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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>41436</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>1773</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>2422</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24054</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>79624</TotalAmt>
        <ManagementAndGeneralAmt>79624</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>279715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2913</ManagementAndGeneralAmt>
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      <TravelGrp>
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      <InterestGrp>
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        <ProgramServicesAmt>6125</ProgramServicesAmt>
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        <ProgramServicesAmt>349385</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>93834</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>NURSING HOME ASSESSMENT</Desc>
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        <ProgramServicesAmt>897984</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
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      <OtherExpensesGrp>
        <Desc>PROFESSIONAL THERAPY SE</Desc>
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        <ProgramServicesAmt>603646</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PHARMACY</Desc>
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        <ProgramServicesAmt>267817</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>2418</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipCostOrOtherBssAmt>12829587</LandBldgEquipCostOrOtherBssAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1970007</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>9450428</BOYAmt>
        <EOYAmt>9402524</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>9450428</BOYAmt>
        <EOYAmt>9402524</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>11372531</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-496248</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>448344</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus1YearAmt>2798</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1903</CurrentTaxYearAmt>
        <TotalAmt>19587</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>10209378</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9879774</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9635934</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9458787</CurrentTaxYearAmt>
        <TotalAmt>49454300</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>10270427</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10209378</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9894660</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9638732</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9460690</CurrentTaxYearAmt>
        <TotalAmt>49473887</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
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      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>49473887</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>161643</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>162367</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>160768</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus2YearsAmt>162367</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>160768</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>829840</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>10371021</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>9799500</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9632889</CurrentTaxYearAmt>
        <TotalAmt>50303727</TotalAmt>
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      <PublicSupportCY509Pct>0.98350</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98420</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01650</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01580</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>578524</OtherCostOrOtherBasisAmt>
        <BookValueAmt>578524</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>6465022</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5288742</DepreciationAmt>
        <BookValueAmt>1176280</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3024143</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1776528</DepreciationAmt>
        <BookValueAmt>1247615</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>2364375</DepreciationAmt>
        <BookValueAmt>397523</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3399942</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>10064414</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>448344</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>448344</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>9616070</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>9616070</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10112318</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>10112318</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>10112318</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS SHALL CONSIST OF SEVEN PERSONS WITH FOUR OF SUCH DIRECTORS BEING APPOINTED BY THE COUNTY COMMISSIONERS OF THE COUNTY OF CLARION, COMMONWEALTH OF PENNSYLVANIA. THE FOUR DIRECTORS SHALL THEN APPOINT THREE ADDITIONAL MEMBERS TO THE BOARD OF DIRECTORS FROM THE EXISTING BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS SENT TO THE BOARD MEMBERS FOR REVIEW PRIOR TO FILING THE RETURN</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>MARKET STUDIES ARE DONE IN THE REGION TO DETERMINE THE APPROPRIATE AMOUNTS OF COMPENSATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>