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        <BeginningYearBalanceAmt>10000</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>10000</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>10000</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>10000</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>495364</OtherCostOrOtherBasisAmt>
        <BookValueAmt>495364</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>6583712</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4404759</DepreciationAmt>
        <BookValueAmt>2178953</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>24034</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>19286</DepreciationAmt>
        <BookValueAmt>4748</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2379574</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1806881</DepreciationAmt>
        <BookValueAmt>572693</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3251758</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS LIMITED AS TO USE</Desc>
        <BookValueAmt>4362630</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>4362630</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD PARTY PAYOR</Desc>
        <Amt>692245</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>692245</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>33487100</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>33487100</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>87919</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>87919</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>33575019</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>32911014</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>32911014</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>87919</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>87919</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>32998933</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESTRICTED BY DONORS TO BE MAINTAINED BY THE ASSOCIATION IN PERPETUITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION IS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A PUBLIC CHARITY, THE ASSOCIATION IS EXEMPT FROM STATE AND FEDERAL INCOME TAXES ON INCOME EARNED IN ACCORDANCE WITH ITS TAX EXEMPT PURPOSE. UNRELATED BUSINESS INCOME IS SUBJECT TO STATE AND FEDERAL INCOME TAX. MANAGEMENT HAS EVALUATED THE ASSOCIATION'S TAX POSITION AND CONCLUDED THAT THE ASSOCIATION HAS NO UNRELATED BUSINESS INCOME OR UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS.</ExplanationTxt>
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    </IRS990ScheduleD>
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        <Event1Nm>HOSPICE WALK/RUN</Event1Nm>
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        <GrossRevenueEvent1Amt>88338</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>8999</OtherDirectExpensesEvent1Amt>
        <Event2Nm>AUTUMN NIGHT OUT</Event2Nm>
        <GrossReceiptsEvent2Amt>65927</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>65927</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>4303</RentFacilityCostsEvent2Amt>
        <OtherDirectExpensesEvent2Amt>2903</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>3</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>77910</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>77910</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>12742</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>232175</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>232175</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>4303</RentFcltyCostsTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>24644</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>28947</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>203228</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHLEEN APPLIN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6328</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19912</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>170307</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR ROGER AUSTIN</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>223048</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8992</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>249505</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CYNTHIA SWIFT</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5266</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15430</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>167136</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CYNDI ROBBINS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>MEMBER-BOARD OF DIRECTORS</RelationshipDescriptionTxt>
        <TransactionAmt>4403</TransactionAmt>
        <TransactionDesc>FACILITIES RENTAL</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JEFFREY LACROIX</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>MEMBER-BOARD OF DIRECTORS</RelationshipDescriptionTxt>
        <TransactionAmt>18679</TransactionAmt>
        <TransactionDesc>HOSPITAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SHARRON CHALKE RNMSN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>MEMBER-BOARD OF DIRECTORS</RelationshipDescriptionTxt>
        <TransactionAmt>18679</TransactionAmt>
        <TransactionDesc>HOSPITAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JACQUELINE FOURNIER NP</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>MEMBER-BOARD OF DIRECTORS</RelationshipDescriptionTxt>
        <TransactionAmt>18679</TransactionAmt>
        <TransactionDesc>HOSPITAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ELIZABETH KENNE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>MEMBER-BOARD OF DIRECTORS</RelationshipDescriptionTxt>
        <TransactionAmt>17680</TransactionAmt>
        <TransactionDesc>HOSPITAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>CFO AND DIRECTOR OF FINANCE REVIEW THE 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICY IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS. EACH MEMBER IS ASKED TO SIGN AN AFFIDAVIT ACKNOWLEDGING THEY HAVE READ THE POLICY, UNDERSTAND THE POLICY, AND ARE IN COMPLIANCE WITH THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS USING EXTERNAL BENCHMARKS. OFFICERS ARE REVIEWED ANNUALLY BY THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION IS MADE AVAILABLE TO THE PUBLIC WITH THE PUBLICATION OF THE ANNUAL REPORT, FILING OF THE IRS FORM 990 AND UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>