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      <FollowSFAS117>X</FollowSFAS117>
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      <TemporarilyRestrictedNetAssets>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>481218</EOY>
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      <ReconcilationRevenueExpenses>-176615</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearMinus3Years>1350</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1635</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6996</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>6440</CurrentTaxYear>
        <Total>27090</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>2240592</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2218864</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2105548</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1905494</CurrentTaxYear>
        <Total>10784005</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>2324176</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2241942</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2220499</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2112544</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1911934</CurrentTaxYear>
        <Total>10811095</Total>
      </Total509>
      <PublicSupportTotal509>10811095</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus1Year>219</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>518</CurrentTaxYear>
        <Total>737</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus1Year>219</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>518</CurrentTaxYear>
        <Total>737</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>2324176</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2241942</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2220499</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2112763</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1912452</CurrentTaxYear>
        <Total>10811832</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99993</PublicSupportPercentage509>
      <PriorYearSupportPercentage>1.00000</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00007</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00000</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYearMinus3Years />
      <Land />
      <Buildings />
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>33412</OtherCostOrOtherBasis>
        <Depreciation>20142</Depreciation>
        <BookValue>13270</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>50039</OtherCostOrOtherBasis>
        <Depreciation>30166</Depreciation>
        <BookValue>19873</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>33143</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>188248</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>188248</TotalOfAmounts>
      <TotalRevenue>1912452</TotalRevenue>
      <TotalExpenses>2089067</TotalExpenses>
      <ExcessOrDeficitForYear>-176615</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>-176615</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>1912452</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>1912452</RevenueSubtotal>
      <TotalRevenuePerForm990>1912452</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>2089067</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>2089067</ExpensesSubtotal>
      <TotalExpensesPerForm990>2089067</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>UNCERTAIN TAX POSITIONS</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>MANAGEMENT CONTROL</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>THE ORGANIZATION'S NON-PROFIT, EXEMPT, PARENT ORGANIZATION, COMMUNITY NURSES, INC., PROVIDES MANAGEMENT SERVICES TO COMMUNITY NURSES HOME HEALTH SUPPORT SERVICES, INC. SIGNIFICANT CHANGES TO BYLAWS FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS DURING THE YEAR. INCLUDED IN THE CHANGES WERE TERMS OF OFFICERS CHANGED FROM 1 YEAR TO 3 YEARS AND NOW HAVE UNLIMITED CONSECUTIVE TERMS. ADDITIONALLY, THE CHAIRMAN IS NO LONGER REQUIRED TO BE THE CEO AND THE BOARD NO LONGER REQUIRES AT LEAST ONE LICENSED PHYSICIAN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINES 6, 7A, 7B</ReturnReference>
        <Explanation>THE ORGANIZATION'S PARENT ORGANIZATION IS COMMUNITY NURSES, INC. (CNI). AS THE PARENT ORGANIZATION, CNI APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS AND HAS FINAL APPROVAL RIGHTS OVER THE FOLLOWING ACTIONS THAT MAY BE TAKEN BY THE ORGANIZATION'S BOARD: APPROVE THE APPOINTMENT OF THE CHAIRMAN OF THE BOARD, APPROVE ANY AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY BECOME EFFECTIVE, APPROVE ALL OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION, AND APPROVE ANY MERGER CONSOLIDATION, DIVISION, LIQUIDATION, DISSOLUTION, WINDING UP, OR SALE OF ALL OR SUBSTANTIALLY ALL THE ASSETS OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT OF THE 990 IS THOROUGHLY REVIEWED BY THE CFO AND CEO. AFTER ALL CHANGES ARE MADE, IT IS PRESENTED TO THE BOARD OF DIRECTORS BEFORE BEING FILED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY COMPLIANCE</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>EVERY YEAR, A QUESTIONNAIRE REGARDING BUSINESS AND FAMILY RELATIONSHIPS IS GIVEN TO THE BOARD OF DIRECTORS &amp; OFFICERS. THESE QUESTIONNAIRES ARE THEN REVIEWED AND ANY CONFLICTS ARE BROUGHT TO THE ATTENTION OF THE BOARD. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST MUST ABSTAIN FROM VOTING ON ANY ISSUES RELATED TO THAT CONFLICT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION DETERMINATION</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</ReturnReference>
