﻿<?xml version="1.0" encoding="utf-8"?>
<Return xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2015v3.0" xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2017-08-14T15:23:40-05:00</ReturnTs>
    <TaxPeriodEndDt>2016-09-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>390859910</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Baker Tilly Virchow Krause LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1650 Market Street Suite 4500</AddressLine1Txt>
        <CityNm>Philadelphia</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>191037341</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2015-10-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>510258883</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Delaware Hospice Inc</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>DELA</BusinessNameControlTxt>
      <PhoneNum>3024785707</PhoneNum>
      <USAddress>
        <AddressLine1Txt>16 Polly Drummond Center 2nd Floor</AddressLine1Txt>
        <CityNm>Newark</CityNm>
        <StateAbbreviationCd>DE</StateAbbreviationCd>
        <ZIPCd>19711</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>susan d lloyd</PersonNm>
      <PersonTitleTxt>President/CEO</PersonTitleTxt>
      <PhoneNum>3024785707</PhoneNum>
      <SignatureDt>2017-07-17</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Julius C Green CPA</PreparerPersonNm>
      <PTIN>P00350393</PTIN>
      <PhoneNum>2159720701</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2015</TaxYr>
    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>Susan D Lloyd</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>16 Polly Drummond Center 2nd Floor</AddressLine1Txt>
        <CityNm>Newark</CityNm>
        <StateAbbreviationCd>DE</StateAbbreviationCd>
        <ZIPCd>19711</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>25748855</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.DELAWAREHOSPICE.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1982</FormationYr>
      <LegalDomicileStateCd>DE</LegalDomicileStateCd>
      <ActivityOrMissionDesc>LEADER IN HIGH QUALITY HOSPICE AND PALLIATIVE CARE TO TERMINALLY ILL PATIENTS AND FAMILIES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>21</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>21</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>315</TotalEmployeeCnt>
      <TotalVolunteersCnt>536</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>2557536</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>1409576</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>21764580</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>22643641</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>633677</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>559426</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>45782</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>31753</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>25001575</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>24644396</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>14089381</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>15000523</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>32085</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>36747</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>425133</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>8458773</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>7728846</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>22580239</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>22766116</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>2421336</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>1878280</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>43940279</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>45091904</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>11027974</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>9244670</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>32912305</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>35847234</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>Delaware Hospice is committed to being the leader in providing high quality hospice and palliative care to individuals with a limited life expectancy, their families &amp; caregivers and to serve as a community resource for end of life care.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>18821711</ExpenseAmt>
      <RevenueAmt>22643641</RevenueAmt>
      <Desc>DELAWARE HOSPICE WAS FOUNDED IN 1982 AS DELAWARE'S FIRST, AND ONLY, NONPROFIT HOSPICE CARE PROVIDER. OUR MISSION IS TO PROVIDE THE HIGHEST QUALITY HOSPICE AND HEALTHCARE SERVICES AND SERVE AS A TRUSTED COMMUNITY PARTNER IN END-OF-LIFE EDUCATION AND SUPPORT. DELAWARE HOSPICE SERVES NEW CASTLE, KENT AND SUSSEX COUNTIES IN DELAWARE, ALONG WITH SOUTHERN CHESTER AND DELAWARE COUNTIES IN PENNSYLVANIA. CURRENTLY, 315 STAFF MEMBERS AND 536 VOLUNTEERS PASSIONATELY LIVE THAT MISSION. IN ADDITION, DELAWARE HOSPICE OPERATES THE DELAWARE HOSPICE CENTER IN MILFORD, DE, PROVIDING A HIGHER LEVEL OF SPECIALIZED CARE AND SYMPTOM MANAGEMENT: 24 HOURS A DAY, 7 DAYS PER WEEK. SERVICES PROVIDED AT THE DELAWARE HOSPICE CENTER INCLUDE ACCESS TO INPATIENT HOSPICE CARE, RESPITE CARE, AND A VARIETY OF SUPPORT PROGRAMS FOR PATIENTS AND THEIR FAMILIES ALL IN ONE LOCATION.DELAWARE HOSPICE PROVIDES ADVANCED ILLNESS MANAGEMENT THROUGH ITS SCOPE OF PROGRAMS AND SERVICES. IN ADDITION TO PROVIDING ALL THE ELEMENTS OF A HOSPICE PROGRAM (I.E., NURSING, PERSONAL CARE, SOCIAL WORKERS, GRIEF COUNSELORS, CHAPLAINS, AND VOLUNTEER SUPPORT), DELAWARE PALLIATIVE HELPS SERIOUSLY ILL PATIENTS WHO ARE RECEIVING ACTIVE, CURATIVE TREATMENT FOR ILLNESSES SUCH AS CANCER, CONGESTIVE HEART FAILURE, PARKINSON'S DISEASE, ALZHEIMER'S DISEASE AND KIDNEY FAILURE. DELAWARE PALLIATIVE OFFERS SYMPTOM MANAGEMENT SUPPORT, FACILITATES GOALS OF CARE DISCUSSIONS, AND ASSISTS WITH ADVANCED HEALTH CARE DIRECTIVES. THE PALLIATIVE CARE TEAM CONSISTS OF A NURSE PRACTITIONER OR DOCTOR, AND A SOCIAL WORKER and Volunteers.DELAWARE HOSPICE GIVES BACK TO ITS COMMUNITY IN A VARIETY OF UNIQUE WAYS. THE FOLLOWING IS A LIST OF PROGRAMS PROVIDED WITH SUPPORT FROM GENEROUS DONATIONS TO DELAWARE HOSPICE. 