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        <AdministrativeExpenses>32975</AdministrativeExpenses>
        <EndOfYearBalance>24024167</EndOfYearBalance>
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      <CurrentYearMinus3Years>
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        <InvestmentEarningsOrLosses>-2225066</InvestmentEarningsOrLosses>
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        <AdministrativeExpenses>40330</AdministrativeExpenses>
        <EndOfYearBalance>20114304</EndOfYearBalance>
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      <Land>
        <OtherCostOrOtherBasis>1724349</OtherCostOrOtherBasis>
        <BookValue>1724349</BookValue>
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        <Depreciation>8513303</Depreciation>
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      <TotalOfBookValueLandBuildings>18322193</TotalOfBookValueLandBuildings>
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        <Description>CHARITABLE GIFT ANNUITIES</Description>
        <Amount>710220</Amount>
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      <TotalExpensesPerForm990>29459286</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>HOSPICE FOLLOWS THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ACCORDING TO THE PRINCIPLES OF ASC 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY HOSPICE, INCLUDING WHETHER THE ENTITY IS EXEMPT FROM INCOME TAXES. MANAGEMENT EVALUATED THE TAX POSITIONS TAKEN AND CONCLUDED THAT HOSPICE HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, HOSPICE IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2008.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
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      <Form990ScheduleDPartXIV>
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      <Form990ScheduleDPartXIV>
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        <State>PA</State>
        <ZIPCode>17604</ZIPCode>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>EMPLOYEES WHO RECEIVED TAXABLE LIFE INSURANCE BENEFITS WERE GIVEN A PAYMENT TO COVER THESE TAXES WHICH WAS TREATED AS TAXABLE COMPENSATION.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
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      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4A</ReturnReference>
        <Explanation>CATHY STAUFFER, FORMER CEO/PRESIDENT - SEVERANCE PAYMENTS WERE MADE IN 2011 TO CATHY STAUFFER ACCORDING TO HER EMPLOYMENT CONTRACT IN THE AMOUNT OF $205,769</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 7</ReturnReference>
        <Explanation>BONUSES FOR OFFICERS ARE ESTABLISHED BY THE EXECUTIVE DEVELOPMENT &amp; COMPENSATION COMMITTEE AT THE END OF THE YEAR AND PAID THE FOLLOWING YEAR BASED UPON ORGANIZATION &amp; INDIVIDUAL PERFORMANCE. BONUSES FOR NON-OFFICERS ARE ESTABLISHED BY SENIOR MANAGEMENT BASED UPON ORGANIZATION &amp; INDIVIDUAL PERFORMANCE.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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        </IssuerName>
        <IssuerEIN>231884507</IssuerEIN>
        <CUSIPNumber>514349BU2</CUSIPNumber>
        <DateIssued>2007-07-03</DateIssued>
        <IssuePrice>17465000</IssuePrice>
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        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
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        <CapitalExpenditures>17322798</CapitalExpenditures>
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        <AdvanceRefunding>0</AdvanceRefunding>
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        <NumberOfContributions>3548</NumberOfContributions>
        <NoncashContribsRptdF990>170687</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>REAL PROCEEDS-AUCTION</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>LANDSCAPING</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>364</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>1</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:</Identifier>