        <Explanation>SALARIES ARE REVIEWED ANNUALLY DURING THE BUDGET PROCESS OF COMMUNITY NURSES, INC., COMPARED TO THE HOME CARE SALARY &amp; BENEFITS REPORT PRODUCED BY THE NATIONAL ASSOCIATION OF HOMECARE FOR REASONABLENESS, AND APPROVED BY THE BOARD OF DIRECTORS. THE CEO'S AND CFO'S COMPENSATION ARE SPECIFICALLY APPROVED BY THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENT AVAILABILITY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ARTICLES OF INCORPORATION ARE AVAILABLE ON THE PENNSYLVANIA DEPARTMENT OF STATE'S WEBSITE. ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>BOARD MEMBER COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A</ReturnReference>
        <Explanation>NO BOARD MEMBERS RECEIVE ANY COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS. JIM BYHAM, BOARD MEMBER, RECEIVED A SEVERANCE PAYMENT FROM ELK REGIONAL HEALTH CENTER (ERHC), A RELATED ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RELATED HOURS</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A, COLUMN B</ReturnReference>
        <Explanation>REBECCA NELSON, COMMUNITY NURSES, INC. CEO, WORKS APPROXIMATELY 24 HOURS PER WEEK FOR COMMUNITY NURSES, INC., 8 HOURS PER WEEK FOR COMMUNITY NURSES HOME HEALTH &amp; HOSPICE, INC., AND 8 HOURS PER WEEK FOR COMMUNITY NURSES HOME SUPPORT SERVICES, INC. JENNIFER CATALANO, COMMUNITY NURSES INC. CFO, WORKS APPROXIMATELY 18 HOURS PER WEEK FOR COMMUNITY NURSES, INC., 6 HOURS PER WEEK FOR COMMUNITY NURSES HOME HEALTH &amp; HOSPICE, INC., AND 6 HOURS PER WEEK FOR COMMUNITY NURSES HOME SUPPORT SERVICES, INC.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ELK REGIONAL HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>763 JOHNSONBURG ROAD</AddressLine1>
          <City>ST MARYS</City>
          <State>PA</State>
          <ZIPCode>15857</ZIPCode>
        </AddressUS>
        <EIN>250585280</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ERHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ELK REGIONAL HEALTH SYSTEM FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>763 JOHNSONBURG ROAD</AddressLine1>
          <City>ST MARYS</City>
          <State>PA</State>
          <ZIPCode>15857</ZIPCode>
        </AddressUS>
        <EIN>251636685</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 A I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ERHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ELCO HOUSING</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>759 JOHNSONBURG ROAD</AddressLine1>
          <City>ST MARYS</City>
          <State>PA</State>
          <ZIPCode>15857</ZIPCode>
        </AddressUS>
        <EIN>251639115</EIN>
        <PrimaryActivities>HOUSING</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
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        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>ELK REGIONAL PROFESSIONAL GROUP INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <City>ST MARYS</City>
          <State>PA</State>
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        <DirectControllingEntityName>
          <BusinessNameLine1>ERHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>ELK REGONIAL HEALTH SYSTEM AUXILIARY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>763 JOHNSONBURG ROAD</AddressLine1>
          <City>ST MARYS</City>
          <State>PA</State>
          <ZIPCode>15857</ZIPCode>
        </AddressUS>
        <EIN>251429093</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ERHS</BusinessNameLine1>
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        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>ELK REGIONAL HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <City>ST MARYS</City>
          <State>PA</State>
          <ZIPCode>15857</ZIPCode>
        </AddressUS>
        <EIN>251626723</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
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          <City>ST MARYS</City>
          <State>PA</State>
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        </AddressUS>
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        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CNI</BusinessNameLine1>
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        </NameOfRelatedOrg>
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          <City>ST MARYS</City>
          <State>PA</State>
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          <State>PA</State>
          <ZIPCode>15853</ZIPCode>
        </AddressUS>
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        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
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      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
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      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
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      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
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</Return>