1) COMMUNITY EDUCATION - A TEAM OF PROFESSIONALS ARE DEDICATED TO EDUCATING PROFESSIONAL AND COMMUNITY ORGANIZATIONS ABOUT OUR PROGRAMS AND SERVICES. EXTENSIVE OUTREACH ACTIVITIES INCLUDE EDUCATIONAL PRESENTATIONS TO HEALTHCARE PROFESSIONALS AND COMMUNITY ORGANIZATIONS. TOPICS INCLUDE: END-OF-LIFE CARE PLANNING, LIVING WELL WITH A SERIOUS ILLNESS, SUPPORTING THE WORKING CAREGIVER, AND OTHER LIFE AFFIRMING EDUCATIONAL TOPICS.2) NEW HOPE CHILDREN'S BEREAVEMENT PROGRAM - THIS COMPLETELY UNIQUE PROGRAM BRINGS HOPE TO CHILDREN STRUGGLING WITH LOSS. FOR MORE THAN 25 YEARS, DELAWARE HOSPICE HAS BEEN WORKING WITH GRIEVING CHILDREN TO EXPRESS THEIR FEELINGS AND TO LEARN COPING MECHANISMS. THIS EDUCATION IS CONDUCTED INDIVIDUALLY, IN GROUPS, IN WORKSHOPS OR AT ONE OF TWO 4-DAY SUMMER CAMPS HELD STATEWIDE. THE NEW HOPE COORDINATORS ALSO CONSULT WITH COMMUNITY GROUPS, SCHOOLS AND OTHER LOCAL AGENCIES. CHILDREN'S BEREAVEMENT AND GRIEF COUNSELING SERVICES ARE AVAILABLE NOT ONLY TO FAMILIES WHO HAVE CHOSEN OUR HOSPICE SERVICES, BUT ALSO TO ANYONE IN THE COMMUNITY WHO MAY NEED THEM.3) THE FAMILY SUPPORT CENTER WAS CREATED IN 2008 TO MEET THE NEEDS OF CAREGIVERS AND THE BEREAVED IN OUR COMMUNITY. AGAIN, PROGRAMS DRIVEN THROUGH THE FAMILY SUPPORT CENTER ARE AVAILABLE TO ANYONE IN OUR COMMUNITY WHO IS COPING WITH ILLNESS OR LOSS, NOT JUST FAMILIES WHO HAVE CHOSEN OUR HOSPICE SERVICES.4) TRANSITIONS PROGRAM - ESTABLISHED IN 2003, THIS PROGRAM PROVIDES REGULAR COMMUNICATION, CONNECTION TO COMMUNITY RESOURCES AND VOLUNTEER ASSISTANCE TO PEOPLE WHO ARE LIVING WITH A SERIOUS ILLNESS.SINCE 1982, AS THE ONLY NON-PROFIT HOSPICE IN THE STATE OF DELAWARE, WE PROVIDE HOSPICE CARE REGARDLESS OF A PATIENTS' ABILITY TO PAY. TOTAL HOSPICE PATIENT DAYS ARE 123,607 WITH AN AVERAGE DAILY CENSUS OF 338 FOR FISCAL YEAR 2016. THROUGH ALL ITS PROGRAMS AND SERVICES, DELAWARE HOSPICE HAS TOUCHED ALMOST 10,000 PEOPLE OVER THE PAST YEAR. IN ADDITION TO THE CARE PROVIDED TO DELAWARE HOSPICE PATIENTS AND FAMILIES, PROGRAMS AND SERVICES ARE OFFERED TO THE COMMUNITY AT LITTLE OR NO COST.</Desc>
      <TotalProgramServiceExpensesAmt>18821711</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc1040000001">1</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">1</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041200001">1</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041200001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041200001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc1053100001">1</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>0</InvestTaxExemptBondsInd>
      <EscrowAccountInd>0</EscrowAccountInd>
      <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>0</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>10</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>315</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>21</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>21</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>1</LocalChaptersInd>
      <PoliciesReferenceChaptersInd>1</PoliciesReferenceChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>DE</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NJ</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>joe hofmeister director of general acctg &amp; treasury</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>3024785707</PhoneNum>
        <USAddress>
          <AddressLine1Txt>16 polly drummond center</AddressLine1Txt>
          <CityNm>newark</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19711</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Brown</PersonNm>
        <TitleTxt>Chairperson</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Raymond D Andrews</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Karen Poore</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>A Dale Stratton</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Carol Leashefski</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Clarence A Smith</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Allan Atzrott</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Janet Doughtery</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David B Brown</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gene Donnelly</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tom Hoyer</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Laura Robelen</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kathleen Matt</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Dressler MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Saunders</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ronda Douglas</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sharon Leyhow</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Steve Ladin</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tamera Fair</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Terry Murphy</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joan Thomas</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Namita Khasat term 10915</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>200183</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4540</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Lloyd</PersonNm>
        <TitleTxt>President, CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>277131</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13083</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Andrew Himelstein</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>205068</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4020</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christopher Altamuro</PersonNm>
