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      <TotalContributionsAmt>49578</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REV</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>33035177</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>33035177</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PA NURSING HOME ASSESSMENT</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1974300</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1974300</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>35009477</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>22813</TotalRevenueColumnAmt>
        <ExclusionAmt>22813</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA SALES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>61659</TotalRevenueColumnAmt>
        <ExclusionAmt>61659</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>LATE FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>8034</TotalRevenueColumnAmt>
        <ExclusionAmt>8034</ExclusionAmt>
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      <OtherRevenueTotalAmt>69693</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>35151561</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>35009477</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>92506</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>4133083</TotalAmt>
        <ProgramServicesAmt>4133083</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>16526145</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1262897</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>143575</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10972</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1653549</TotalAmt>
        <ProgramServicesAmt>1536159</ProgramServicesAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1062134</TotalAmt>
        <ProgramServicesAmt>986730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75404</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>76624</TotalAmt>
        <ManagementAndGeneralAmt>76624</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>49728</TotalAmt>
        <ManagementAndGeneralAmt>49728</ManagementAndGeneralAmt>
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        <TotalAmt>743020</TotalAmt>
        <ProgramServicesAmt>724669</ProgramServicesAmt>
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        <TotalAmt>21370</TotalAmt>
        <ManagementAndGeneralAmt>21370</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>554226</TotalAmt>
        <ProgramServicesAmt>392889</ProgramServicesAmt>
        <ManagementAndGeneralAmt>161337</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>528912</TotalAmt>
        <ProgramServicesAmt>528912</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>921</TotalAmt>
        <ProgramServicesAmt>921</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>21815</TotalAmt>
        <ProgramServicesAmt>1695</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20120</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>1077661</TotalAmt>
        <ProgramServicesAmt>1077661</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>605913</TotalAmt>
        <ManagementAndGeneralAmt>605913</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CORPORATE ALLOCATION</Desc>
        <TotalAmt>2874457</TotalAmt>
        <ManagementAndGeneralAmt>2874457</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>1627233</TotalAmt>
        <ProgramServicesAmt>128819</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1498414</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>1446351</TotalAmt>
        <ProgramServicesAmt>1439424</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6927</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>1117215</TotalAmt>
        <ProgramServicesAmt>1117215</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>3303793</TotalAmt>
        <ProgramServicesAmt>2552906</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>38841594</TotalAmt>
        <ProgramServicesAmt>31290803</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7550791</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1346011</EOYAmt>
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        <EOYAmt>5037676</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>19147</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>25395225</LandBldgEquipCostOrOtherBssAmt>
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        <EOYAmt>5028636</EOYAmt>
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        <EOYAmt>164241</EOYAmt>
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        <EOYAmt>11595711</EOYAmt>
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        <EOYAmt>1422914</EOYAmt>
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        <EOYAmt>164243</EOYAmt>
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        <EOYAmt>311635</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2136660</BOYAmt>
        <EOYAmt>1898792</EOYAmt>
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        <EOYAmt>9696919</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13386952</BOYAmt>
