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        <Desc>HEALTH MAINTENANCE AND</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1795075</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1795075</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENTS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>147138</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>147138</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>HHA REVENUE - 4 HR BLO</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>95572</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>95572</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HOSPITAL AND OTHER HOM</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>9826</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9826</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>HHA REVENUE - 4HR BLOC</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>2437</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2437</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2050048</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>35380</TotalRevenueColumnAmt>
        <ExclusionAmt>35380</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>823407</SecuritiesAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>665078</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>158329</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>158329</TotalRevenueColumnAmt>
        <ExclusionAmt>158329</ExclusionAmt>
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      <ContriRptFundraisingEventAmt>20182</ContriRptFundraisingEventAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-1708</TotalRevenueColumnAmt>
        <ExclusionAmt>-1708</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2088</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2088</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>2088</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>192001</ExclusionAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>2369461</TotalAmt>
        <ProgramServicesAmt>2093149</ProgramServicesAmt>
        <ManagementAndGeneralAmt>276312</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>10569</TotalAmt>
        <ProgramServicesAmt>8595</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1974</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>230872</TotalAmt>
        <ProgramServicesAmt>210326</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20405</ManagementAndGeneralAmt>
        <FundraisingAmt>141</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>174885</TotalAmt>
        <ProgramServicesAmt>152877</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18763</ManagementAndGeneralAmt>
        <FundraisingAmt>3245</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>32100</TotalAmt>
        <ManagementAndGeneralAmt>32100</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>18010</TotalAmt>
        <ManagementAndGeneralAmt>18010</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>45515</TotalAmt>
        <ProgramServicesAmt>37587</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7928</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>3241</TotalAmt>
        <ProgramServicesAmt>753</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2488</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>14323</TotalAmt>
        <ProgramServicesAmt>2883</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11440</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>38937</TotalAmt>
        <ManagementAndGeneralAmt>38937</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>35438</TotalAmt>
        <ProgramServicesAmt>35303</ProgramServicesAmt>
        <ManagementAndGeneralAmt>135</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>134</TotalAmt>
        <ProgramServicesAmt>134</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>9689</TotalAmt>
        <ManagementAndGeneralAmt>9689</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>9959</TotalAmt>
        <ManagementAndGeneralAmt>9959</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>46358</TotalAmt>
        <ManagementAndGeneralAmt>46358</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES AND OT</Desc>
        <TotalAmt>65336</TotalAmt>
        <ProgramServicesAmt>65336</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES AND MISCELLANE</Desc>
        <TotalAmt>63197</TotalAmt>
        <ManagementAndGeneralAmt>60484</ManagementAndGeneralAmt>
        <FundraisingAmt>2713</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND MA</Desc>
        <TotalAmt>30118</TotalAmt>
        <ManagementAndGeneralAmt>30118</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
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        <ProgramServicesAmt>2606943</ProgramServicesAmt>
        <ManagementAndGeneralAmt>585100</ManagementAndGeneralAmt>
        <FundraisingAmt>6099</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>139706</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>122000</BOYAmt>
        <EOYAmt>267000</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>325104</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>10037</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1013382</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>918335</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>92340</BOYAmt>
        <EOYAmt>95047</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>1560877</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <TotalAssetsGrp>
        <BOYAmt>2319746</BOYAmt>
        <EOYAmt>2397771</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>458358</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>215111</BOYAmt>
        <EOYAmt>458358</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>1929156</BOYAmt>
        <EOYAmt>1600957</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>122000</BOYAmt>
        <EOYAmt>282000</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>53479</BOYAmt>
        <EOYAmt>56456</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2104635</BOYAmt>
        <EOYAmt>1939413</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2319746</BOYAmt>
        <EOYAmt>2397771</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-211241</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>46019</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>942051</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>794168</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>657861</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>707618</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>742764</CurrentTaxYearAmt>
        <TotalAmt>3844462</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>942051</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>794168</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>657861</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>707618</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>742764</CurrentTaxYearAmt>
        <TotalAmt>3844462</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>1445034</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>2399428</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>54877</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>49097</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>35719</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>39584</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35380</CurrentTaxYearAmt>
        <TotalAmt>214657</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>4059119</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>10374875</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.59110</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.58980</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>514450</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>431303</DepreciationAmt>
        <BookValueAmt>83147</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>470856</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>458956</DepreciationAmt>
        <BookValueAmt>11900</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>28076</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>95047</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>EQUITY</Desc>
        <BookValueAmt>1213583</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>FIXED INCOME SECURITIES</Desc>
        <BookValueAmt>347294</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>1560877</TotalBookValueSecuritiesAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3032920</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>46019</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>46019</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2986901</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2986901</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3198142</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3198142</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3198142</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATE PROVISIONS. THE ORGANIZATION IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. THE ORGANIZATIONS FEDERAL FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX FOR 2014, 2015, AND 2016 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERAL FOR THREE YEARS AFTER THE TAX RETURNS WERE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS OFFICIALLY PRESENTED TO THE BOARD AND REVIEWED AT A MONTHLY MEETING PRIOR TO SUBMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, EACH MEMBER OF THE BOARD IS REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, TOP MANAGMENT OFFICIALS, OFFICERS, AND KEY EMPLOYEES ARE DETERMINED AND REVIEWED BY THE PERSONNEL COMMITTEE, FINANCE COMMITTEE, INSURANCE COMMITTEE, AS WELL AS THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST IN THEIR MAIN OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>