        <TitleTxt>Regional Medical Director</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>173663</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16147</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Piepszak</PersonNm>
        <TitleTxt>Regional Medical Director</TitleTxt>
        <AverageHoursPerWeekRt>24.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>127413</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tracy Tull</PersonNm>
        <TitleTxt>VP of Compliance and Education</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>124988</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7596</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sharon Purcell-Ponsell</PersonNm>
        <TitleTxt>On Call Weekend RN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>115763</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14686</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kimberly Lucas</PersonNm>
        <TitleTxt>On Call Weekend RN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>109065</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9491</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Claire Walsh</PersonNm>
        <TitleTxt>Director of Homecare</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>106979</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9661</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1440253</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>79224</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EMS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>245 Main Street Suite 204</AddressLine1Txt>
            <CityNm>Chester</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07930</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Office cleaning/housekeeping</ServicesDesc>
        <CompensationAmt>172945</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Expense Reduction Analysts Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 956251</AddressLine1Txt>
            <CityNm>St Louis</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>631956251</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consultant</ServicesDesc>
        <CompensationAmt>144116</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>12777</FederatedCampaignsAmt>
      <FundraisingAmt>225972</FundraisingAmt>
      <GovernmentGrantsAmt>269278</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>901549</AllOtherContributionsAmt>
      <NoncashContributionsAmt>15863</NoncashContributionsAmt>
      <TotalContributionsAmt>1409576</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Medicare/Medicaid</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>22643641</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22643641</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>22643641</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>305815</TotalRevenueColumnAmt>
        <ExclusionAmt>305815</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1271488</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1017877</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>253611</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>253611</TotalRevenueColumnAmt>
        <ExclusionAmt>253611</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>118335</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>225972</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>86582</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>31753</TotalRevenueColumnAmt>
        <ExclusionAmt>31753</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>24644396</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22643641</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>591179</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>841017</TotalAmt>
        <ProgramServicesAmt>416576</ProgramServicesAmt>
        <ManagementAndGeneralAmt>424441</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>11731469</TotalAmt>
        <ProgramServicesAmt>10312667</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1139241</ManagementAndGeneralAmt>
        <FundraisingAmt>279561</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>147027</TotalAmt>
        <ProgramServicesAmt>104107</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38837</ManagementAndGeneralAmt>
        <FundraisingAmt>4083</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1419705</TotalAmt>
        <ProgramServicesAmt>1278446</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82475</ManagementAndGeneralAmt>
        <FundraisingAmt>58784</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>861305</TotalAmt>
        <ProgramServicesAmt>746433</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95653</ManagementAndGeneralAmt>
        <FundraisingAmt>19219</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>52309</TotalAmt>
        <ManagementAndGeneralAmt>52309</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>36747</TotalAmt>
        <FundraisingAmt>36747</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForServicesOtherGrp>
        <TotalAmt>1235830</TotalAmt>
        <ProgramServicesAmt>922863</ProgramServicesAmt>
        <ManagementAndGeneralAmt>312967</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>99521</TotalAmt>
        <ProgramServicesAmt>27092</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72429</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>792575</TotalAmt>
        <ProgramServicesAmt>385659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>393285</ManagementAndGeneralAmt>
        <FundraisingAmt>13631</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>205698</TotalAmt>
        <ProgramServicesAmt>143989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61709</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>383872</TotalAmt>
        <ProgramServicesAmt>251515</ProgramServicesAmt>
        <ManagementAndGeneralAmt>132357</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>932602</TotalAmt>
        <ProgramServicesAmt>893612</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29076</ManagementAndGeneralAmt>
