﻿<?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="2024v5.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-11-13T09:00:37-06:00</ReturnTs>
    <TaxPeriodEndDt>2024-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>341897225</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>HILL BARTH &amp; KING LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>226 NORTH FIFTH STREET SUITE 500</AddressLine1Txt>
        <CityNm>COLUMBUS</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>43215</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>311084518</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>FAIRHOPE HOSPICE &amp; PALLIATIVE CARE INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>FAIR</BusinessNameControlTxt>
      <PhoneNum>7406547077</PhoneNum>
      <USAddress>
        <AddressLine1Txt>282 SELLS ROAD</AddressLine1Txt>
        <CityNm>LANCASTER</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>43130</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>KRISTIN GLASURE</PersonNm>
      <PersonTitleTxt>PRESIDENT AND CEO</PersonTitleTxt>
      <PhoneNum>7406547077</PhoneNum>
      <SignatureDt>2025-11-13</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>0</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>ROBERT B SCHAEFER</PreparerPersonNm>
      <PTIN>P01402389</PTIN>
      <PhoneNum>6142284000</PhoneNum>
      <PreparationDt>2025-11-13</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>KRISTIN GLASURE</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>282 SELLS ROAD</AddressLine1Txt>
        <CityNm>LANCASTER</CityNm>
        <StateAbbreviationCd>OH</StateAbbreviationCd>
        <ZIPCd>43130</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>15259057</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.FAIRHOPEHOSPICE.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1984</FormationYr>
      <LegalDomicileStateCd>OH</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PROVIDE A PROGRAM OF PALLIATIVE AND SUPPORTIVE SERVICES FOR THE PHYSICAL, PSYCHOLOGICAL, SOCIAL, SPIRITUAL NEEDS OF THE DYING PERSONS AND THEIR FAMILY, AND FURTHER TO PROVIDE HOSPICE AND PALLIATIVE SERVICES TO INDIVIDUALS WHO QUALIFY FOR SUCH SERVICES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>11</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>11</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>168</TotalEmployeeCnt>
      <TotalVolunteersCnt>120</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>231585</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>460775</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>13610825</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>14199276</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>150180</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>234835</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>361304</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>346694</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>14353894</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>15241580</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>8741784</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>9494845</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>133727</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>5229826</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>5627596</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>13971610</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>15122441</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>382284</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>119139</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>13734019</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>14153287</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1590218</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1825745</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>12143801</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>12327542</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>TO PROVIDE HOSPICE SERVICES AND SUPPORT TO THE TERMINALLY ILL.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>9736206</ExpenseAmt>
      <RevenueAmt>12199332</RevenueAmt>
      <Desc>PROVIDES SERVICES AND SUPPORT TO THE TERMINALLY ILL AND THEIR FAMILIES ON AN OUTPATIENT BASIS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>2565882</ExpenseAmt>
        <RevenueAmt>1723321</RevenueAmt>
        <Desc>TO PROVIDE INPATIENT SERVICES THROUGH THE HOSPICE UNIT, THE PICKERING HOUSE.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>917956</ExpenseAmt>
        <RevenueAmt>276623</RevenueAmt>
        <Desc>PALLIATIVE CARE IS SPECIALIZED MEDICAL CARE THAT AIMS TO ENHANCE THE QUALITY OF LIFE FOR PATIENTS AND FAMILIES WHO ARE FACED WITH A CHRONIC OR SERIOUS ILLNESS. IT FOCUSES ON INCREASING COMFORT THROUGH PREVENTION AND TREATMENT TO RELIEVE DISTRESSING SYMPTOMS. IT FOCUSES ON THE PATIENT'S PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS OF PATIENTS AND FAMILY.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>134317</ExpenseAmt>
        <RevenueAmt>299205</RevenueAmt>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>134317</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>299205</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>13354361</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">1</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041300001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041300001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>70</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>168</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>11</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>11</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>OH</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>NICHOLAS MERRILL</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>7406547077</PhoneNum>
        <USAddress>
          <AddressLine1Txt>282 SELLS ROAD</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43130</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTIN R GLASURE</PersonNm>
        <TitleTxt>PRESIDENT AND CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>136601</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9621</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARJORIE MOORE</PersonNm>
        <TitleTxt>BOARD SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>F ERIC SMITH</PersonNm>
        <TitleTxt>BOARD PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDY SPECHT</PersonNm>
        <TitleTxt>BOARD TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLIE BARROWS</PersonNm>
