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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY</ServicesDesc>
        <CompensationAmt>610136</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WOODLAND OAKS OPERATIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>300 PROVIDER COURT SUITE 100</AddressLine1Txt>
            <CityNm>RICHMOND</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40475</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING HOME SE</ServicesDesc>
        <CompensationAmt>441635</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AHF OHIO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5920 VENTURE DR SUITE 100</AddressLine1Txt>
            <CityNm>DUBLIN</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING FACILIT</ServicesDesc>
        <CompensationAmt>333200</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDLINE INDUSTRIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>DEPT CH14400</AddressLine1Txt>
            <CityNm>PALATINE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>600554400</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLY</ServicesDesc>
        <CompensationAmt>251062</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IRONTON OPCO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1050 CLINTON ST</AddressLine1Txt>
            <CityNm>IRONTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45638</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING HOME SE</ServicesDesc>
        <CompensationAmt>247108</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>12</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>123699</AllOtherContributionsAmt>
      <TotalContributionsAmt>123699</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE - HOME CARE</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>13935892</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13935892</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>13935892</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <RelatedOrExemptFuncIncomeAmt>408891</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2972159</SecuritiesAmt>
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      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <RelatedOrExemptFuncIncomeAmt>243571</RelatedOrExemptFuncIncomeAmt>
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      <FundraisingGrossIncomeAmt>16496</FundraisingGrossIncomeAmt>
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      <NetIncmFromFundraisingEvtGrp>
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        <ExclusionAmt>8384</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>24275</ExclusionAmt>
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      <OtherSalariesAndWagesGrp>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>236683</ProgramServicesAmt>
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        <ProgramServicesAmt>331679</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110560</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>34550</ProgramServicesAmt>
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      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
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        <ProgramServicesAmt>37542</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12515</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>33806</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11267</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>16558</TotalAmt>
        <ProgramServicesAmt>12419</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4139</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>23448</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7816</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>170856</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13096</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>52793</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17598</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>231260</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>402976</ProgramServicesAmt>
        <ManagementAndGeneralAmt>134326</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACTED PROFESSIONAL S</Desc>
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        <ProgramServicesAmt>2781462</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>640235</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MAINTENANCE AND REPAIRS</Desc>
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        <ProgramServicesAmt>234434</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>869861</ProgramServicesAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <FactsAndCircumstancesTestTxt>OVER 14 MILLION OF THE 16 MILLION 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>
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        <FormAndLineReferenceDesc>PART II, LINE 17A</FormAndLineReferenceDesc>
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        <BonusFilingOrganizationAmount>12051</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>8853</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5900</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>191821</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc6">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KINGS DAUGHTERS MEDICAL CENTER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR IS EMP</RelationshipDescriptionTxt>
        <TransactionAmt>130281</TransactionAmt>
        <TransactionDesc>MEDICAL SERVICES PRO</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>OUR LADY OF BELLEFONTE HOSPITAL</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR IS EMP</RelationshipDescriptionTxt>
        <TransactionAmt>45873</TransactionAmt>
        <TransactionDesc>MEDICAL SERVICES PRO</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CITY NATIONAL BANK</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR IS EMP</RelationshipDescriptionTxt>
        <TransactionAmt>817782</TransactionAmt>
        <TransactionDesc>BANK CD</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>KINGS DAUGHTERS MEDICAL CENTER: DIRECTOR IS THE PATIENT SERVICES DIRECTOR. OUR LADY OF BELLEFONTE HOSPITAL: DIRECTOR IS THE DIRECTOR OF MISSIONS. CITY NATIONAL BANK: DIRECTOR IS AN EMPLOYEE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR, THE DIRECTOR OF FINANCE, 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>NET LOSS ON SALE OF ASSETS 0 FUNDRASING EXPENSES 0 NET LOSS ON SALE OF ASSETS 0 NET LOSS ON SALE OF ASSETS 0 FUNDRAISING EXPENSES 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>