        <FundraisingAmt>9914</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>30441</TotalAmt>
        <ProgramServicesAmt>16273</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12778</ManagementAndGeneralAmt>
        <FundraisingAmt>1390</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>569663</TotalAmt>
        <ProgramServicesAmt>315240</ProgramServicesAmt>
        <ManagementAndGeneralAmt>254423</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>160007</TotalAmt>
        <ProgramServicesAmt>8130</ProgramServicesAmt>
        <ManagementAndGeneralAmt>151877</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PRESCRIPTION DRUGS</Desc>
        <TotalAmt>1088029</TotalAmt>
        <ProgramServicesAmt>1088029</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical supplies</Desc>
        <TotalAmt>602889</TotalAmt>
        <ProgramServicesAmt>602889</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PATIENT CARE</Desc>
        <TotalAmt>562535</TotalAmt>
        <ProgramServicesAmt>562535</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>equipment rental</Desc>
        <TotalAmt>527017</TotalAmt>
        <ProgramServicesAmt>527017</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>485858</TotalAmt>
        <ProgramServicesAmt>218639</ProgramServicesAmt>
        <ManagementAndGeneralAmt>265415</ManagementAndGeneralAmt>
        <FundraisingAmt>1804</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>22766116</TotalAmt>
        <ProgramServicesAmt>18821711</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3519272</ManagementAndGeneralAmt>
        <FundraisingAmt>425133</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3249051</BOYAmt>
        <EOYAmt>3837292</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3562893</BOYAmt>
        <EOYAmt>1818907</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>298832</BOYAmt>
        <EOYAmt>271299</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2644931</BOYAmt>
        <EOYAmt>2368080</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>387720</BOYAmt>
        <EOYAmt>346311</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>22024299</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5994190</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>14844850</BOYAmt>
        <EOYAmt>16030109</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>18744345</BOYAmt>
        <EOYAmt>20221272</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>207657</BOYAmt>
        <EOYAmt>198634</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>43940279</BOYAmt>
        <EOYAmt>45091904</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3988898</BOYAmt>
        <EOYAmt>2530492</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>6134898</BOYAmt>
        <EOYAmt>5894898</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>904178</BOYAmt>
        <EOYAmt>819280</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>11027974</BOYAmt>
        <EOYAmt>9244670</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>25485297</BOYAmt>
        <EOYAmt>28150075</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>7237585</BOYAmt>
        <EOYAmt>7507236</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>189423</BOYAmt>
        <EOYAmt>189923</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>32912305</BOYAmt>
        <EOYAmt>35847234</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>43940279</BOYAmt>
        <EOYAmt>45091904</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1878280</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>971751</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>84898</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1569797</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1595960</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2017674</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2557536</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1409576</CurrentTaxYearAmt>
        <TotalAmt>9150543</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>41166616</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>22183447</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19117720</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>21764580</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22643641</CurrentTaxYearAmt>
        <TotalAmt>126876004</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>42736413</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>23779407</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>21135394</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>24322116</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>24053217</CurrentTaxYearAmt>
        <TotalAmt>136026547</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>136026547</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>286591</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>272572</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>296703</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>633677</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>305815</CurrentTaxYearAmt>
        <TotalAmt>1795358</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>286591</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>272572</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>296703</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>633677</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>305815</CurrentTaxYearAmt>
        <TotalAmt>1795358</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>43023004</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24051979</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>21432097</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>24955793</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>24359032</CurrentTaxYearAmt>
