﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-05-01T08:39:14-04:00</ReturnTs>
    <TaxPeriodEndDt>2024-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>611129886</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>KELLEY GALLOWAY SMITH GOOLSBY PSC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1200 CORPORATE COURT PO BOX 990</AddressLine1Txt>
        <CityNm>ASHLAND</CityNm>
        <StateAbbreviationCd>KY</StateAbbreviationCd>
        <ZIPCd>411050990</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>310970252</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>COMMUNITY HOSPICE INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>COMM</BusinessNameControlTxt>
      <PhoneNum>6063291890</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1480 CARTER AVENUE</AddressLine1Txt>
        <CityNm>ASHLAND</CityNm>
        <StateAbbreviationCd>KY</StateAbbreviationCd>
        <ZIPCd>41101</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>RODNEY N HIENEMAN</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>6063291890</PhoneNum>
      <SignatureDt>2025-04-04</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>STEVE ROBERSON CPA</PreparerPersonNm>
      <PTIN>P01456273</PTIN>
      <PhoneNum>6063291811</PhoneNum>
      <PreparationDt>2025-04-18</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc6">
      <PrincipalOfficerNm>RODNEY N HIENEMAN</PrincipalOfficerNm>
      <GrossReceiptsAmt>24360669</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.CHOSPICE.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1979</FormationYr>
      <LegalDomicileStateCd>KY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>PROVIDING MEDICAL CARE TO TERMINALLY ILL PATIENTS</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>14</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>14</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>154</TotalEmployeeCnt>
      <TotalVolunteersCnt>240</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>215311</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>192672</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>13808647</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>14875016</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>746163</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>2030440</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>169956</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>76799</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>14940077</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>17174927</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>7495223</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>7486347</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>6216484</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>7391598</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>13711707</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>14877945</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1228370</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>2296982</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>41056107</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>44437970</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>2199180</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1737940</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>38856927</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>42700030</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>PROVIDING MEDICAL CARE TO TERMINALLY ILL PATIENTS</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>12348562</ExpenseAmt>
      <RevenueAmt>14875016</RevenueAmt>
      <Desc>PROVIDING MEDICAL CARE, SOCIAL SERVICES, AND SPIRITUAL SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES.</Desc>
      <TotalProgramServiceExpensesAmt>12348562</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc7">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">true</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc4">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc5">false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc5">false</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc5">false</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc5">false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc5">true</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc5">false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd referenceDocumentId="RetDoc5">false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>88</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>false</BackupWthldComplianceInd>
      <EmployeeCnt>154</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <TaxableDistributionsInd>false</TaxableDistributionsInd>
      <DistributionToDonorInd>false</DistributionToDonorInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>14</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>14</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>false</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>KY</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>CHARLOTTE HORN</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>6063291890</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1480 CARTER AVENUE</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41101</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <NoListedPersonsCompensatedInd>X</NoListedPersonsCompensatedInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>RODNEY N HIENEMAN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>189334</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48968</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDY ZERKLE</PersonNm>
        <TitleTxt>CHIEF QUALIT</TitleTxt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>134569</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34824</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLOTTE HORN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>136084</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31315</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORI ISON</PersonNm>
        <TitleTxt>CHIEF CLINIC</TitleTxt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>125925</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22606</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VICTORIA GILLIAM</PersonNm>
        <TitleTxt>ARNP</TitleTxt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>109383</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4149</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY BROWN</PersonNm>
        <TitleTxt>BOARD OF DIR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TOM BURNETTE</PersonNm>
        <TitleTxt>BOARD OF DIR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHY ELAM</PersonNm>
        <TitleTxt>VOLUNTEER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA HALL</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BOB HAMMOND</PersonNm>
        <TitleTxt>BOARD OF DIR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY KAY MCGINNIS-RUARK</PersonNm>
        <TitleTxt>BOARD OF DIR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR THUY NGUYEN</PersonNm>
        <TitleTxt>BOARD OF DIR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW PERKINS</PersonNm>
        <TitleTxt>BOARD OF DIR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHADOW L SKAGGS</PersonNm>
        <TitleTxt>BOARD OF DIR</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURIE STEWART</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE VANHORN</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STAN VANDERPOOL</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW WHEELER</PersonNm>
        <TitleTxt>ATTORNEY</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>695295</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>141862</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARTER NURSING AND REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>250 MCDAVID BLVD</AddressLine1Txt>
