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      <Form990PartVIISectionAGrp>
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        <TitleTxt>CCO</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>155007</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR CHARLES FRANKHOUSER</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR LAURA WALKER</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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          <BusinessName>
            <BusinessNameLine1Txt>TCN</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>UT</StateAbbreviationCd>
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      <ContractorCompensationGrp>
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          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>FL</StateAbbreviationCd>
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      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>282314</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-27422</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <ManagementAndGeneralAmt>48382</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>22578</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>238679</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>37261</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>41954</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>108929</ProgramServicesAmt>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>37174</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>348423</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>107010</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PROFESSIONAL CARE EXPEN</Desc>
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        <ProgramServicesAmt>3957603</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>COMPUTER CONSULTING</Desc>
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      <OtherExpensesGrp>
        <Desc>TELEIOUS EXPENSE</Desc>
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        <ProgramServicesAmt>756613</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSES</Desc>
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        <ProgramServicesAmt>286659</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>1133450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>637662</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>25812412</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9755945</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>3795231</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>49855</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>12058365</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>184517</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>857877</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>28385753</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>25282892</BOYAmt>
        <EOYAmt>34138327</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus2YearsAmt>812717</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>812717</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>397448</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>336362</CurrentTaxYearAmt>
        <TotalAmt>2316858</TotalAmt>
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        <CurrentTaxYearMinus4YearsAmt>154618</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>157260</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>198624</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>133099</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>282314</CurrentTaxYearAmt>
        <TotalAmt>925915</TotalAmt>
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      <PublicSupportPY170Pct>0.73020</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <ContributionsAmt>250000</ContributionsAmt>
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        <EndYearBalanceAmt>151479</EndYearBalanceAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTY</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>22578</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>$151,479 OF THE ENDOWENT FUNDS ARE PERMANENTLY RESTRICTED GIFT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>AS OF THE CURRENT AND PRIOR YEAR, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR CHARLES FRANKHOUSER</PersonNm>
        <TitleTxt>STAFF PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR LAURA WALKER</PersonNm>
        <TitleTxt>STAFF PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>192646</BaseCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINA MCNALLY</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>159941</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNETTE KISER</PersonNm>
        <TitleTxt>CCO</TitleTxt>
