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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL RIPCHINSKI MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GIL SAGER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES SIMMS JR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES A STUCCIO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARRIE WILLETTS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY ZOOK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN M KNAUB</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>333400</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34973</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOAN K HARROLD</PersonNm>
        <TitleTxt>VICE PRESIDENT/CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>297785</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36717</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BONNIE JESS LOPANE</PersonNm>
        <TitleTxt>VICE PRESIDENT/DEVELOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>155655</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14237</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTA KAE HAZEN</PersonNm>
        <TitleTxt>VICE PRESIDENT/CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>196101</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26381</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANN MARIE ACKERMAN</PersonNm>
        <TitleTxt>VICE PRESIDENT/PT CARE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>171758</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14832</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRENT KEENER</PersonNm>
        <TitleTxt>VICE PRESIDENT/HR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>136227</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27651</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHERYL DENICK</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>36.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>163425</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13217</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA HAYES</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>207132</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25684</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>D THAIS MAGILL</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>205962</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26114</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>J ANDREW PROBOLUS</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>195808</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20197</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACK WRIGHT</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>191416</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25718</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2254669</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>265721</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>19</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LANCASTER GENERAL HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>555 N DUKE ST PO BOX 3555</AddressLine1Txt>
            <CityNm>LANCASTER</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>17604</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL HEALTHCARE SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WELLSPAN HEALTH DBA YORK HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 15119</AddressLine1Txt>
            <CityNm>YORK</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>174057119</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL HEALTHCARE SERVICES</ServicesDesc>
        <CompensationAmt>362864</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VERIZON WIRELESS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 25505</AddressLine1Txt>
            <CityNm>LEHIGH VALLEY</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>180025505</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CELLULAR SERVICE PROVIDER</ServicesDesc>
        <CompensationAmt>168215</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PROCURA LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1827 WALDEN OFFICE SQUARE SUITE 10</AddressLine1Txt>
            <CityNm>SCHAUMBURG</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60173</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE PROVIDER</ServicesDesc>
        <CompensationAmt>145903</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KEYSTONE LAWN COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1151 FOUR STAR DRIVE</AddressLine1Txt>
            <CityNm>MT JOY</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>17552</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAWN CARE/SNOW REMOVAL SERVICES</ServicesDesc>
        <CompensationAmt>112633</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>13898</FederatedCampaignsAmt>
      <FundraisingAmt>609489</FundraisingAmt>
      <AllOtherContributionsAmt>2844525</AllOtherContributionsAmt>
      <NoncashContributionsAmt>356690</NoncashContributionsAmt>
      <TotalContributionsAmt>3467912</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>29849448</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29849448</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>1341446</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1341446</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>31190894</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>767865</TotalRevenueColumnAmt>
        <ExclusionAmt>767865</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>48354365</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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        <OtherAmt>3390</OtherAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>562268</SecuritiesAmt>
        <OtherAmt>-3390</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>558878</TotalRevenueColumnAmt>
        <ExclusionAmt>558878</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>406314</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>609489</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>427429</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-21115</TotalRevenueColumnAmt>
        <ExclusionAmt>-21115</ExclusionAmt>
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      <GamingGrossIncomeAmt>59356</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>25917</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>33439</TotalRevenueColumnAmt>