            <CityNm>GRAYSON</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41143</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING FACILIT</ServicesDesc>
        <CompensationAmt>949834</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1101 ST CHRISTOPHER DR SUITE 250</AddressLine1Txt>
            <CityNm>ASHLAND</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED SERV</ServicesDesc>
        <CompensationAmt>408725</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ENCLARA PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 745791</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30374</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY</ServicesDesc>
        <CompensationAmt>406949</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WOODLAND OAKS HEALTHCARE FACILITY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1820 OAKVIEW RD</AddressLine1Txt>
            <CityNm>ASHLAND</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING HOME SE</ServicesDesc>
        <CompensationAmt>333131</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WURTLAND NURSING AND REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 677</AddressLine1Txt>
            <CityNm>WURTLAND</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>41144</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING FACILIT</ServicesDesc>
        <CompensationAmt>307286</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>18</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>192672</AllOtherContributionsAmt>
      <TotalContributionsAmt>192672</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE - HOME CARE</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>14875016</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14875016</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>14875016</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>864270</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>864270</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>8345852</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>7179682</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1166170</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1166170</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1166170</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>13900</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>6060</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>7840</TotalRevenueColumnAmt>
        <ExclusionAmt>7840</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>68959</TotalRevenueColumnAmt>
        <ExclusionAmt>68959</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>68959</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>17174927</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16905456</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>76799</ExclusionAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6621212</TotalAmt>
        <ProgramServicesAmt>4991846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1629366</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>387214</TotalAmt>
        <ProgramServicesAmt>290411</ProgramServicesAmt>
        <ManagementAndGeneralAmt>96803</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>477921</TotalAmt>
        <ProgramServicesAmt>358440</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119481</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>46188</TotalAmt>
        <ProgramServicesAmt>34641</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11547</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>112207</TotalAmt>
        <ProgramServicesAmt>84155</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28052</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>39232</TotalAmt>
        <ProgramServicesAmt>29443</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9789</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>19238</TotalAmt>
        <ProgramServicesAmt>14428</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4810</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <TravelGrp>
        <TotalAmt>224153</TotalAmt>
        <ProgramServicesAmt>206600</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17553</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>46267</TotalAmt>
        <ProgramServicesAmt>34700</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11567</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>363935</TotalAmt>
        <ProgramServicesAmt>272952</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90983</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>635967</TotalAmt>
        <ProgramServicesAmt>476976</ProgramServicesAmt>
        <ManagementAndGeneralAmt>158991</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTED PROFESSIONAL S</Desc>
        <TotalAmt>3102948</TotalAmt>
        <ProgramServicesAmt>3073501</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29447</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER MEDICAL PAYMENTS</Desc>
        <TotalAmt>614919</TotalAmt>
        <ProgramServicesAmt>614919</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICATION</Desc>
        <TotalAmt>590726</TotalAmt>
        <ProgramServicesAmt>590726</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE AND REPAIRS</Desc>
        <TotalAmt>375487</TotalAmt>
        <ProgramServicesAmt>281615</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93872</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1220331</TotalAmt>
        <ProgramServicesAmt>993209</ProgramServicesAmt>
        <ManagementAndGeneralAmt>227122</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>14877945</TotalAmt>
        <ProgramServicesAmt>12348562</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2529383</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>-102044</BOYAmt>
        <EOYAmt>-75610</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3504325</BOYAmt>
        <EOYAmt>3341074</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1625852</BOYAmt>
        <EOYAmt>1525388</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>21637</BOYAmt>
        <EOYAmt>19560</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>99239</BOYAmt>
        <EOYAmt>123151</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>10662177</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4831862</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5720292</BOYAmt>
        <EOYAmt>5830315</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>30072841</BOYAmt>
        <EOYAmt>33484737</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>113965</BOYAmt>
        <EOYAmt>189355</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>41056107</BOYAmt>
        <EOYAmt>44437970</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2199180</BOYAmt>
        <EOYAmt>1628732</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <EOYAmt>109208</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2199180</BOYAmt>
        <EOYAmt>1737940</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>38856927</BOYAmt>
        <EOYAmt>42700030</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>38856927</BOYAmt>
        <EOYAmt>42700030</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>41056107</BOYAmt>
        <EOYAmt>44437970</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>2296982</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1546121</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>299407</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>592594</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>152580</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>215311</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>192672</CurrentTaxYearAmt>
        <TotalAmt>1452564</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>299407</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>592594</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>152580</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>215311</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>192672</CurrentTaxYearAmt>
