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        </Name>
        <Address>
          <AddressLine1>2222 LINCOLN AVE</AddressLine1>
          <City>YORK</City>
          <State>NE</State>
          <ZIPCode>68467</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <Er24Hours>X</Er24Hours>
        <Other>SKILLED NURSING, ASST. LIVING</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>YORK GENERAL HEALTH CARE SERVICES</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>100.0</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>200.0</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <CollectionActivities>true</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <Lawsuit>X</Lawsuit>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AverageNegotiatedRates>X</AverageNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>4</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>YORK GENERAL HEARTHSTONE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2222 LINCOLN AVE</AddressLine1>
            <City>YORK</City>
            <State>NE</State>
            <ZIPCode>68467</ZIPCode>
          </Address>
          <FacilityType>SKILLED NURSING FACILITY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>YORK GENERAL DIALYSIS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2600 LINCOLN AVE</AddressLine1>
            <City>YORK</City>
            <State>NE</State>
            <ZIPCode>68467</ZIPCode>
          </Address>
          <FacilityType>DIALYSIS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>YORK GENERAL HOME HEALTH</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2319 LINCOLN AVE</AddressLine1>
            <City>YORK</City>
            <State>NE</State>
            <ZIPCode>68467</ZIPCode>
          </Address>
          <FacilityType>HOME HEALTH AGENCY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>YORK GENERAL MEADOWLARK ASST LIVING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>406 MEADOWVIEW DR</AddressLine1>
            <City>YORK</City>
            <State>NE</State>
            <ZIPCode>68467</ZIPCode>
          </Address>
          <FacilityType>ASSISTED LIVING</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE</Identifier>
        <ReturnReference>PART I LINE 7 COLUMN F</ReturnReference>
        <Explanation>BAD DEBTS 793857</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COSTING METHODOLOGY EXPLANATION</Identifier>
        <ReturnReference>PART I LINE 7</ReturnReference>
        <Explanation>COSTING METHODOLOGY FOR TABLE IN PART I OVERALL COST TO CHARGE RATIO EXCEPT FOR SUBSIDISED HEALTH SERVICES WHERE COSTS WERE TAKEN FROM THE MEDICARE COST REPORT</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 4</ReturnReference>
        <Explanation>THE ORGANIZATIONS FINANCIAL STATEMENTS DO NOT CONTAIN A SPECIFIC FOOTNOTE DESCRIBING BAD DEBT HOWEVER THE FOLLOWING IS THE TEXT OF THE FOOTNOTES TITLED DESCRIPTION OF ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS EXPENSES INCLUDE A PROVISION FOR DOUBTFUL ACCOUNTS TO ALLOW FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS THIS PROVISION IS BASED ON PAST EXPERIENCE AND ANALYSIS OF CURRENT ACCOUNTS RECEIVABLE COLLECTIBILITY ACCOUNTS ARE CONSIDERED DELINQUENT BASED ON PASSAGE OF A SPECIFIED PERIOD OF TIME AND CONSIDERATION OF PAYMENT HISTORY ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED TO THE ALLOWANCE IN THE YEAR THEY ARE DEEMED UNCOLLECTIBLE AS A RESULT THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS 322456 AND 429771 AT SEPTEMBER 30 2012 AND 2011 RESPECTIVELY COSTING METHODOLOGY FOR LINE 2 OVERALL COST TO CHARGE RATIO WAS USED TO DETERMINE AMOUNTS REPORTED ON SCHEDULE H PART III LINE 2 BAD DEBT EXPENSE REPORTED INCLUDED ON FORM 990 PART IX LINE 25 WAS 793857 COSTING METHODOLOGY FOR LINE 3 AFTER REVIEW OF BAD DEBTS WRITTEN OFF IT WAS DETERMINED APPROXIMATELY 5 OF BAD DEBT ACCOUNTS WRITTEN OFF WOULD HAVE QUALIFIED FOR CHARITY CARE IF THE INDIVIDUALS WOULD HAVE COMPLETED THE APPLICATION PROCESS RATIONALE FOR INCLUDING BAD DEBT AMOUNTS AS COMMUITY BENEFIT WE DO NOT CONSIDER BAD DEBT AS COMMUNITY BENEFIT</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MEDICARE EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 8</ReturnReference>