        <ExclusionAmt>33439</ExclusionAmt>
      </NetIncomeFromGamingGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>13442</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13442</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>13442</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>36011315</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>31204336</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1339067</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1453895</TotalAmt>
        <ProgramServicesAmt>538931</ProgramServicesAmt>
        <ManagementAndGeneralAmt>809374</ManagementAndGeneralAmt>
        <FundraisingAmt>105590</FundraisingAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>19195551</TotalAmt>
        <ProgramServicesAmt>17853642</ProgramServicesAmt>
        <ManagementAndGeneralAmt>958288</ManagementAndGeneralAmt>
        <FundraisingAmt>383621</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>527704</TotalAmt>
        <ProgramServicesAmt>443146</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79693</ManagementAndGeneralAmt>
        <FundraisingAmt>4865</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2568287</TotalAmt>
        <ProgramServicesAmt>2234536</ProgramServicesAmt>
        <ManagementAndGeneralAmt>286811</ManagementAndGeneralAmt>
        <FundraisingAmt>46940</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1569695</TotalAmt>
        <ProgramServicesAmt>1320687</ProgramServicesAmt>
        <ManagementAndGeneralAmt>221302</ManagementAndGeneralAmt>
        <FundraisingAmt>27706</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>4525</TotalAmt>
        <ManagementAndGeneralAmt>4525</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>22060</TotalAmt>
        <ManagementAndGeneralAmt>22060</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>1167</TotalAmt>
        <ProgramServicesAmt>957</ProgramServicesAmt>
        <ManagementAndGeneralAmt>210</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>70265</ManagementAndGeneralAmt>
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        <TotalAmt>4786170</TotalAmt>
        <ProgramServicesAmt>4748091</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36332</ManagementAndGeneralAmt>
        <FundraisingAmt>1747</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>40552</TotalAmt>
        <ProgramServicesAmt>17378</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23174</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>313059</TotalAmt>
        <ProgramServicesAmt>238192</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65936</ManagementAndGeneralAmt>
        <FundraisingAmt>8931</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>360666</TotalAmt>
        <ProgramServicesAmt>321867</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31745</ManagementAndGeneralAmt>
        <FundraisingAmt>7054</FundraisingAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>573816</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109639</ManagementAndGeneralAmt>
        <FundraisingAmt>17738</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>545015</TotalAmt>
        <ProgramServicesAmt>515064</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25658</ManagementAndGeneralAmt>
        <FundraisingAmt>4293</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>83075</TotalAmt>
        <ProgramServicesAmt>74514</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6426</ManagementAndGeneralAmt>
        <FundraisingAmt>2135</FundraisingAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>877446</TotalAmt>
        <ProgramServicesAmt>684408</ProgramServicesAmt>
        <ManagementAndGeneralAmt>166715</ManagementAndGeneralAmt>
        <FundraisingAmt>26323</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>400196</TotalAmt>
        <ProgramServicesAmt>381743</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14522</ManagementAndGeneralAmt>
        <FundraisingAmt>3931</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>FUNDRAISING EXPENSE</Desc>
        <TotalAmt>133296</TotalAmt>
        <FundraisingAmt>133296</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PRINTING</Desc>
        <TotalAmt>92399</TotalAmt>
        <ProgramServicesAmt>44674</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46155</ManagementAndGeneralAmt>
        <FundraisingAmt>1570</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>89311</TotalAmt>
        <ProgramServicesAmt>83508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3092</ManagementAndGeneralAmt>
        <FundraisingAmt>2711</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>81205</TotalAmt>
        <ProgramServicesAmt>39574</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38133</ManagementAndGeneralAmt>
        <FundraisingAmt>3498</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>45521</TotalAmt>
        <ProgramServicesAmt>37002</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8341</ManagementAndGeneralAmt>
        <FundraisingAmt>178</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>33962253</TotalAmt>
        <ProgramServicesAmt>30151730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3028396</ManagementAndGeneralAmt>
        <FundraisingAmt>782127</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>700</BOYAmt>
        <EOYAmt>700</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>492482</BOYAmt>
        <EOYAmt>1301014</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>394723</BOYAmt>
        <EOYAmt>695293</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3089972</BOYAmt>
        <EOYAmt>3358832</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>22388</BOYAmt>
        <EOYAmt>17478</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>151715</BOYAmt>
        <EOYAmt>102029</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>300715</BOYAmt>
        <EOYAmt>309810</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>28818063</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>17118047</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>12330129</BOYAmt>
        <EOYAmt>11700016</EOYAmt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY EDUCATION - 2014 AMOUNT: $ 32,492. 2015 AMOUNT: $ 25,531. 2016 AMOUNT: $ 27,601. 2017 AMOUNT: $ 18,506. 2018 AMOUNT: $ 13,442.</ExplanationTxt>
