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        <OtherCompensationAmt>21085</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANE M FEINMAN</PersonNm>
        <TitleTxt>SVP-HOSPICE</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>164245</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6539</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN D ALSTON</PersonNm>
        <TitleTxt>SVP-HOME HEALTH</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>172376</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13004</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WALTER W BORGINIS III</PersonNm>
        <TitleTxt>EXECUTIVE VP &amp; CFO</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39185</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN W HOLT</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>404653</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39423</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STANLEY J SAVINESE</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FREDERICK B SCHWAGER</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CATHERINE E LASPINA</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17168</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY ANN WIERCINSKI</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12148</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAWRENCE WEBSTER</PersonNm>
        <TitleTxt>PHYSICAL THERAPIST</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20889</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2133536</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>213346</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>40</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>HOME HEALTHWORKS INC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1611 MANNING BLVD</AddressLine1>
            <City>LEVITTOWN</City>
            <State>PA</State>
            <ZIPCode>19057</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACEUTICALS</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>HOSPICE PHARMACIA INC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>LOCKBOX 536218</AddressLine1>
            <City>PITTSBURGH</City>
            <State>PA</State>
            <ZIPCode>15253</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACEUTICALS</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>MEDLINE INDUSTRIES INC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>BOX 382075</AddressLine1>
            <City>PITTSBURGH</City>
            <State>PA</State>
            <ZIPCode>15251</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLIES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>MCKESSON INFORMATION SOLUTIONS</BusinessNameLine1>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1>P O BOX 98347</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE CONSULTANTS</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>ENCLARA HEALTH LLC</BusinessNameLine1>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1>P O BOX 105328</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
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          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>15</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>6040</FederatedCampaignsAmt>
      <FundraisingAmt>172890</FundraisingAmt>
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      <TotalContributionsAmt>1228572</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621610</BusinessCd>
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      <TotalProgramServiceRevenueAmt>31132774</TotalProgramServiceRevenueAmt>
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        <ExclusionAmt>5824</ExclusionAmt>
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        <Desc>UNCLAIMED PROPERTY RECOVERED</Desc>
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      <OtherRevenueMiscGrp>
        <Desc>OSTOMY CONSULT</Desc>
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      <MiscellaneousRevenueGrp>
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      <FeesForServicesAccountingGrp>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>834722</ProgramServicesAmt>
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        <ProgramServicesAmt>311820</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>74716</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>171643</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>24105015</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7765162</ManagementAndGeneralAmt>
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        <EOYAmt>250</EOYAmt>
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        <EOYAmt>3524250</EOYAmt>
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        <EOYAmt>3741106</EOYAmt>
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        <EOYAmt>871020</EOYAmt>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearAmt>5824</CurrentTaxYearAmt>
        <TotalAmt>29404</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>2932</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8950</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6768</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4930</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5824</CurrentTaxYearAmt>
        <TotalAmt>29404</TotalAmt>
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      <OtherIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>20131</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15920</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>24177</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14968</CurrentTaxYearAmt>
        <TotalAmt>94623</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>34957615</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>35261076</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>33433630</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>32390613</CurrentTaxYearAmt>