        <Explanation>THE MEDICARE COST REPORT WHICH USES COST TO CHARGE RATIOS BY DEPARTMENT WAS USED TO DETERMINE THE AMOUNTS REPORTED ON LINE 8</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>THE BOARD MEMBERS ARE ACTIVE IN THE COMMUNITY AND IN TOUCH WITH THE RESIDENTS OF YORK COUNTY AND ARE AWARE OF THE NEEDS OF THE COMMUNITY ON AN ONGOING BASIS THE ADDITION OF OUR DIALYSIS PROGRAM WAS A RESULT OF BOARD INTERACTION WITH THE COMMUNITY IN ADDITION THE ORGANIZATION WILL BE CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT IN THE COMING YEAR WE WILL BE COORDINATING THESE EFFORTS WITH THE LOCAL PUBLIC HEALTH OFFICE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>THE CHARITY CARE NOTICE IS POSTED IN THE ADMITTING BOOTHS AT THE MAIN ENTRANCE IN ER AND IN THE SPECIALTY CLINIC A WRITTEN NOTICE IS PROVIDED TO EACH PERSON SEEKING SERVICES THE CHARITY CARE POLICY IS ALSO DISCUSSED WITH PATIENTS WHEN MAKING COLLECTION CALLS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>YORK NE IS LOCATED AT THE INTERSECTION OF US HIGHWAY 81 AND INTERSTATE 80 THE POPULATION OF YORK COUNTY AS OF 2010 WAS 13665 THE AVERAGE HOUSEHOLD INCOME IS ALMOST 54000 THE UNEMPLOYMENT RATE IN THE YORK COUNTY AREA WAS 43 IN 2009 AS OF 2008 APPROXIMATELY 9 OF PEOPLE OF ALL AGES WERE IN POVERTY YORK COUNTY IS CURRENTLY NOT DESIGNATED AS A MEDICALLY UNDERSERVED AREA APPROXIMATELY 6 OF HOSPITAL REVENUES ARE FROM MEDICAID ELIGIBLE PATIENTS APPROXIMATELY 3 OF HOSPITAL GROSS REVENUES ARE FROM PATIENTS WITH NO INSURANCE COVERAGE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>THE ORGANIZATIONS GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA OF YORK GENERAL HEALTH CARE SERVICES THE OCCUPATIONS OF THE BOARD MEMBERS INCLUDE BUSINESS PROFESSIONALS RETIRED MEDICAL PROFESSIONALS FARMER AND LAWYER THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY SURPLUS FUNDS ARE USED TO UPDATE AND ADD NEW TECHNOLOGY AND EQUIPMENT ADD NEW SERVICES AND UPDATE THE PHYSICAL FACILITIES OVER THE PAST YEARS PROJECTS THAT HAVE BEEN EITHER PARTIALLY FUNDED OR TOTALLY FUNDED WITH SURPLUS REVENUES INCLUDE THE FOLLOWING A NEW 129 BED NURSING HOME TO REPLACE AN OUTDATED AND UNSAFE FACILITY NEW ASSISTED LIVING FACILITY ADDITION OF DIALYSIS SERVICES FOR THE COMMUNITY NEW MEDICAL OFFICE BUILDING AND WELLNESS CENTER HOSPITAL REMODEL AND EXPANSION DIGITAL MAMMOGRAPHY AND CT AND MRI UPDATES THESE ARE SOME OF THE MORE RECENT MAJOR PROJECTS WE HAVE BEEN ABLE TO MAKE AVAILABLE TO THE RESIDENTS OF YORK THESE NEW SERVICES THE ORGANIZATION IS ALSO ACTIVE IN ONGOING HEALTH AND WELLNESS ACTIVITIES IN THE COMMUNITY AND SCHOOLS</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc7">
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>CHARLES SCHULZ</NamePerson>
        <BaseCompensationFilingOrg>169860</BaseCompensationFilingOrg>
        <BonusFilingOrg>10000</BonusFilingOrg>
        <DeferredCompFilingOrg>7312</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21738</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>208910</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS C MCKENNY</NamePerson>
        <BaseCompensationFilingOrg>201543</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>6240</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>8895</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>9661</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>226339</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MATTHEW MONTGOMERY</NamePerson>
        <BaseCompensationFilingOrg>181372</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>5658</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>7769</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11698</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>206497</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL D MONFORE</NamePerson>
        <BaseCompensationFilingOrg>180080</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>5658</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>3974</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11746</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>201458</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 4</ReturnReference>
        <Explanation>CHARLES SCHULZ 0 7,312 0 JANE THOMPSON 0 5,447 0 ROBERT MCQUISTAN 0 4,862 0 JENNIFER OBERMIER 0 1,220 0 JAY COLBURN 0 4,593 0 THOMAS C. MCKENNY 0 8,895 0 MATTHEW MONTGOMERY 0 7,769 0 MICHAEL D. MONFORE 0 3,974 0</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc8">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HOSPITAL AUTHORITY NO 1 OF YORK</BusinessNameLine1>
          <BusinessNameLine2>COUNTY NEBRASKA</BusinessNameLine2>
        </IssuerName>
        <IssuerEIN>470379039</IssuerEIN>
        <CUSIPNumber>986356EL3</CUSIPNumber>
        <DateIssued>2003-04-15</DateIssued>
        <IssuePrice>9970000</IssuePrice>
        <DescriptionOfPurpose>REVENUE &amp; REFUNDING BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HOSPITAL AUTHORITY NO 1 OF YORK</BusinessNameLine1>