        <TitleTxt>BOARD VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTY FOSNAUGH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANUPREET KAUR MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARC E W MILLER PHD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER SAFFELL CNP</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SETH WHITE</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>109968</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL SCHLARB</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW J SHAW</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AVNEET SINGH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALICIA GRILLIOT</PersonNm>
        <TitleTxt>CERTIFIED NURSE PRACTITION</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>117006</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15955</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NICOLE M DEMASTRY-KOLIKOHN</PersonNm>
        <TitleTxt>CERTIFIED NURSE PRACTITION</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>103082</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7736</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA J SINGER</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>101384</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30500</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEROY B VARNEY</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>144274</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24127</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>712315</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>87939</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>12</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARBORS AT CARROLL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>36800 DOLSON CT</AddressLine1Txt>
            <CityNm>CARROLL</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43112</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REHABILITATION AND SKILLED NURSING SERVI</ServicesDesc>
        <CompensationAmt>548618</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUALIS MANAGEMENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>58 AZIMUST CT</AddressLine1Txt>
            <CityNm>ROCKY MOUNT</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27804</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DURABLE MEDICAL EQUIPMENT MANAGEMENT</ServicesDesc>
        <CompensationAmt>318012</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BUCKEYE CARE &amp; REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1900 E MAIN ST</AddressLine1Txt>
            <CityNm>LANCASTER</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43130</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REHABILITATION AND SKILLED NURSING SERVI</ServicesDesc>
        <CompensationAmt>236718</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FAIRFIELD MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>401 N EWING ST</AddressLine1Txt>
            <CityNm>LANCASTER</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43130</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REHABILITATION AND SKILLED NURSING SERVI</ServicesDesc>
        <CompensationAmt>144472</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LANFAIR CENTER FOR REHABILITATION - ALTE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1590 CHARTWELL ST</AddressLine1Txt>
            <CityNm>LANCASTER</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43130</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REHABILITATION AND SKILLED NURSING SERVI</ServicesDesc>
        <CompensationAmt>106528</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>20</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>18287</FundraisingAmt>
      <AllOtherContributionsAmt>442488</AllOtherContributionsAmt>
      <TotalContributionsAmt>460775</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HOSPICE CARE</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>12199332</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12199332</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PICKERING HOUSE</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>1723321</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1723321</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SENIOR SERVICES AND PALLIATIVE CA</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>276623</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>276623</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>14199276</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>234835</TotalRevenueColumnAmt>
        <ExclusionAmt>234835</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>182315</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>17477</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>164838</TotalRevenueColumnAmt>
        <ExclusionAmt>164838</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>181856</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>164379</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>17477</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>181856</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>15241580</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14363655</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>417150</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>246569</TotalAmt>
        <ProgramServicesAmt>210447</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33544</ManagementAndGeneralAmt>
        <FundraisingAmt>2578</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7706144</TotalAmt>
        <ProgramServicesAmt>6577202</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1048370</ManagementAndGeneralAmt>
        <FundraisingAmt>80572</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>905907</TotalAmt>
        <ProgramServicesAmt>773192</ProgramServicesAmt>
        <ManagementAndGeneralAmt>123243</ManagementAndGeneralAmt>
        <FundraisingAmt>9472</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>636225</TotalAmt>
        <ProgramServicesAmt>543019</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86554</ManagementAndGeneralAmt>
        <FundraisingAmt>6652</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>43120</TotalAmt>
        <ManagementAndGeneralAmt>43120</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>1425</TotalAmt>
        <ManagementAndGeneralAmt>1425</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <AdvertisingGrp>
        <TotalAmt>231029</TotalAmt>
        <ProgramServicesAmt>231029</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>49347</TotalAmt>
        <ProgramServicesAmt>43025</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4481</ManagementAndGeneralAmt>
        <FundraisingAmt>1841</FundraisingAmt>
      </OfficeExpensesGrp>
      <TravelGrp>
        <TotalAmt>467878</TotalAmt>
        <ProgramServicesAmt>466498</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1005</ManagementAndGeneralAmt>