        <TotalAmt>137821905</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98700</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98980</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01300</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01020</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </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">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>445727</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>20073</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>465800</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>444599</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1128</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>445727</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>395980</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>48619</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>444599</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>347753</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>48227</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>395980</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>288443</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>59310</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>347753</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>3706883</OtherCostOrOtherBasisAmt>
        <BookValueAmt>3706883</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>14200974</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3995209</DepreciationAmt>
        <BookValueAmt>10205765</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>30535</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6386</DepreciationAmt>
        <BookValueAmt>24149</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2165276</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1992595</DepreciationAmt>
        <BookValueAmt>172681</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1920631</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1920631</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>16030109</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>MUTUAL FUNDS</Desc>
        <BookValueAmt>12933864</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>CERTIFICATES OF DEPOSIT</Desc>
        <BookValueAmt>4795000</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Cash and cash equivalents</Desc>
        <BookValueAmt>2492408</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>20221272</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DERIVATIVE FINANCIAL INSTRUMENT</Desc>
        <Amt>819280</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>819280</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>25702729</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>971751</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>971751</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>24730978</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-86582</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-86582</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>24644396</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>22937596</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>171480</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>171480</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>22766116</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>22766116</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The purpose of the endowment funds is for long term capital appreciation with a focus toward additional patient care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization accounts for uncertainty in income taxes using a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. Management determined that there were no tax uncertainties that met the recognition threshold in 2016 and 2015. The Organization's policy is to recognize interest related to unrelated tax benefits in interest expense and penalties in supplies and expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENT EXPENSES -86,582.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS EXPENSES 86,582. CHANGE IN UNREALIZED LOSS ON DERIVATIVE FINANCIAL INSTRUMENT 84,898.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>1</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <PersonNm>JCameron Yorkston</PersonNm>
        <USAddress>
          <AddressLine1Txt>PO Box 489</AddressLine1Txt>
          <CityNm>Hockessin</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19707</ZIPCd>
        </USAddress>
        <ActivityTxt>Consult on Capital Campaign</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>0</GrossReceiptsAmt>
        <RetainedByContractorAmt>36747</RetainedByContractorAmt>
        <NetToOrganizationAmt>-36747</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalRetainedByContractorsAmt>36747</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>-36747</TotalNetToOrganizationAmt>
      <LicensedStatesCd>DE</LicensedStatesCd>
      <LicensedStatesCd>PA</LicensedStatesCd>
      <LicensedStatesCd>NJ</LicensedStatesCd>
      <LicensedStatesCd>MD</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>Festival of Trees</Event1Nm>
        <GrossReceiptsEvent1Amt>118794</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>59876</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>58918</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>1062</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>5565</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>22549</OtherDirectExpensesEvent1Amt>
        <Event2Nm>Jazz Brunch</Event2Nm>
        <GrossReceiptsEvent2Amt>104707</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>92940</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>11767</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>200</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>9037</FoodAndBeverageEvent2Amt>