          <BusinessNameLine2>COUNTY NEBRASKA</BusinessNameLine2>
        </IssuerName>
        <IssuerEIN>470769138</IssuerEIN>
        <CUSIPNumber>986356FQ1</CUSIPNumber>
        <DateIssued>2009-09-23</DateIssued>
        <IssuePrice>5225000</IssuePrice>
        <DescriptionOfPurpose>REFINANCE 2001 BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HOSPITAL AUTH NO 1 2009 HOSPITAL</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>470379039</IssuerEIN>
        <CUSIPNumber>986356GE7</CUSIPNumber>
        <DateIssued>2009-09-23</DateIssued>
        <IssuePrice>2190000</IssuePrice>
        <DescriptionOfPurpose>HOSPITAL PROJECT</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HOSPITAL AUTH NO1 2010 HOSPITAL</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>470379039</IssuerEIN>
        <CUSIPNumber>986356GT4</CUSIPNumber>
        <DateIssued>2010-09-15</DateIssued>
        <IssuePrice>7195000</IssuePrice>
        <DescriptionOfPurpose>HOSPITAL CONSTRUCTION PROJECT</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>5345000</AmountRetired>
        <TotalProceeds>9970000</TotalProceeds>
        <AmountInReserveFund>267170</AmountInReserveFund>
        <RefundingEscrow>3722830</RefundingEscrow>
        <IssuanceCostsFromProceeds>45000</IssuanceCostsFromProceeds>
        <CapitalExpenditures>5935000</CapitalExpenditures>
        <YearOfSubstCompletion>2004</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>1005000</AmountRetired>
        <TotalProceeds>5225000</TotalProceeds>
        <RefundingEscrow>5225000</RefundingEscrow>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>85000</AmountRetired>
        <TotalProceeds>2190000</TotalProceeds>
        <AmountInReserveFund>185545</AmountInReserveFund>
        <CapitalExpenditures>2190000</CapitalExpenditures>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>7195000</TotalProceeds>
        <CapitalExpenditures>5755442</CapitalExpenditures>
        <AmountUnspent>1439558</AmountUnspent>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>false</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>false</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>false</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>false</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>false</EngageBondCounselResearch>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc9">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>CORNERSTONE BANK</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <DescriptionOfTransaction>SEE PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE L PART V</ReturnReference>
        <Explanation>SCHEDULE L PART IV A NAME OF INTERESTED PERSON CORNERSTONE BANK B RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION CG KELLY HOLTUS IS PRESIDENT OF CORNERSTONE BANK HIS DAUGHTER KRIS HOLOCH IS ALSO EMPLOYED AS AN OFFICER AT CORNERSTONE BANK AND TOGETHER THEY OWN GREATER THAN 35 INTEREST IN CORNERSTONE BANK CHARLES HARRIS DON WITTE DARROLL LOSCHEN AND KELLY THOMAS ARE ALL ON CORNERSTONE BANKS BOARD OF DIRECTORS C D AMOUNT AND DESCRIPTION OF TRANSACTION VARIOUS TRANSACTIONS IN CAPICITY AS YORK GENERAL HEALTH CARE SERVICES FINANICAL INSTITUTION ADDIONTALLY CORNERSTONE BANK IS TRUSTEE TO BOND FUNDS IN WHICH 1913890 WAS DEPOSITED THIS YEAR</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc10">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990 - ORGANIZATION'S MISSION</ReturnReference>
        <Explanation>TO BE A REGIONAL HEALTHCARE PROVIDER FOR THE CITIZENS OF YORK COUNTY AND ITS CONTIGUOUS COUNTIES WITH READILY ACCESSIBLE HIGH QUALITY PRIMARY, OBSTETRICAL, MENTAL HEALTH, MEDICAL, SURGICAL, PEDIATRIC, AND LONG TERM HEALTH CARE PROGRAMS AND SERVICES. TO PROVIDE HIGH QUALITY PHYSICAL AND MANPOWER RESOURCES. TO OPERATE WITHIN RESPONSIBLE FISCAL GUIDELINES WITHOUT COMPROMISING PATIENT AND RESIDENT CARE IN PROVIDING PHYSICAL RESOURCES, MANPOWER AND SERVICES. TO BE A LEADER IN ADVOCATING HIGH QUALITY HEALH CARE PROGRAMS, DEVELOPING RESOURCES, AND PROVIDING SERVICES AND PROGRAMS THAT MEET BOTH PREVENTATIVE AND PRIMARY HEALTH CARE NEEDS TO THE CITIZENS OF THE SERVICE AREA. TO ESTABLISH AN ON-GOING PROCESS THAT INSURES THAT THE ORGANIZATION IS MEASURABLY MEETING ITS MISSION COMMITMENTS TO ITS PATIENTS, RESIDENTS, PHYSICAINS, EMPLOYEES, AND COMMUNITIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RELATED PARTY INFORMATION AMONG OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 2</ReturnReference>
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