        <BaseCompensationFilingOrgAmt>155007</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE COMPLETED FORM 990 IS MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO FILING. IN ADDITION, THE ORGANIZATION'S EXECUTIVE DIRECTOR REVIEWS THE COMPLETED FORM 990 WITH THE RETURN PREPARER PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES AND MEMBERS OF THE BOARD OF DIRECTORS. EDUCATION REGARDING THE ORGANIZATION'S CONFLICT OF INTEREST POLICY OCCURS DURING THE ORIENTATION PROCESS OF ALL BOARD MEMBERS AND EMPLOYEES. EACH BOARD MEMBER AND EMPLOYEE ACKNOWLEDGES THEIR REVIEW AND UNDERSTANDING OF THE POLICY BY A SIGNED STATEMENT WHICH IS PLACED IN A BOARD MEMBER'S FILE OR THE EMPLOYEE'S PERSONNEL FILE. BOARD MEMBERS ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN THE ACKNOWLEDGEMENT OF REVIEW AND UNDERSTANDING ANNUALLY. THE CONFLICT OF INTEREST POLICY REQUIRES DISCLOSURE AT THE TIME A MATTER ARISES THAT MAY PRESENT A FINANCIAL OR ETHICAL CONFLICT OF INTEREST WITH THE ORGANIZATION'S INTERESTS. DETERMINATIONS OF A CONFLICT OF INTEREST ARE MADE BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REGARDING BOARD MEMBERS AND THE CHEIF EXECUTIVE OFFICER REGARDING EMPLOYEES. PRIOR TO ANY ACTION BEING TAKEN AGAINST A BOARD MEMBER OR EMPLOYEE, THE ORGANIZATION CONDUCTS AN INVESTIGATION AND DUE PROCESS ADMINISTRATIVE HEARING. THE BOARD CHAIR IS THE FINAL ARBITRATOR IN THE ORGANIZATION'S INTERNAL INVESTIGATION. THE RESULTS OF THE INVESTIGATION MAY WARRANT A BOARD MEMBER NOT PARTICIPATING IN DISCUSSIONS OR VOTES ON SPECIFIED TRANSACTIONS UNLESS REQUESTED BY THE BOARD. THE BOARD MEMBER'S ABSTENTION AND THE REASON FOR IT ARE RECORDED IN THE MINUTES. ACTIONS INVOLVING EMPLOYEES MAY INCLUDE AN OPPORTUNITY TO REMEDY THE CONFLICT AND OTHER APPROPRIATE ACTIONS UP TO AND INCLUDING TERMINATION OF EMPLOYMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IS REQUIRED TO REVIEW THE EXECUTIVE DIRECTOR'S PERFORMANCE AND COMPENSATION ANNUALLY. THE REVIEW IS UNDERTAKEN BY THE BOARD'S EXECUTIVE COMMITTEE, THEN REVIEWED, DISCUSSED AND APPROVED BY THE FULL BOARD OF DIRECTORS. COMPARABILITY DATE IS OBTAINED FROM BOTH THE HOSPICE AND SALARY BENEFITS REPORT PUBLISHED BY THE HOSPITAL AND HEALTHCARE COMPENSATION SERVICE, AS WELL AS A NATIONAL HOSPICE SALARY SURVEY CONDUCTED BY MULTI-VIEW INCORPORATED. UPON BOARD APPROVAL, A LETTER IS WRITTEN BY THE BOARD PRESIDENT TO THE INDEPENDENT PAYROLL SERVICE PROVIDER, INSTRUCTING THEM OF ANY CHANGE IN COMPENSATION. THE PROCESS IS CONTEMPORANEOUSLY SUBSTANTIATED IN BOTH THE EXECUTIVE COMMITTEE MINUTES AND THE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE MADE AVAILABLE FOR INSPECTION AT THE ORGANIZATION'S OFFICE UPON REASONABLE REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES EXPENSE : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 238,679. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 238,679.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>DUES AND PUBLICATIONS : PROGRAM SERVICE EXPENSES 306,492. MANAGEMENT AND GENERAL EXPENSES 33,890. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 340,382. TELEPHONE : PROGRAM SERVICE EXPENSES 237,486. MANAGEMENT AND GENERAL EXPENSES 86,280. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 323,766. TELEIOS EXPENSE : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 274,883. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 274,883. CONSULTING PHYSICIAN : PROGRAM SERVICE EXPENSES 211,207. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 211,207. FOOD : PROGRAM SERVICE EXPENSES 110,329. MANAGEMENT AND GENERAL EXPENSES 40,084. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 150,413. REPAIRS AND MAINTENANCE : PROGRAM SERVICE EXPENSES 107,607. MANAGEMENT AND GENERAL EXPENSES 39,094. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 146,701. POSTAGE / PRINTING / SHIPPING : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 128,821. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128,821. UTILITIES EXPENSE : PROGRAM SERVICE EXPENSES 73,683. MANAGEMENT AND GENERAL EXPENSES 26,769. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,452. LINENS : PROGRAM SERVICE EXPENSES 62,181. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,181. PHYSICIAN EDUCATION : PROGRAM SERVICE EXPENSES 24,465. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,465. LANDSCAPING : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,841. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,841.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER TO CAROLINA CARING FOUNDATION -518,951. OTHER ADJUSTMENT 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C,AUDIT OVERSIGHT/SELECTION OF INDEPENDENT ACCT</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>CAROLINA CARING FOUNDATION INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3975 ROBINSON ROAD</AddressLine1Txt>
          <CityNm>NEWTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28658</ZIPCd>
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        <PrimaryActivitiesTxt>CAROLINA CARING, INC</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>CAROLINA CARING FOUNDATION INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>518951</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CAROLINA CARING FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>336306</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
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