        <TotalAmt>1452564</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>1452564</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>422186</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>471211</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>288404</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>746163</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2030440</CurrentTaxYearAmt>
        <TotalAmt>3958404</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>63715</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>35846</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>127046</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>169956</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>76799</CurrentTaxYearAmt>
        <TotalAmt>473362</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>5884330</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>73402481</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.24690</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.32700</PublicSupportPY170Pct>
      <TenPctFactsCrcmstncsTestCYInd>X</TenPctFactsCrcmstncsTestCYInd>
      <FactsAndCircumstancesTestTxt>THE ORGANIZATION IS OPERATING AS A CHARITY, NOT A FOUNDATION. 14,875,016 OF THE 17,174,927 IN REVENUES IS FROM PATIENT CARE SERVICES, THEREFORE, WE REQUEST THAT THIS FACT BE TAKEN INTO CONSIDERATION WHEN REVIEWING THE 33 1/3% TEST.</FactsAndCircumstancesTestTxt>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS 473,362</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 17A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS OPERATING AS A CHARITY, NOT A FOUNDATION. 14,875,016 OF THE 17,174,927 IN REVENUES IS FROM PATIENT CARE SERVICES, THEREFORE, WE REQUEST THAT THIS FACT BE TAKEN INTO CONSIDERATION WHEN REVIEWING THE 33 1/3% TEST.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 17B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS OPERATING AS A CHARITY, NOT A FOUNDATION. 13,808,647 OF THE 14,940,077 IN REVENUES IS FROM PATIENT CARE SERVICES, THEREFORE, WE REQUEST THAT THIS FACT BE TAKEN INTO CONSIDERATION WHEN REVIEWING THE 33 1/3% TEST.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>917458</OtherCostOrOtherBasisAmt>
        <BookValueAmt>917458</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>6524204</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3220066</DepreciationAmt>
        <BookValueAmt>3304138</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>72053</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>72053</DepreciationAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1616049</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1100523</DepreciationAmt>
        <BookValueAmt>515526</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1532413</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>439220</DepreciationAmt>
        <BookValueAmt>1093193</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>5830315</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>PUBLICLY TRADED SECURITIES</Desc>
        <BookValueAmt>14145536</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MUTUAL FUNDS</Desc>
        <BookValueAmt>7276329</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>CORPORATE BONDS</Desc>
        <BookValueAmt>3325654</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>CDS &amp; MONEY MARTKET ACCOUNTS</Desc>
        <BookValueAmt>3107972</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>US GOVERNMENT AGENCIES</Desc>
        <BookValueAmt>3033669</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MUNICIPAL BONDS</Desc>
        <BookValueAmt>1302799</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>EXCHANGE-TRADED FUND</Desc>
        <BookValueAmt>993630</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>US GOVERNMENT BONDS</Desc>
        <BookValueAmt>198705</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>FOREIGN EQUITIES</Desc>
        <BookValueAmt>52939</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>REAL ESTATE INVESTMENT TRUST</Desc>
        <BookValueAmt>44540</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>MORTGAGE BACKED</Desc>
        <BookValueAmt>2964</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>33484737</TotalBookValueProgramRltdAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASES PAYABLE, NET OF CURRENT</Desc>
        <Amt>109208</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>109208</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>18727108</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1546121</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>1546121</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>17180987</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-6060</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-6060</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>17174927</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14884005</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>6060</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>6060</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>14877945</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>14877945</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES -6,060</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 6,060</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RODNEY N HIENEMAN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>172275</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>17059</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>40818</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8150</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>238302</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SANDY ZERKLE</PersonNm>
        <TitleTxt>CHIEF QUALITY/COMPLI</TitleTxt>
        <BaseCompensationFilingOrgAmt>122445</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>12124</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>23074</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11750</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>169393</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLOTTE HORN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>123823</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>12261</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>23165</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8150</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>167399</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>ROD HIENEMAN SERP 30,000 CHARLOTTE HORN SERP OF 15,000 SANDY ZERKLE SERP OF 15,000 LORI ISON SERP OF 15,000</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc5">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KINGS DAUGHTERS MEDICAL CENTER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTORS ARE E</RelationshipDescriptionTxt>
        <TransactionAmt>423105</TransactionAmt>
        <TransactionDesc>MEDICAL SERVICES PRO</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CITY NATIONAL BANK</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR IS EMP</RelationshipDescriptionTxt>
        <TransactionAmt>9122014</TransactionAmt>
        <TransactionDesc>INVESTMENT ACCOUNT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>KINGS DAUGHTERS MEDICAL CENTER: FOUR DIRECTORS ARE EMPLOYEES OF THE HOSPITAL. CITY NATIONAL BANK: DIRECTOR IS AN EMPLOYEE OF THE BANK.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE CEO, CFO, AND THE FINANCE COMMITTEE. THE GOVERNING BOARD IS THEN NOTIFIED THAT THE RETURN IS COMPLETED AND THEY ARE NOTIFIED OF THE DUE DATE AND THAT THE RETURN IS AVAILABLE TO THEM FOR REVIEW IF THEY DEEM NECESSARY IN THE BUSINESS OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST FORMS ARE COMPLETED WHEN FIRST JOINING THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES ARE PROVIDED AT OUR ADMINISTRATIVE OFFICES UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 6,060 FUNDRAISING EXPENSES -6,060</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>