        <OtherDirectExpensesEvent2Amt>14150</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>3</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>120806</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>73156</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>47650</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>600</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>13250</FoodAndBeverageOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>20168</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>344307</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>225972</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>118335</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>1862</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>27852</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>56867</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>86581</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>31754</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Namita Khasat term 10915</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>184758</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15425</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3682</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>858</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>204723</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Susan Lloyd</PersonNm>
        <TitleTxt>President, CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>277131</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7783</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>290214</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Andrew Himelstein</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>201021</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>4047</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4020</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>209088</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christopher Altamuro</PersonNm>
        <TitleTxt>Regional Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>170074</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3589</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3607</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12540</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>189810</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Incentive compensation is partially based upon Delaware Hospice, Inc. achieving its budgeted census and operating net income. Bonuses are also contingent upon each person listed achieving their own personal goals.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>The Delaware Economic Development Authority</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>510269736</BondIssuerEIN>
        <BondIssuedDt>2010-12-16</BondIssuedDt>
        <IssuePriceAmt>23900000</IssuePriceAmt>
        <PurposeDesc>Construction, New Castle County Project and refinancing, Milford Project</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1095000</RetiredAmt>
        <TotalProceedsAmt>6849450</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>144450</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>6705000</OtherSpentProceedsAmt>
        <UnspentAmt>17050550</UnspentAmt>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>Citizens Bank</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>5.100000000000</TermOfHedgePct>
        <SuperintegratedHedgeInd>0</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>0</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>The total proceeds listed on Part II Line 3 are not the same as the issue price listed in Part I, item E. The difference has not been drawn down as of year end as the project for which the funds are financed has been delayed.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Audit Committee and management are charged with reviewing and approving the Form 990. After approval, Form 990 is made available to the full Board before it is filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest policy must be reviewed and signed by Board members, Officers and key employees. Board Members, officers and key employees must report conflicts in the annual conflict of interest statement. Any conflicts are reported by the CEO to the Board. Our conflict of interest policy includes questions regarding relationships to other employees, whether family or business related. The Chief Administrative Officer monitors and evaluates the policy reporting any issues to the ethics committee. Conflicts are reported to the board by the CEO. Conflicts are removed by emphasizing the need to abstain from decision making or voting action.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A competitive compensation study of all staff members, is conducted every 2-3 years by an independent third party consulting firm. The results are presented to the CEO and Executive team and then to the Compensation Committee. The compensation Committee and the President of the Board of Trustees evaluate the performance of the CEO and approve compensation. The CEO evaluates the performance of the officers (CCO, CAO, CFO, VP of Development, VP of Strategic Development) and makes recommendations to the Board President who gets approval from the compensation committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part Vi, Section A, lines 6 and 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Delaware law requires that nonstock corporations have members. In the case of Delaware Hospice those members comprise the same individuals as its board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 14</FormAndLineReferenceDesc>
        <ExplanationTxt>Delaware Hospice, Inc. has a written retention and destruction policy for medical records. Delaware Hospice also has a document outlining the number of years to maintain administrative documents such as: 1. Accounting and Fiscal, 2. Administrative, Corporate, and Executive, 3. Insurance, 4. Legal, and 5. Personnel.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN UNREALIZED LOSS ON DERIVATIVE FINANCIAL INSTRUMENT 84,898.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>