        <EOYAmt>9696919</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15523612</BOYAmt>
        <EOYAmt>11595711</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-3690033</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>1754384</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6213615</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1028500</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>49578</CurrentTaxYearAmt>
        <TotalAmt>11215300</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>36533359</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>29216551</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>31064360</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>33128166</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35009477</CurrentTaxYearAmt>
        <TotalAmt>164951913</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>38702582</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>30970935</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>37277975</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34156666</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35059055</CurrentTaxYearAmt>
        <TotalAmt>176167213</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>176167213</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>67738</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>57443</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>52740</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>108992</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22813</CurrentTaxYearAmt>
        <TotalAmt>309726</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>67738</CurrentTaxYearMinus4YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>52740</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>108992</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22813</CurrentTaxYearAmt>
        <TotalAmt>309726</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>53582</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>64239</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>68250</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>69693</CurrentTaxYearAmt>
        <TotalAmt>364582</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>38879138</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>31081960</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>37394954</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34333908</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35151561</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>0.99630</PublicSupportPY509Pct>
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      <InvestmentIncomePYPct>0.00150</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAFETERIA SALES - 2019 AMOUNT: $ 64,975. 2020 AMOUNT: $ 40,423. 2021 AMOUNT: $ 48,910. 2022 AMOUNT: $ 57,370. 2023 AMOUNT: $ 61,659. LATE FEES - 2019 AMOUNT: $ 43,843. 2020 AMOUNT: $ 13,159. 2021 AMOUNT: $ 15,329. 2022 AMOUNT: $ 10,880. 2023 AMOUNT: $ 8,034.</ExplanationTxt>
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        <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>
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      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>20968130</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>16765532</DepreciationAmt>
        <BookValueAmt>4202598</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4427095</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3601057</DepreciationAmt>
        <BookValueAmt>826038</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>5028636</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS</Desc>
        <Amt>209998</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTERCOMPANY PAYABLES, NET</Desc>
        <Amt>101637</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>35151561</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>35151561</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>38841594</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>38841594</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLIED SERVICES SKILLED NURSING CENTER OFFERS RESIDENTS AN OPTION OF MANAGING THEIR PERSONAL FUNDS. THEY MUST SIGN AN AUTHORIZATION FORM GIVING ALLIED PERMISSION TO DEPOSIT THEIR MONEY. THE RESIDENT TRUST BANK ACCOUNT IS NOT CO-MINGLED WITH ANY OTHER ALLIED SERVICES ACCOUNTS. IT IS AN INTEREST BEARING ACCOUNT THAT IS INSURED WITH A SURETY BOND FOR $450,000. THE BOND IS LISTED AS ON BEHALF OF ALLIED SERVICES SKILLED NURSING CENTER, AS PRINCIPAL, AND IN FAVOR OF RESIDENTS OF ALLIED SERVICES SKILLED NURSING CENTER, AS OBLIGEE. THERE IS A RESIDENT TRUST MODULE WITHIN THE BILLING SYSTEM (POINTCLICKCARE) WHERE ALL OF THE RESIDENTS' FUNDS ARE TRACKED. RESIDENTS OR FAMILIES ARE SENT QUARTERLY STATEMENTS SHOWING ALL OF THE ACTIVITY WITHIN THEIR ACCOUNT. AS LONG AS A RESIDENT IS CAPABLE, THEY MAY OBTAIN THEIR PERSONAL FUNDS AT THE RESIDENT TRUST OFFICE MONDAY THRU FRIDAY FROM 7:30 A.M. TO 4:00 P.M. AND THROUGH THE NURSING DEPARTMENT FOR ANY OFF HOUR REQUESTS. RESIDENTS ARE GIVEN RECEIPTS FOR ALL WITHDRAWALS. AFTER A RESIDENT PASSES AWAY, THE MONIES ARE DISTRIBUTED TOWARDS FUNERAL EXPENSES AND ESTATES. ANY LEFT OVER MONIES ARE REFUNDED TO THE STATE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLIED ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2024 AND 2023.</ExplanationTxt>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>ALLIED SERVICES FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 ABINGTON EXECUTIVE PARK</AddressLine1Txt>