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      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>210</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
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      <TotalLobbyingExpendituresAmt>1167</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS RECEIVED NOTICE FROM THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION THAT A PORTION OF THEIR ANNUAL DUES ARE RELATED TO LOBBYING ACTIVITIES.</ExplanationTxt>
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        <AdministrativeExpensesAmt>43764</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>30305486</EndYearBalanceAmt>
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        <AdministrativeExpensesAmt>38964</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>22200669</EndYearBalanceAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE FOLLOWS THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ACCORDING TO THE PRINCIPLES OF ASC 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY HOSPICE, INCLUDING WHETHER THE ENTITY IS EXEMPT FROM INCOME TAXES. MANAGEMENT EVALUATED THE TAX POSITIONS TAKEN AND CONCLUDED THAT HOSPICE HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, HOSPICE IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2015.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4691</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9546</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>169892</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTA KAE HAZEN</PersonNm>
        <TitleTxt>VICE PRESIDENT/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>168773</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>23500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3828</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7125</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19256</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>222482</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANN MARIE ACKERMAN</PersonNm>
        <TitleTxt>VICE PRESIDENT/PT CARE</TitleTxt>
        <BaseCompensationFilingOrgAmt>144544</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>22500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4714</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6044</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8788</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>186590</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRENT KEENER</PersonNm>
        <TitleTxt>VICE PRESIDENT/HR</TitleTxt>
        <BaseCompensationFilingOrgAmt>117862</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2865</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4995</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22656</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>163878</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHERYL DENICK</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>155771</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2892</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4762</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5176</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8041</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>176642</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIA HAYES</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>196145</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3939</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7048</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7483</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18201</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>232816</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>D THAIS MAGILL</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>200316</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3937</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1709</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6358</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19756</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>232076</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>J ANDREW PROBOLUS</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>189132</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3765</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2911</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6080</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14117</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>216005</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JACK WRIGHT</PersonNm>
        <TitleTxt>HOSPICE PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>181210</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3633</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6573</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6871</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18847</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>217134</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES WHO RECEIVED TAXABLE LIFE INSURANCE BENEFITS WERE GIVEN A PAYMENT TO COVER THESE TAXES WHICH WAS TREATED AS TAXABLE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>STEVEN M. KNAUB AND JOAN K. HARROLD PARTICIPATE IN A SPLIT DOLLAR LIFE INSURANCE PLAN. HOSPICE AND COMMUNITY CARE PAID PREMIUMS OF $4,410 RELATED TO STEVEN M. KNAUB'S POLICY AND $7,522 RELATED TO JOAN K. HARROLD'S POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES FOR OFFICERS WERE ESTABLISHED BY THE EXECUTIVE DEVELOPMENT &amp; COMPENSATION COMMITTEE AT THE END OF 2017 AND PAID IN JANUARY 2018 BASED UPON 2017 ORGANIZATIONAL &amp; INDIVIDUAL PERFORMANCE. BONUSES FOR NON-OFFICERS WERE ESTABLISHED BY SENIOR MANAGEMENT BASED ON PERFORMANCE AND APPROVED BY THE EXECUTIVE DEVELOPMENT AND COMPENSATION COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>STEVEN M KNAUB</PersonNm>
        <RelationshipWithOrgTxt>PRESIDENT/CEO</RelationshipWithOrgTxt>
        <LoanPurposeTxt>SPLIT-DOLLAR LIFE INSURANCE POLICY</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <BalanceDueAmt>5381</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JOAN K HARROLD</PersonNm>
        <RelationshipWithOrgTxt>VICE PRESIDENT</RelationshipWithOrgTxt>