        <FundraisingAmt>375</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>150</TotalAmt>
        <ManagementAndGeneralAmt>150</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>229778</TotalAmt>
        <ProgramServicesAmt>196116</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31260</ManagementAndGeneralAmt>
        <FundraisingAmt>2402</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>77136</TotalAmt>
        <ProgramServicesAmt>77136</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <TotalAmt>2697802</TotalAmt>
        <ProgramServicesAmt>2695536</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2217</ManagementAndGeneralAmt>
        <FundraisingAmt>49</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>593246</TotalAmt>
        <ProgramServicesAmt>593246</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMPUTER EXPENSES</Desc>
        <TotalAmt>390432</TotalAmt>
        <ProgramServicesAmt>268689</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113013</ManagementAndGeneralAmt>
        <FundraisingAmt>8730</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL EQUIPMENT RENTA</Desc>
        <TotalAmt>360039</TotalAmt>
        <ProgramServicesAmt>360039</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>486214</TotalAmt>
        <ProgramServicesAmt>319187</ProgramServicesAmt>
        <ManagementAndGeneralAmt>145971</ManagementAndGeneralAmt>
        <FundraisingAmt>21056</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>15122441</TotalAmt>
        <ProgramServicesAmt>13354361</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1634353</ManagementAndGeneralAmt>
        <FundraisingAmt>133727</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>7557840</BOYAmt>
        <EOYAmt>6831518</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <EOYAmt>2418</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1466571</BOYAmt>
        <EOYAmt>1690705</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>71752</BOYAmt>
        <EOYAmt>102349</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>7351821</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2720884</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3840484</BOYAmt>
        <EOYAmt>4630937</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>796372</BOYAmt>
        <EOYAmt>895360</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1000</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>13734019</BOYAmt>
        <EOYAmt>14153287</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1485755</BOYAmt>
        <EOYAmt>1615660</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>9200</BOYAmt>
        <EOYAmt>37058</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>95263</BOYAmt>
        <EOYAmt>173027</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1590218</BOYAmt>
        <EOYAmt>1825745</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>10574901</BOYAmt>
        <EOYAmt>10179709</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1568900</BOYAmt>
        <EOYAmt>2147833</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>12143801</BOYAmt>
        <EOYAmt>12327542</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>13734019</BOYAmt>
        <EOYAmt>14153287</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>119139</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>52501</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>12101</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>520444</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>371404</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>326658</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>231505</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>460775</CurrentTaxYearAmt>
        <TotalAmt>1910786</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>12690510</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12321290</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12876289</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13610825</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14199276</CurrentTaxYearAmt>
        <TotalAmt>65698190</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>13210954</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12692694</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13202947</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13842330</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14660051</CurrentTaxYearAmt>
        <TotalAmt>67608976</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>67608976</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>28204</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24218</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>42446</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>150180</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>234835</CurrentTaxYearAmt>
        <TotalAmt>479883</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>28204</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24218</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>42446</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>150180</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>234835</CurrentTaxYearAmt>
        <TotalAmt>479883</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>723681</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1460947</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>93099</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>378068</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>360701</CurrentTaxYearAmt>
        <TotalAmt>3016496</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>13962839</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14177859</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13338492</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14370578</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15255587</CurrentTaxYearAmt>
        <TotalAmt>71105355</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.95080</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.95610</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00670</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00400</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>704034</BeginningYearBalanceAmt>
        <ContributionsAmt>7097</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>87564</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>6427</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>792268</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>594644</BeginningYearBalanceAmt>
        <ContributionsAmt>13628</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>101065</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>5303</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>704034</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>698758</BeginningYearBalanceAmt>