          <CityNm>CLARKS SUMMIT</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18411</ZIPCd>
        </USAddress>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL PURPOSE - TO FURTHER THE ORGANIZATION'S TAX EXEMPT MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING OF THE GRANT FUNDING IS PERFORMED BY EXPENSE REVIEW OF THE RELATED ENTITY PRIOR TO REIMBURSEMENT OF FUNDS.</ExplanationTxt>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>WILLIAM P CONABOY ESQ</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL AVVISATO</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>828099</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>263689</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>56522</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>1526212</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIANNA HOBAN</PersonNm>
        <TitleTxt>AVP</TitleTxt>
        <BaseCompensationFilingOrgAmt>137915</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2793</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21594</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>162302</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVES ARE COMPENSATED BY ALLIED HEALTH CARE SERVICES (AHCS), A RELATED TAX-EXEMPT ORGANIZATION. AHCS USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>WILLIAM CONABOY, ESQ. AND MICHAEL AVVISATO PARTICIPATE IN A RABBI TRUST NON-QUALIFIED DEFERRED COMPENSATION PLAN. CONTRIBUTIONS OF $642,288 AND $263,689 WERE MADE ON THEIR BEHALF, RESPECTIVELY. THEY RECEIVED FOLLOWING DISTRIBUTIONS DURING CALENDAR YEAR 2023: - WILLIAM CONABOY, ESQ. ($1,985,114) - MICHAEL AVVISATO ($828,099)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF ALLIED SERVICES SKILLED NURSING CENTER ("THE ORGANIZATION") SHALL BE THOSE PERSONS WHO SERVE FROM TIME TO TIME AS MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF ALLIED SERVICES FOUNDATION ("THE FOUNDATION"), IN EACH CASE TO SERVE IN SUCH A CAPACITY AT THE DISCRETION OF THE FOUNDATION, AND SUBJECT TO REMOVAL BY THE FOUNDATION AT ANY TIME, WITH OR WITHOUT CAUSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>AS DOCUMENTED IN THE ORGANIZATION'S BYLAWS, THE MEMBERS, AT THEIR ANNUAL MEETING, SHALL ELECT THE PRESIDENT OF THE BOARD FROM AMONG THE NOMINEES FOR SUCH OFFICE SUBMITTED TO THE MEMBERS BY THE PRESIDENT OF THE FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS REVIEWED IN DETAIL BY THE CHAIRMAN OF THE BOARD AND THE CHAIR OF THE AUDIT COMMITTEE. THE BOARD OF DIRECTORS IS NOTIFIED AND GIVEN ACCESS TO THE 990 VIA A WEBLINK PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ALLIED SERVICES CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS DOWN TO DEPARTMENT HEADS AS WELL AS ANY STAFF WHO ARE INVOLVED IN THE PURCHASING PROCESS. ALL COVERED PERSONS MUST COMPLETE AN ANNUAL CONFLICT STATEMENT. A COVERED PERSON MAY HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST WHICH WOULD INCLUDE FAMILY AND BUSINESS RELATIONSHIPS AS POTENTIAL SOURCES OF CONFLICT. IF A TRANSACTION IS PROPOSED INVOLVING A CONFLICT, THE BOARD INVESTIGATES ALTERNATIVES FOR THE TRANSACTION AND MAKES A DETERMINATION IF A MORE ADVANTAGEOUS ARRANGEMENT CAN BE MADE. MEMBERS INVOLVED IN THE CONFLICT MUST ABSTAIN FROM VOTING ON SUCH MATTERS, ALTHOUGH CONFLICTED INDIVIDUALS MAY PRESENT FACTS TO THE BOARD. ANY VIOLATIONS OF THE POLICY ARE HANDLED AS NECESSARY FROM REPRIMAND TO TERMINATION FROM THE BOARD OR EMPLOYMENT, DEPENDING ON THE SEVERITY OF THE OFFENSE. COMPLIANCE WITH THIS POLICY IS MONITORED BY THE VICE PRESIDENT OF HUMAN RESOURCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLIED PARTICIPATES IN MULTIPLE REGIONAL SALARY SURVEYS, TWO OF WHICH ARE THE SOCIETY OF HEALTHCARE HUMAN RESOURCES OF PENNSYLVANIA AND THE APPALACHIAN HEALTHCARE HUMAN RESOURCES SOCIETY, TO DETERMINE MARKET COMPETITIVENESS, AND CONSIDERS THE EXTERNAL MARKET AS A FACTOR IN THE JOB EVALUATION PROCESS. COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS REVIEWED BY A COMPENSATION COMMITTEE OF THE BOARD. INCREASES ARE RECOMMENDED BY THE COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS BASED ON THE EXTERNAL SURVEYS AND INTERNAL REVIEWS. THIS PROCESS IS DOCUMENTED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. FOR ALL OTHER EMPLOYEES, ALLIED SERVICES FOLLOWS AN INTERNAL JOB EVALUATION PROCESS, ADMINISTERED BY A CROSS DIVISIONAL JOB EVALUATION TEAM COMPRISED OF DIRECTORS AND ASSISTANT VICE PRESIDENTS. THE JOB EVALUATION PROCESS IS BASED ON A FOURTEEN POINT FACTOR SYSTEM AND INTERNAL ALIGNMENT WITHIN JOB CLASSIFICATION. THE PROCESS IS DOCUMENTED AND LABOR GRADE RECOMMENDATIONS BASED ON BOTH INTERNAL AND EXTERNAL RESULTS ARE MADE TO THE DIVISIONAL VICE PRESIDENT AND VICE PRESIDENT OF HUMAN RESOURCES FOR FINAL APPROVAL.</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 STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALLIED SERVICES CONTINUING CARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 TERRACE LANE</AddressLine1Txt>
