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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HENRY J STRAUB</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA HIGGINS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RABBI PETER KESSLER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM SPAHR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACK STOVER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSHUA SHIPLEY MD</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>PATRICIA VANCE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM WARD</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GILBERT J BROWN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>216437</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15503</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID WENNER</PersonNm>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>219315</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14142</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA OLENDER</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIRECTOR</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>170094</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10720</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>605846</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>40365</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>96057</FederatedCampaignsAmt>
      <FundraisingAmt>237083</FundraisingAmt>
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      <TotalContributionsAmt>1354531</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>10978832</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10978832</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>1004639</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>11983471</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>121270</TotalRevenueColumnAmt>
        <ExclusionAmt>121270</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>292301</SecuritiesAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>181305</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>110996</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>110996</TotalRevenueColumnAmt>
        <ExclusionAmt>110996</ExclusionAmt>
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      <ContriRptFundraisingEventAmt>237083</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>58158</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-25079</TotalRevenueColumnAmt>
        <ExclusionAmt>-25079</ExclusionAmt>
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        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2314</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2314</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>13547503</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11985785</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>207187</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>231940</TotalAmt>
        <ProgramServicesAmt>46387</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139164</ManagementAndGeneralAmt>
        <FundraisingAmt>46389</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7484447</TotalAmt>
        <ProgramServicesAmt>6676850</ProgramServicesAmt>
        <ManagementAndGeneralAmt>664707</ManagementAndGeneralAmt>
        <FundraisingAmt>142890</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>87152</TotalAmt>
        <ProgramServicesAmt>79178</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6684</ManagementAndGeneralAmt>
        <FundraisingAmt>1290</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>712182</TotalAmt>
        <ProgramServicesAmt>628785</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68087</ManagementAndGeneralAmt>
        <FundraisingAmt>15310</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>572501</TotalAmt>
        <ProgramServicesAmt>499590</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59070</ManagementAndGeneralAmt>
        <FundraisingAmt>13841</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>120349</TotalAmt>
        <ManagementAndGeneralAmt>120349</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>57460</TotalAmt>
        <ManagementAndGeneralAmt>57460</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>25853</TotalAmt>
        <ManagementAndGeneralAmt>25853</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>179580</TotalAmt>
        <ProgramServicesAmt>173293</ProgramServicesAmt>
        <FundraisingAmt>6287</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>478614</TotalAmt>
        <ProgramServicesAmt>361365</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75044</ManagementAndGeneralAmt>
        <FundraisingAmt>42205</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>191334</TotalAmt>
        <ProgramServicesAmt>180497</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8779</ManagementAndGeneralAmt>
        <FundraisingAmt>2058</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>463710</TotalAmt>
        <ProgramServicesAmt>440439</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22959</ManagementAndGeneralAmt>
        <FundraisingAmt>312</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>31627</TotalAmt>
        <ProgramServicesAmt>23035</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8592</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>204326</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19413</ManagementAndGeneralAmt>
        <FundraisingAmt>4549</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>273199</TotalAmt>
        <ProgramServicesAmt>188631</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80017</ManagementAndGeneralAmt>
        <FundraisingAmt>4551</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES AND SE</Desc>
        <TotalAmt>2284302</TotalAmt>
        <ProgramServicesAmt>2284302</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OUTREACH</Desc>
        <TotalAmt>136617</TotalAmt>
        <ManagementAndGeneralAmt>136617</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BEREAVEMENT AND VOLUNTE</Desc>
        <TotalAmt>46040</TotalAmt>
        <ProgramServicesAmt>46040</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES</Desc>
        <TotalAmt>38874</TotalAmt>
        <ProgramServicesAmt>6314</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32560</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>51332</TotalAmt>
        <ProgramServicesAmt>24483</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2541</ManagementAndGeneralAmt>
        <FundraisingAmt>24308</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>13695401</TotalAmt>
        <ProgramServicesAmt>11863515</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1527896</ManagementAndGeneralAmt>
        <FundraisingAmt>303990</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>50</BOYAmt>
        <EOYAmt>50</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2852642</BOYAmt>
        <EOYAmt>2446590</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>44840</BOYAmt>
        <EOYAmt>19169</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1720625</BOYAmt>
        <EOYAmt>1803563</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>78942</BOYAmt>
        <EOYAmt>89107</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>5535110</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2530705</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3101098</BOYAmt>
        <EOYAmt>3004405</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>5049435</BOYAmt>
        <EOYAmt>4767638</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>12847632</BOYAmt>
        <EOYAmt>12130522</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1099434</BOYAmt>
        <EOYAmt>966929</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>33970</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1099434</BOYAmt>
        <EOYAmt>1000899</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>11176198</BOYAmt>
        <EOYAmt>10673116</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>524853</BOYAmt>
        <EOYAmt>409360</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>47147</BOYAmt>