        <ContributionsAmt>1323</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-100399</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>5038</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>594644</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>629891</BeginningYearBalanceAmt>
        <ContributionsAmt>618</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>73844</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>5595</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>698758</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>547663</BeginningYearBalanceAmt>
        <ContributionsAmt>4532</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>82220</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>4524</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>629891</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.00000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>524568</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>524568</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>5426216</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>1854175</DepreciationAmt>
        <BookValueAmt>3572041</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>8623</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>6778</DepreciationAmt>
        <BookValueAmt>1845</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>808034</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>628552</DepreciationAmt>
        <BookValueAmt>179482</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>584380</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>231379</DepreciationAmt>
        <BookValueAmt>353001</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4630937</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>FOUNDATION FOR APPALACHIAN OHIO</Desc>
        <BookValueAmt>64892</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>FAIRHOPE FUND</Desc>
        <BookValueAmt>499397</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>MEMORIAL INVESTMENT</Desc>
        <BookValueAmt>292850</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>CAPITAL FOUNDATION FUND</Desc>
        <BookValueAmt>38221</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>895360</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>173027</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>173027</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>14957010</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>14957010</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>284570</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>284570</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>15241580</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15081133</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>15081133</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>41308</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>41308</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>15122441</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ADOPTED FASB ASC 740-10-65, REGARDING UNCERTAINTY IN INCOME TAXES, AS OF DECEMBER 31, 2009. THE ORGANIZATION EVALUATES ALL TAX POSITIONS IN CONFORMITY WITH FASB ASC 450 FOR CONTINGENCIES, AND AS SUCH WOULD RESERVE FOR ANY TAX POSITIONS DEEMED PROBABLE OF NOT BEING SUSTAINED BY THE INTERNAL REVENUE SERVICE (IRS). THE ORGANIZATION RECOGNIZES TAX BENEFITS ONLY TO THE EXTENT THAT THE ORGANIZATION BELIEVES IT IS MORE LIKELY THAN NOT THAT ITS TAX POSITIONS WILL BE SUSTAINED UPON IRS EXAMINATION. THE ORGANIZATION DOES NOT HAVE A PROVISION FOR UNPAID FEDERAL INCOME TAXES (LIABILITY FOR UNRECOGNIZED TAX BENEFITS) RELATED TO UNCERTAIN TAX POSITIONS IN THE BALANCE SHEET AS IT BELIEVES ALL TAX POSITIONS TAKEN WOULD MORE LIKELY THAN NOT BE SUSTAINED UPON IRS EXAMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIVIDENDS 55,337. INTEREST 179,498. BAD DEBT EXPENSE NOT INCLUDED IN PROGRAM REVENUE 36,798. ADJUSTMENT 14,296. ASSET DISPOSITION -1,359.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 36,798. INTEREST EXPENSE 150. INVESTMENT EXPENSE 1,425. ADJUSTMENT 2,935.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>FAIRHOPE CELEBRATES LIFE</Event1Nm>
        <GrossReceiptsEvent1Amt>165659</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>165659</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>2125</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>6439</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>8323</OtherDirectExpensesEvent1Amt>
        <Event2Nm>TRASH TO TREASURE</Event2Nm>
        <GrossReceiptsEvent2Amt>16656</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>16656</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>473</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>90</FoodAndBeverageEvent2Amt>
        <OtherDirectExpensesEvent2Amt>28</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>182315</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>182315</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>2598</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>6529</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>8351</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>17478</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>164837</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEROY B VARNEY</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>144274</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24127</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>168401</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WHO SENDS IT TO MANAGEMENT FOR THEIR REVIEW. MANAGEMENT THEN SENDS THE 990 TO THE BOARD OF TRUSTEES FOR THEIR REVIEW AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL STAFF UPON EMPLOYMENT. ANNUAL EDUCATIONAL IN-SERVICES ARE PROVIDED TO STAFF TO UPDATE AND REVIEW POLICIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PERSONNEL COMMITTEE, CONSISTING OF BOARD MEMBERS, PERFORMS THE ANNUAL REVIEW OF THE PRESIDENT &amp; CEO. WHILE PERFORMING THE REVIEW, A COMPARATIVE ANALYSIS AND SURVEY OF OTHER HOSPICES IN THE AREA. BASED ON THE RESULTS OF THE RESEARCH, THE PRESIDENT &amp; CEO'S SALARY FOR THE COMING YEAR IS DETERMINED, WHICH INCLUDES AN ANNUAL MERIT INCREASE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENT AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ADJUSTMENT 12,101.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE OVERSEES THE AUDIT AND REPORTS TO THE BOARD OF TRUSTEES. THE AUDIT FIRM WILL PRESENT THE AUDIT TO THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES WILL REVIEW AND APPROVE THE AUDIT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>