          <CityNm>SCRANTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18508</ZIPCd>
        </USAddress>
        <EIN>204472148</EIN>
        <PrimaryActivitiesTxt>PROVIDE INDEPENDENT LIVING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALLIED SERVICES FOUNDATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALLIED HEALTH CARE SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 ABINGTON EXECUTIVE PARK</AddressLine1Txt>
          <CityNm>CLARKS SUMMIT</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18411</ZIPCd>
        </USAddress>
        <EIN>240860110</EIN>
        <PrimaryActivitiesTxt>PROVIDE HEALTH CARE SERVICES TO ELDERLY AND MENTALLY CHALLENGED</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALLIED SERVICES FOUNDATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALLIED SERVICES FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 ABINGTON EXECUTIVE PARK</AddressLine1Txt>
          <CityNm>CLARKS SUMMIT</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18411</ZIPCd>
        </USAddress>
        <EIN>232523682</EIN>
        <PrimaryActivitiesTxt>INVESTED FUNDS FOR RELATED ENTITIES TO SUPPORT THEIR MISSIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALLIED PROJECT OPPORTUNITY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 ABINGTON EXECUTIVE PARK</AddressLine1Txt>
          <CityNm>CLARKS SUMMIT</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18411</ZIPCd>
        </USAddress>
        <EIN>232523680</EIN>
        <PrimaryActivitiesTxt>PROVIDE LOW INCOME HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALLIED HEALTH CARE SERVICES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALLIED NORTHEAST APARTMENTS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 ABINGTON EXECUTIVE PARK</AddressLine1Txt>
          <CityNm>CLARKS SUMMIT</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18411</ZIPCd>
        </USAddress>
        <EIN>232523679</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALLIED HEALTH CARE SERVICES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALLIED SERVICES INSTITUTE OF REHABILITATION MEDICINE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 ABINGTON EXECUTIVE PARK</AddressLine1Txt>
          <CityNm>CLARKS SUMMIT</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18411</ZIPCd>
        </USAddress>
        <EIN>232523395</EIN>
        <PrimaryActivitiesTxt>PROVIDE REHABILITATIVE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALLIED SERVICES FOUNDATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALLIED SERVICES PERSONAL CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 ABINGTON EXECUTIVE PARK</AddressLine1Txt>
          <CityNm>CLARKS SUMMIT</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18411</ZIPCd>
        </USAddress>
        <EIN>232862231</EIN>
        <PrimaryActivitiesTxt>OPERATE A PERSONAL CARE FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALLIED SERVICES FOUNDATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE BURNLEY WORKSHOP OF THE POCONOS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4219 MANOR DRIVE</AddressLine1Txt>
          <CityNm>STROUDSBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18360</ZIPCd>
        </USAddress>
        <EIN>231642528</EIN>
        <PrimaryActivitiesTxt>OPERATE A VOCATIONAL REHABILITATION FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALLIED HEALTH CARE SERVICES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 ABINGTON EXECUTIVE PARK</AddressLine1Txt>
          <CityNm>CLARKS SUMMIT</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18411</ZIPCd>
        </USAddress>
        <EIN>232262852</EIN>
        <PrimaryActivitiesTxt>OPERATE A REHABILITATIVE HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALLIED SERVICES FOUNDATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RISK RETENTION GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1327 ASHLEY RIVER ROAD BLDG C SUITE</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29407</ZIPCd>
        </USAddress>
        <EIN>201177431</EIN>
        <PrimaryActivitiesTxt>PROVIDE INSURANCE, CLAIMS DEFENSE, ADMINISTRATION &amp; INDEMNITY TO AFFILIATES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALLIED SERVICES FOUNDATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALLIED SERVICES HOSPICE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 ABINGTON EXECUTIVE PARK</AddressLine1Txt>
          <CityNm>CLARKS SUMMIT</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18411</ZIPCd>
        </USAddress>
        <EIN>923401225</EIN>
        <PrimaryActivitiesTxt>HOSPICE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ALLIED HEALTH CARE SERVICES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</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>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>