingOrg>188512</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>7500</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>13818</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>209830</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JUDI LUND PERSON</NamePerson>
        <BaseCompensationFilingOrg>152694</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>3606</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10701</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>167001</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN MASTROJOHN</NamePerson>
        <BaseCompensationFilingOrg>154219</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>7500</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11063</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>172782</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GALEN MILLER</NamePerson>
        <BaseCompensationFilingOrg>234369</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>12500</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>17150</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>264019</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAMALA BOUCHARD</NamePerson>
        <BaseCompensationFilingOrg>147173</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>2500</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>86283</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>15185</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>251141</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF ALEXANDRIA VIRGINIA</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521381432</IssuerEIN>
        <CUSIPNumber>NONEAVAIL</CUSIPNumber>
        <DateIssued>2010-12-21</DateIssued>
        <IssuePrice>5150000</IssuePrice>
        <DescriptionOfPurpose>TO PURCHASE, RENOVATE, AND EQUIP AN OFFICE BUILDING FOR ORGANIZATION USE.</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>5150000</TotalProceeds>
        <CapitalExpenditures>5150000</CapitalExpenditures>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>0</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>0</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>SCHEDULE K, PART III, LINE 7</Identifier>
        <Explanation>THE ORGANIZATION ROUTINELY MONITORS ITS FINANCIAL STATUS AND BOND PROCESS TO ENSURE THAT ALL REQUIRED BOND REGULATIONS AND COVENANTS ARE MET BASED ON THE TERMS OF THE BOND ISSUANCE.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>PROVIDER MEMBERS WHO HAVE FULLY PAID THEIR DUES HAVE VOTING RIGHTS WITH REGARD TO THE ELECTION OF THE ORGANIZATION'S BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>ONCE FORM 990 IS PREPARED IT IS REVIEWED BY THE EXECUTIVE VICE PRESIDENT, SENIOR VICE PRESIDENT OF ADMINISTRATION, AND CONTROLLER. A MEETING WITH THE FORM 990 PREPARER WILL CLARIFY ANY QUESTIONS AND ISSUES BEFORE THE FORM IS MADE AVAILABLE TO THE BOARD FOR REVIEW.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY KNOWN CONFLICTS OF INTEREST AND SIGN AN INDIVIDUAL COPY OF THE POLICY ON A YEARLY BASIS. THE SIGNED POLICIES ARE KEPT ON FILE WITHIN THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE COMPENSATION COMMITTEE WITHIN THE BOARD OF DIRECTORS WILL REVIEW INDEPENDENT, COMPARABLE SALARY DATA FROM LIKE SIZED NOT-FOR-PROFIT ORGANIZATIONS WITHIN THE ORGANIZATION'S AREA AND APPROVE CHANGES TO COMPENSATION FOR THE TOP MANAGING EMPLOYEES, PRESIDENT, AND VICE PRESIDENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 78,130. NET UNREALIZED LOSS ON FAIR VALUE OF INTEREST RATE SWAP -73,363. TOTAL TO FORM 990, PART XI, LINE 5: 4,767.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESSES DURING THE YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NATIONAL HOSPICE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1731 KING STREET SUITE 200</AddressLine1>
          <City>ALEXANDRIA</City>
          <State>VA</State>
          <ZIPCode>22314</ZIPCode>
        </AddressUS>
        <EIN>541586967</EIN>
        <PrimaryActivities>DEVELOPMENT</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FOUNDATION FOR HOSPICES IN SUB-SAHARAN AFRICA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1731 KING STREET SUITE 300</AddressLine1>
          <City>ALEXANDRIA</City>
          <State>VA</State>
          <ZIPCode>22314</ZIPCode>
        </AddressUS>
        <EIN>161590512</EIN>
        <PrimaryActivities>DEVELOPMENT IN AFRICA</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALLIANCE FOR CARE AT THE END OF LIFE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1731 KING STREET SUITE 400</AddressLine1>
          <City>ALEXANDRIA</City>
          <State>VA</State>
          <ZIPCode>22314</ZIPCode>
        </AddressUS>
        <EIN>208725837</EIN>
        <PrimaryActivities>ADVOCACY</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(4)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ALLIANCE FOR CARE AT THE END OF LIFE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>474418</AmountInvolved>
        <MethodOfAmtDetermination>FAIR VALUE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NATIONAL HOSPICE FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>862385</AmountInvolved>
        <MethodOfAmtDetermination>FAIR VALUE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>FOUNDATION FOR HOSPICES IN SUB-SAHARAN AFRICA</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>483036</AmountInvolved>
        <MethodOfAmtDetermination>FAIR VALUE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NATIONAL HOSPICE FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>898394</AmountInvolved>
        <MethodOfAmtDetermination>FAIR VALUE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>