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      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>201015</TotalAmt>
        <ProgramServicesAmt>201015</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>130110</TotalAmt>
        <ProgramServicesAmt>98456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31654</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2960215</TotalAmt>
        <ProgramServicesAmt>1914166</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1046049</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>9982676</BOYAmt>
        <EOYAmt>9606181</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>45760</BOYAmt>
        <EOYAmt>28359</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>13906</BOYAmt>
        <EOYAmt>1207</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>7085</BOYAmt>
        <EOYAmt>9812</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>10303010</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>6475906</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4147655</BOYAmt>
        <EOYAmt>3827104</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>201729</BOYAmt>
        <EOYAmt>265563</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <TotalAssetsGrp>
        <BOYAmt>14398811</BOYAmt>
        <EOYAmt>13738226</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>43440</BOYAmt>
        <EOYAmt>212504</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>991825</BOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1035265</BOYAmt>
        <EOYAmt>212504</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>13363546</BOYAmt>
        <EOYAmt>13525722</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13363546</BOYAmt>
        <EOYAmt>13525722</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>14398811</BOYAmt>
        <EOYAmt>13738226</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>162176</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1671717</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2893451</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2251142</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4394849</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2619581</CurrentTaxYearAmt>
        <TotalAmt>13830740</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1671717</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2893451</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2251142</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4394849</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2619581</CurrentTaxYearAmt>
        <TotalAmt>13830740</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>13830740</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>5558</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2208</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5754</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>41543</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>50577</CurrentTaxYearAmt>
        <TotalAmt>105640</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>9017</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>9017</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>13945397</TotalSupportAmt>
      <PublicSupportCY170Pct>0.99180</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99710</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>8301392</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4748990</DepreciationAmt>
        <BookValueAmt>3552402</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1167653</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>948735</DepreciationAmt>
        <BookValueAmt>218918</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>833965</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>778181</DepreciationAmt>
        <BookValueAmt>55784</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3827104</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Carolina Home Medical Network</Desc>
        <BookValueAmt>265563</BookValueAmt>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>265563</TotalBookValueSecuritiesAmt>
      <TotalRevEtcAuditedFinclStmtAmt>3122391</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>3122391</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>3122391</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2960215</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>2960215</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2960215</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sheila Simmons</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>216564</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>216564</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The draft form 990 is reviewed by the CEO and CFO and then presented to the Finance Committee of the Board of Directors for their review and approval. Once the Finance Committee approves it is presented to thhe full Board for their approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually the CEO provides the organizations conflict of interest policy and each member must sign and return to the CEO to continue serving on the Board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors sets and approves the CEO and top management salaries during their annual budget process. The compensation is based upon independent salary comparison services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO provides recommendations for compensation amounts to the Board of Directors during the annual budget process. The Board has the ultimate determination.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its documents to the general public upon written request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>x</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other expenses Part IX line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>x</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>