        <LoanPurposeTxt>SPLIT-DOLLAR LIFE INSURANCE POLICY</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <BalanceDueAmt>12097</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>17478</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KEVIN MOSSER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>HOSPICE BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>324362</TransactionAmt>
        <TransactionDesc>DIRECTOR OF WELLSPAN HEALTH CARE SERVICES WHOSE SUBSIDIARY WAS A VENDOR OF THE ORGANIZATION.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <WorksOfArtGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>285</ContributionCnt>
        <NoncashContributionsRptF990Amt>12753</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>REAL PROCEEDS - AUCTION</MethodOfDeterminingRevenuesTxt>
      </WorksOfArtGrp>
      <CarsAndOtherVehiclesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>9750</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>SALE PROCEEDS</MethodOfDeterminingRevenuesTxt>
      </CarsAndOtherVehiclesGrp>
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>6</ContributionCnt>
        <NoncashContributionsRptF990Amt>51608</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>NET REAL VAL @ SALE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>AUCTION ITEMS</Desc>
        <ContributionCnt>5053</ContributionCnt>
        <NoncashContributionsRptF990Amt>279162</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>REAL PROCEEDS-AUCTIO</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>MISCELLANEOUS</Desc>
        <ContributionCnt>6</ContributionCnt>
        <NoncashContributionsRptF990Amt>2591</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>FOOD</Desc>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>826</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>WITH THE EXCEPTION OF THE ARTWORK &amp; AUCTION ITEMS, NUMBER OF CONTRIBUTIONS IS BASED ON THE NUMBER OF CONTRIBUTIONS, NOT NUMBER OF ITEMS RECEIVED. ARTWORK &amp; AUCTION ITEMS ARE TOTAL AMOUNT OF ITEMS RECEIVED. SCHEDULE M, PART I, COLUMN (C): THE ORGANIZATION RECEIVED NON-CASH ITEMS IN PARTIAL SATISFACTION OF A PRIOR YEAR PLEDGE, AND THEREFORE, THE AMOUNT IS NOT REPORTED ON PART VIII, LINE 1G NOR IS IT REPORTED IN COLUMN (C) OF SCHEDULE M.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990 PART I LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE &amp; COMMUNITY CARE HAD AN AGGREGATE OF 1,140 VOLUNTEERS DURING THE YEAR. THESE VOLUNTEERS SERVED IN MANY DIFFERENT ROLES INCLUDING: PATIENT/FAMILY VOLUNTEERS IN HOME HOSPICE, OUR INPATIENT UNIT AND NURSING HOMES; PET THERAPY; MUSIC SUPPORT; BEREAVEMENT SUPPORT; OFFICE SUPPORT; GREETING AND WELCOMING VISITORS; DEVELOPMENT AND FUNDRAISING; COMMUNITY RELATIONS AND EDUCATION; AND GROUNDS MAINTENANCE. THE ORGANIZATION ALSO HAD VOLUNTEER OPPORTUNITIES FOR TEENS TO PROVIDE COMPANIONSHIP TO PATIENTS IN NURSING HOMES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990 PART V LINES 7A &amp;7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DONOR WAS NOTIFIED THROUGH ACKNOWLEDGEMENT OF GIFT AND/OR TICKET OF THE TAX DEDUCTIBLE PORTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS KEVIN MOSSER AND CARRIE WILLETTS HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>WELLSPAN HEALTH SHALL BE PERMITTED TO APPOINT TWO PERSONS OF THEIR CHOOSING TO THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT COMMITTEE OF THE BOARD, ACTING ON BEHALF OF THE BOARD, DID A DETAILED REVIEW OF THE FORM 990 WITH MANAGEMENT. A COPY WAS DISTRIBUTED ELECTRONICALLY TO THE FULL BOARD PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE A NEW CONFLICT OF INTEREST STATEMENT ON A YEARLY BASIS. THE POLICY IS REVIEWED ANNUALLY AT A BOARD MEETING. THE AUDIT COMMITTEE IS RESPONSIBLE FOR MONITORING AND ENFORCING COMPLIANCE WITH THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPENSATION COMMITTEE MADE UP OF BOARD MEMBERS MEETS AT LEAST ANNUALLY TO REVIEW AND APPROVE THE SALARIES FOR THE PRESIDENT/CEO AND ALL VICE PRESIDENTS. INDUSTRY BENCHMARKS ARE USED FOR COMPARISON PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>990 AVAILABLE UPON REQUEST TO THE ORGANIZATION'S FISCAL OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED IN THE FISCAL OFFICE OF THE ORGANIZATION. COPIES OF SUCH DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY: PROGRAM SERVICE EXPENSES 1,870,171. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,870,171. EQUIPMENT: PROGRAM SERVICE EXPENSES 994,301. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 994,301. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,689,246. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,689,246. RETIREMENT PLAN FEES: PROGRAM SERVICE EXPENSES 50,718. MANAGEMENT AND GENERAL EXPENSES 9,486. FUNDRAISING EXPENSES 1,103. TOTAL EXPENSES 61,307. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 143,655. MANAGEMENT AND GENERAL EXPENSES 26,846. FUNDRAISING EXPENSES 644. TOTAL EXPENSES 171,145.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF GIFT ANNUITIES -51,604. CHANGE IN VALUE OF PERPETUAL TRUSTS -86,201. DISTRIBUTIONS FROM PERPETUAL TRUSTS 32,087.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE G PART III LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION OPERATES A RAFFLE AVAILABLE TO THE GENERAL PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PALLIATIVE MEDICINE CONSULTANTS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>685 GOOD DRIVE</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17604</ZIPCd>
        </USAddress>
        <EIN>261209794</EIN>
        <PrimaryActivitiesTxt>PROVIDES HEALTH CARE TO PERSONS WITH CHRONIC OR ADVANCED ILLNESSES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <TotalIncomeAmt>2342582</TotalIncomeAmt>
        <EndOfYearAssetsAmt>95679</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HOSPICE &amp; COMMUNITY CARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPICE OF LANCASTER COUNTY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>685 GOOD DRIVE</AddressLine1Txt>
          <CityNm>LANCASTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17604</ZIPCd>
        </USAddress>
        <EIN>383914355</EIN>
        <PrimaryActivitiesTxt>PROVIDE HOSPICE CARE (CURRENTLY INACTIVE)</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HOSPICE &amp; COMMUNITY CARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>