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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Paula Makdad Shaw</PersonNm>
        <TitleTxt>Board Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES SCHAUM</PersonNm>
        <TitleTxt>Board Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Claire M Zangerle</PersonNm>
        <TitleTxt>BOARD AT LARGE (President/ceo)</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christine Marsick</PersonNm>
        <TitleTxt>Hospice Medical Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK PATTON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Teresa Wimms</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lisa Kristosik</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dana Traxler</PersonNm>
        <TitleTxt>CHIEF BUSINESS DEV.</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>140299</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>414</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Emily Kelly</PersonNm>
        <TitleTxt>General Counsel</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>117003</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HELEN VAFAIE</PersonNm>
        <TitleTxt>MENTAL HEALTH M.D.</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mario M Danese</PersonNm>
        <TitleTxt>FORMER CHIEF FIN.OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>137988</ReportableCompFromRltdOrgAmt>
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      <TotalReportableCompFromOrgAmt>124279</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1345766</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REIDY MEDICAL SUPPLY</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 713079</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DEULEY HOME REHABILITATION</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>35104 EUCLID AVENUE SUITE 311</AddressLine1Txt>
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        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>23356</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1020951</TotalRevenueColumnAmt>
        <ExclusionAmt>1020951</ExclusionAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>139405</TotalRevenueColumnAmt>
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        <BusinessCd>900099</BusinessCd>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>621610</BusinessCd>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>49653</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>22802</ProgramServicesAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>69650</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>226336</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>552106</ProgramServicesAmt>
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        <ProgramServicesAmt>453459</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7870</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>14745</ProgramServicesAmt>
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        <ProgramServicesAmt>888826</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>291576</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>8411</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>14715621</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3316150</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>463</EOYAmt>
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        <EOYAmt>2139078</EOYAmt>
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        <EOYAmt>254197</EOYAmt>
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        <EOYAmt>70390</EOYAmt>
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        <EOYAmt>101250</EOYAmt>
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      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>69364</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>64131</DepreciationAmt>
        <BookValueAmt>5233</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5823431</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5758274</DepreciationAmt>
        <BookValueAmt>65157</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>439831</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>439831</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>70390</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INTERCOMPANY RECEIVABLES</Desc>
        <BookValueAmt>5055597</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>5055597</TotalBookValueOtherAssetsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>TREASURES OF CLEVELAND</Event1Nm>
        <GrossReceiptsEvent1Amt>123215</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>123215</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>4140</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>15625</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>3292</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>3707</OtherDirectExpensesEvent1Amt>
        <Event2Nm>ROCKIN' FOR THE CAUSE</Event2Nm>
        <GrossReceiptsEvent2Amt>67235</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>67235</GrossRevenueEvent2Amt>
        <FoodAndBeverageEvent2Amt>22812</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>1400</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>69</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>190450</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>190450</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>4140</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>38437</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>4692</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>3776</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>51045</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>139405</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Claire M Zangerle</PersonNm>
        <TitleTxt>BOARD AT LARGE (President/ceo)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>280553</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>552</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>281105</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christine Marsick</PersonNm>
        <TitleTxt>Hospice Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>271408</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>10197</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>281605</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICK PATTON</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>130176</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>23367</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>153543</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mario M Danese</PersonNm>
        <TitleTxt>FORMER CHIEF FIN.OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>137988</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>23823</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>161811</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A - SEVERANCE PAYMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>MARIO DANESE, CFO, LEFT THE ORGANIZATION IN SEPTEMBER, 2014 AND RECEIVED SEVERANCE PAY FOR ONE YEAR. THE AMOUNT PAID IN 2015 WAS $137,988. DANA TRAXLER, CHIEF BUSINESS DEVELOPMENT, LEFT THE ORGANIZATION IN SEPTEMBER 2015 AND RECEIVED SEVERANCE PAY FOR 10 WEEKS. THE GROSS AMOUNT PAID IN 2015 WAS $21,152.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B - NONQUALIFIED DEFERRED COMPENSATION PLAN</FormAndLineReferenceDesc>
        <ExplanationTxt>ONE EMPLOYEE OF A RELATED ORGANIZATION CONTRIBUTED TO A NONQUALIFIED SECTION 457 (B) DEFERRED COMPENSATION PLAN OF THAT ORGANIZATION. MARIO DANESE CONTRIBUTED $4,600 DURING 2015 TO THAT PLAN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE ORGANIZATION - The organization has one member. The Visiting Nurse Association Healthcare Partners of Ohio is the sole member. This organization's board reports in a professional/advisory role to the Visiting Nurse Association Healthcare Partners Of Ohio's governance board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF FORM 990 - THE BOARD HAS DELEGATED AUTHORITY TO REVIEW FORM 990 TO THE FINANCE COMMITTEE. THE FULL 990 IS REVIEWED WITH MANAGEMENT AND THE FINANCE COMMITTEE. THE FULL 990 IS SENT TO THE BOARD PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING AND ENFORCEMENT OF CONFLICT POLICY - Annual completion of the conflict of interest forms for officers and directors provides regular review of potential conflicts which may arise.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW AND APPROVAL - THE CHIEF HUMAN RESOURCE OFFICER CONDUCTS A MARKET COMPENSATION STUDY TO ESTABLISH SALARY RANGES FOR ALL AGENCY EMPLOYEES. FINDINGS ARE REVIEWED WITH TOP MANAGEMENT TO DETERMINE IF COMPENSATION STRUCTURES NEED REVISION. IF REVISIONS ARE NEEDED, THEY ARE PRESENTED FOR APPROVAL TO THE HUMAN RESOURCE COMMITTEE OF THE BOARD. IF APPROVED, THE SALARY STRUCTURE IS MODIFIED TO KEEP THE ORGANIZATION COMPETITIVE IN THE ECONOMIC MARKET. THE LAST SALARY REVIEW WAS IN 2010.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF DOCUMENTS - Certain agencies receive the audited financial statements as required by our business relationship with them. All others are able to obtain the audited financial statements via written request. The governing documents and conflict of interest policy are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED HEALTH SERVICES: Program service expenses 3,498,358. Management and general expenses 261,304. Fundraising expenses 0. Total expenses 3,759,662.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST SWAP LIABILITY 20,127.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISITING NURSE ASSOC OF MID-OHIO</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2500 EAST 22ND STREET</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44115</ZIPCd>
        </USAddress>
        <EIN>341913736</EIN>
        <PrimaryActivitiesTxt>HOME HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNA HPO</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA HOUSECALLS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2500 EAST 22ND STREET</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44115</ZIPCd>
        </USAddress>
        <EIN>300240348</EIN>
        <PrimaryActivitiesTxt>HOME HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNA HPO</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISITING NURSE ASSOC OF CLEVELAND HOSPICE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2500 EAST 22ND STREET</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44115</ZIPCd>
        </USAddress>
        <EIN>341638790</EIN>
        <PrimaryActivitiesTxt>HOME HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNA HPO</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA CARE PLUS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2500 EAST 22ND STREET</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44115</ZIPCd>
        </USAddress>
        <EIN>341622010</EIN>
        <PrimaryActivitiesTxt>HOME HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VNA HPO</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISITING NURSE ASSOCIATION HEALTHCARE PARTNERS OF OHIO</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2500 EAST 22ND STREET</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44115</ZIPCd>
        </USAddress>
        <EIN>341816401</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VNA ENTERPRISES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2500 EAST 22ND STREET</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>441153204</ZIPCd>
        </USAddress>
        <EIN>341558796</EIN>
        <PrimaryActivitiesTxt>HOME HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNA HEALTHCARE PARTNERS OF OHIO</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>3555695</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>