        <EOYAmt>47147</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11748198</BOYAmt>
        <EOYAmt>11129623</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>12847632</BOYAmt>
        <EOYAmt>12130522</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-147898</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-470677</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1434298</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1454332</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1888465</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1485821</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1354531</CurrentTaxYearAmt>
        <TotalAmt>7617447</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>1454332</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1888465</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1485821</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1354531</CurrentTaxYearAmt>
        <TotalAmt>7617447</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>2127869</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>5489578</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>170265</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>153164</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>129562</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>148027</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>121270</CurrentTaxYearAmt>
        <TotalAmt>722288</TotalAmt>
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      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>5964</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2416</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>33998</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>42378</TotalAmt>
      </OtherIncome170Grp>
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      <GrossReceiptsRltdActivitiesAmt>59835994</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.65490</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.73160</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>496</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>496</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOBBYING EXPENDITURES ARE A PORTION OF THE ANNUAL DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO). PER THE NHPCO $496 OF THE DUES WERE USED FOR DIRECT COMMUNICATIONS WITH CERTAIN MEMBERS OF FEDERAL, STATE OR LOCAL GOVERNMENT TO INFLUENCE LEGISLATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>362500</OtherCostOrOtherBasisAmt>
        <BookValueAmt>362500</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3962909</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1501899</DepreciationAmt>
        <BookValueAmt>2461010</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>926819</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>767626</DepreciationAmt>
        <BookValueAmt>159193</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>282882</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>261180</DepreciationAmt>
        <BookValueAmt>21702</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3004405</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>13109131</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-470677</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>58158</OtherRevenueAmt>
      <RevenueNotReportedAmt>-412519</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>13521650</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>25853</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>25853</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>13547503</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>13727706</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>58158</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>58158</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>13669548</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>25853</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>25853</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>13695401</TotalExpensesPerForm990Amt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS ASSESSED THE ORGANIZATION'S EXPOSURE TO INCOME TAXES AT THE ENTITY LEVEL AS A RESULT OF UNCERTAIN TAX POSITIONS TAKEN IN CURRENT AND PREVIOUSLY FILED TAX RETURNS. EXAMPLES OF TAX POSITIONS TAKEN AT THE ENTITY LEVEL INCLUDE THE CONTINUING VALIDITY OF ITS EXEMPT ORGANIZATION STATUS, POTENTIAL FILING REQUIREMENT FOR UNRELATED BUSINESS INCOME AND OTHER TAX POSITIONS THAT COULD RESULT IN THE ASSESSMENT OF INCOME TAX LIABILITIES ARISING FROM EXAMINATIONS BY TAXING AUTHORITIES. PRESENTLY, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE ORGANIZATION'S TAX POSITIONS WILL BE SUSTAINED UPON EXAMINATION, INCLUDING ANY APPEALS AND LITIGATION; CONSEQUENTLY, MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS NO EXPOSURE TO INCOME TAX LIABILITIES ARISING FROM UNCERTAIN TAX POSITIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS DIRECT EXPENSE</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS DIRECT EXPENSE</ExplanationTxt>
      </SupplementalInformationDetail>
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        <Event1Nm>GOLF &amp; TENNIS TOURNAMENT</Event1Nm>
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        <CharitableContriEvent1Amt>187448</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>33079</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>26033</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>30490</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>1635</OtherDirectExpensesEvent1Amt>
        <Event2Nm>BUTTERFLY RELEASE</Event2Nm>
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        <CharitableContriEvent2Amt>32411</CharitableContriEvent2Amt>
        <GrossReceiptsTotalAmt>252938</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>219859</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>33079</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>26033</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>30490</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>1635</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>58158</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-25079</NetIncomeSummaryAmt>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>4646</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>231940</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID WENNER</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>MARIA OLENDER</PersonNm>
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        <DeferredCompensationFlngOrgAmt>246</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10474</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>180814</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE OF HOSPICE OF CENTRAL PENNSYLVANIA WILL REVIEW THE INITIAL DRAFT OF THE FORM 990. AFTER ANY CHANGES OR CORRECTIONS ARE MADE, A COPY WILL BE SENT TO EACH BOARD MEMBER FOR REVIEW BEFORE THE FORM IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD IS REQUIRED TO SIGN A STATEMENT ANNUALLY STATING EITHER THAT THEY HAVE NO CONFLICTS OF INTEREST OR TO DISCLOSE ANY RELATIONSHIPS THAT MIGHT GIVE RISE TO A CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>MARKET SALARY SURVEY INFORMATION WAS OBTAINED FROM A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT FOR SIMILAR POSITIONS IN HOSPICES AND HEALTH CARE PROVIDERS OF COMPARABLE SIZE. CURRENT COMPENSATION LEVELS WERE COMPARED TO THOSE PRESENT IN THE RELEVANT MARKETPLACE. CONSIDERATION WAS GIVEN TO YEARS OF EXPERIENCE, JOB PERFORMANCE, YEARS OF SERVICE, AND INTERNAL EQUITY. CEO INPUT WAS OBTAINED FOR ALL NON-CEO POSITIONS. THE BOARD OF DIRECTORS APPROVED THE RECOMMENDATIONS OF THE PERSONNEL COMMITTEE FOR SALARY RANGES BY POSITION. BOARD ACTIONS ARE DOCUMENTED IN MEETING MINUTES THAT ARE PREPARED CONTEMPORANEOUSLY. THE SALARY RECOMMENDATIONS WERE IMPLEMENTED. SALARY RATES CHANGED IN JANUARY 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS AVAILABLE UPON REQUEST AND ON GUIDESTAR WEBSITE, AND THE FORM 1023 IS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NEITHER THE PROCESS FOR OVERSIGHT OF THE AUDIT OR THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>