        <ReturnReference>PART I, COLUMN (B):</ReturnReference>
        <Explanation>WITH THE EXCEPTION OF THE AUCTION ITEMS, NUMBER OF CONTRIBUTORS IS BASED ON NUMBER OF CONTRIBUTIONS - NOT NUMBER OF ITEMS RECEIVED. AUCTION ITEMS ARE TOTAL AMOUNT OF AUCTION ITEMS RECEIVED.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>990 PART I LINE 6</ReturnReference>
        <Explanation>HOSPICE &amp; COMMUNITY CARE HAD AN AGGREGATE OF 892 VOLUNTEERS DURING 2011. THESE VOLUNTEERS SERVED IN MANY DIFFERENT ROLES INCLUDING: PATIENT/FAMILY VOLUNTEERS IN HOME HOSPICE, OUR INPATIENT UNITS AND NURSING HOMES; PET THERAPY; MUSIC SUPPORT; BEREAVEMENT SUPPORT; OFFICE SUPPORT; GREETING AND WELCOMING VISITORS; DEVELOPMENT AND FUNDRAISING; COMMUNITY RELATIONS AND EDUCATION; AND GROUNDS MAINTENANCE. THE ORGANIZATION ALSO HAD VOLUNTEER OPPORTUNITIES FOR TEENS TO PROVIDE COMPANIONSHIP TO PATIENTS IN BOTH OUR INPATIENT UNITS AND IN NURSING HOMES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>990, PAGE 1, ITEM B</ReturnReference>
        <Explanation>EFFECTIVE JULY 23, 2012 THE ORGANIZATION CHANGED ITS NAME FROM HOSPICE OF LANCASTER COUNTY TO HOSPICE &amp; COMMUNITY CARE. PRIOR TO THIS 990 FILING, THE INTERNAL REVENUE SERVICE WAS NOTIFIED THROUGH CORRESPONDENCE OF THE NAME CHANGE AND THE ORGANIZATION HAS RECEIVED CORRESPONDENCE BACK FROM THE INTERNAL REVENUE SERVICE ACCEPTING THE NAME CHANGE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>990 PART V LINES 7A &amp;7B</ReturnReference>
        <Explanation>DONOR WAS NOTIFIED THROUGH ACKNOWLEDGEMENT OF GIFT AND/OR TICKET OF THE TAX DEDUCTIBLE PORTION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE AUDIT COMMITTEE OF THE BOARD, ACTING ON BEHALF OF THE BOARD, DID A DETAILED REVIEW OF THE FORM 990 WITH MANAGEMENT. A COPY WAS DISTRIBUTED ELECTRONICALLY TO THE FULL BOARD PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE A NEW CONFLICT OF INTEREST STATEMENT ON A YEARLY BASIS. THE POLICY IS REVIEWED ANNUALLY AT A BOARD MEETING. THE AUDIT COMMITTEE IS RESPONSIBLE FOR MONITORING AND ENFORCING COMPLIANCE WITH THE POLICY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>A COMPENSATION COMMITTEE MADE UP OF BOARD MEMBERS MEETS AT LEAST ANNUALLY TO REVIEW AND APPROVE THE SALARIES FOR THE PRESIDENT/CEO AND ALL VICE PRESIDENTS. INDUSTRY BENCHMARKS ARE USED FOR COMPARISON PURPOSES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 18</ReturnReference>
        <Explanation>990 AVAILABLE UPON REQUEST TO THE ORGANIZATION'S FISCAL OFFICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED IN THE FISCAL OFFICE OF THE ORGANIZATION. COPIES OF SUCH DOCUMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>990 PART VII LINE 1A</ReturnReference>
        <Explanation>BENJAMIN SALDANA RESIGNED FROM THE BOARD IN FEBRUARY 2011 AND MARGARET NEWCOMER RESIGNED FROM THE BOARD IN SEPTEMBER 2011. AT DECEMBER 31, 2011, THE BOARD HAD 20 VOTING MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -979,243. CHANGE IN VALUE OF GIFT ANNUITIES -67,372. CHANGE IN VALUE OF PERPETUAL TRUSTS -21,781. DISTRIBUTIONS FROM PERPETUAL TRUSTS 29,987. TOTAL TO FORM 990, PART XI, LINE 5: -1,038,409.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>SCHEDULE G PART III LINE 11</ReturnReference>
        <Explanation>THE ORGANIZATION OPERATES A RAFFLE AVAILABLE TO THE GENERAL PUBLIC.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PALLIATIVE MEDICINE CONSULTANTS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>685 GOOD DRIVE</AddressLine1>
          <City>LANCASTER</City>
          <State>PA</State>
          <ZIPCode>17604</ZIPCode>
        </AddressUS>
        <EIN>261209794</EIN>
        <PrimaryActivities>PROVIDES HEALTH CARE TO PERSONS WITH CHRONIC OR ADVANCED ILLNESSES</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <TotalIncome>563364</TotalIncome>
        <EOYAssets>85661</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOSPICE &amp; COMMUNITY CARE</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
    </IRS990ScheduleR>
  </ReturnData>
</Return>