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      <PublicSupportCY509Pct>0.98470</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97990</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00020</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00030</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartIVGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2009 AMOUNT: $ 19,427. 2010 AMOUNT: $ 20,131. 2011 AMOUNT: $ 15,920. 2012 AMOUNT: $ 24,177. 2013 AMOUNT: $ 14,968.</ExplanationTxt>
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    <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>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <TotalLobbyingExpendituresAmt>3297</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION PAID MEMBERSHIP DUES TO VARIOUS ORGANIZATIONS WHICH PROMOTE THE INTERESTS OF HEALTHCARE ORGANIZATIONS AND ORGANIZATIONS THAT PROVIDE HOME HEALTH AND HOSPICE SERVICES. A PERCENTAGE OF THE MEMBERSHIP DUES WAS USED FOR LOBBYING PURPOSES BY THE MEMBERSHIP ORGANIZATIONS.</ExplanationTxt>
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        <DepreciationAmt>28349</DepreciationAmt>
        <BookValueAmt>42571</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4004807</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3650416</DepreciationAmt>
        <BookValueAmt>354391</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>14987</DepreciationAmt>
        <BookValueAmt>10582</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>407544</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>ESCROW DEPOSITS</Desc>
        <BookValueAmt>134797</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATE</Desc>
        <BookValueAmt>249895</BookValueAmt>
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        <Desc>OTHER ASSETS</Desc>
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      <TotalBookValueOtherAssetsAmt>641504</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD-PARTY PAYOR SETTLEMENT</Desc>
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      <TotalLiabilityAmt>93788</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <OtherRevenueAmt>6970426</OtherRevenueAmt>
      <RevenueNotReportedAmt>6970426</RevenueNotReportedAmt>
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      <OtherRevenuesNotIncludedAmt>-85873</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-85873</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>32304740</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>5161006</ExpensesNotReportedAmt>
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        <GrossRevenueOtherEventsAmt>3300</GrossRevenueOtherEventsAmt>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>171337</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS PAYMENTS AWARDED TO OFFICERS ARE NOT FIXED. THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPROVES THE GOALS THAT MUST BE MET EACH YEAR IN ORDER TO DETERMINE BONUSES. THE CORPORATE GOALS FOR FISCAL YEAR 2013 INVOLVED VARIOUS WEIGHTED MEASURES IN THE AREAS OF QUALITY, FINANCE, SERVICE GROWTH AND DIVERSIFICATION, HUMAN RESOURCES AND IMAGE. INDIVIDUAL GOALS ARE ALSO ESTABLISHED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY'S EXECUTIVE MANAGEMENT, BOARD OF DIRECTORS, AND AUDIT COMMITTEE REVIEW THE PREPARED FORM 990 BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH TRUSTEE, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THE COMPANY IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE TRUSTEES AND MEMBER OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OF TRUSTEES OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING TRUSTEES OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE CHAIRPERSON OF THE BOARD OF TRUSTEES OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OF TRUSTEES OR COMMITTEE SHALL DETERMINE WHETHER THE COMPANY CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OF TRUSTEES OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE COMPANY'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. IF THE BOARD OF TRUSTEES OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD OF TRUSTEES OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMPENSATION IS REVIEWED BY THE COMPENSATION COMMITTEE, COMPOSED OF CERTAIN MEMBERS OF THE BOARD OF DIRECTORS. THOSE RECOMMENDATIONS ARE THEN REVIEWED AND APPROVED BY THE ENTIRE BOARD. THE COMMITTEE CONSIDERS CURRENT SALARY, POSITION, AND THEIR RELATION TO CONTEMPORARY POSITIONS IN OUR INDUSTRY GROUPING. THIS REVIEW IS PERFORMED AND DOCUMENTED IN THE MINUTES OF THE BOARD FOR THE EIGHT EXECUTIVES AS FOLLOWS: CEO, CFO, SVP OF HOME HEALTH, SVP OF HOSPICE, SVP OF DEVELOPMENT, SVP OF MARKETING, SVP OF HUMAN RESOURCES AND THE SVP OF QUALITY IMPROVEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION LIABILITY ADJUSTMENT 6,970,426. LOSS ON SETTLEMENT OF DEFINED BENEFIT PENSION PLAN -5,075,133.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <DisregardedEntityName>
          <BusinessNameLine1>PHILADELPHIA HOME CARE</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>3300 HENRY AVE SUITE 500</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19129</ZIPCode>
        </USAddress>
        <EIN>232286042</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11B, II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>VNA HOUSECALLS</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>3300 HENRY AVE SUITE 500</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19129</ZIPCode>
        </USAddress>
        <EIN>233017005</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>PHILADELPHIA HOME CARE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>STARR CENTRE ASSOCIATION</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>3300 HENRY AVE SUITE 500</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19129</ZIPCode>
        </USAddress>
        <EIN>236004544</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>VISITING NURSE SOCIETY OF PHILADELPHIA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>VISITING NURSE SOCIETY OF PHILADELPHIA</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>3300 HENRY AVE SUITE 500</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19129</ZIPCode>
        </USAddress>
        <EIN>231352575</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>PHILADELPHIA HOME CARE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>