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        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>188427</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>18454</OtherCompensation>
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      <Form990PartVIISectionA>
        <NamePerson>DAVID MCNAMARA</NamePerson>
        <Title>FORMER MEDICAL DIRECTOR</Title>
        <Former>X</Former>
        <ReportableCompFromOrganization>115441</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12410</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>4272296</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>420157</TotalOtherCompensation>
      <NumberIndividualsGT100K>30</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>ASSOCIATED CONTRACTORS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>CONSTRUCTION</DescriptionOfServices>
        <Compensation>1892237</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>ASSOCIATED CLINICAL LABS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>LAB</DescriptionOfServices>
        <Compensation>917183</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>VANTAGE HEALTHCARE LINEN</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>LINEN SERVICE</DescriptionOfServices>
        <Compensation>836234</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>MEDITECH</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>COMPUTER</DescriptionOfServices>
        <Compensation>564715</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>ADVANCED LITHO CARE</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>MOBILE PET SCAN</DescriptionOfServices>
        <Compensation>515109</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>34</NumberOfContractorsGT100K>
      <RelatedOrganizations>42489</RelatedOrganizations>
      <GovernmentGrants>225387</GovernmentGrants>
      <AllOtherContributions>268318</AllOtherContributions>
      <TotalContributions>536194</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT SERVICE REVENUE</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>130602435</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>130602435</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CAFETERIA INCOME</Description>
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        <TotalRevenueColumn>467302</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>467302</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
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        <TotalRevenueColumn>656951</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>656951</RelatedOrExemptFunctionIncome>
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        <BusinessCode>621990</BusinessCode>
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        <RelatedOrExemptFunctionIncome>421589</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>AFFILIATED ORGANIZATION RENT</Description>
        <BusinessCode>532000</BusinessCode>
        <TotalRevenueColumn>180288</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>180288</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>132328565</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1546692</TotalRevenueColumn>
        <ExclusionAmount>1546692</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>791616</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>50340</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>741276</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>741276</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>69660</UnrelatedBusinessRevenue>
        <ExclusionAmount>671616</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>51641023</Securities>
        <Other>8051</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>49857243</Securities>
        <Other>42188</Other>
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      <GainOrLoss>
        <Securities>1783780</Securities>
        <Other>-34137</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>1749643</TotalRevenueColumn>
        <ExclusionAmount>1749643</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>INVESTMENT IN EQUITY INVESTEES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>1032655</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>12827</UnrelatedBusinessRevenue>
        <ExclusionAmount>1019828</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>1032655</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>137935025</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>132328565</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>82487</UnrelatedBusinessRevenue>
        <ExclusionAmount>4987779</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>413015</Total>
        <ProgramServices>413015</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>2739973</Total>
        <ProgramServices>952187</ProgramServices>
        <ManagementAndGeneral>1787786</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>127851</Total>
        <ProgramServices>127851</ProgramServices>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>47276771</Total>
        <ProgramServices>36942091</ProgramServices>
        <ManagementAndGeneral>10334680</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>2245593</Total>
        <ProgramServices>1858673</ProgramServices>
        <ManagementAndGeneral>386920</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>11081757</Total>
        <ProgramServices>8481739</ProgramServices>
        <ManagementAndGeneral>2600018</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>3535158</Total>
        <ProgramServices>2693619</ProgramServices>
        <ManagementAndGeneral>841539</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>92289</Total>
        <ManagementAndGeneral>92289</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>225628</Total>
        <ManagementAndGeneral>225628</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>10798649</Total>
        <ProgramServices>8319838</ProgramServices>
        <ManagementAndGeneral>2478811</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>32358768</Total>
        <ProgramServices>24930869</ProgramServices>
        <ManagementAndGeneral>7427899</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>1973583</Total>
        <ProgramServices>1520551</ProgramServices>
        <ManagementAndGeneral>453032</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>276820</Total>
        <ProgramServices>213276</ProgramServices>
        <ManagementAndGeneral>63544</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>127048</Total>
        <ProgramServices>97884</ProgramServices>
        <ManagementAndGeneral>29164</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>1073940</Total>
        <ProgramServices>711411</ProgramServices>
        <ManagementAndGeneral>362529</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>9652031</Total>
        <ProgramServices>6393807</ProgramServices>
        <ManagementAndGeneral>3258224</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>1486119</Total>
        <ProgramServices>1144983</ProgramServices>
        <ManagementAndGeneral>341136</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBTS</Description>
        <Total>4635506</Total>
        <ProgramServices>4635506</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>2365311</Total>
        <ProgramServices>1729533</ProgramServices>
        <ManagementAndGeneral>635778</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHYSICIAN RECRUITING COSTS</Description>
        <Total>940508</Total>
        <ProgramServices>724616</ProgramServices>
        <ManagementAndGeneral>215892</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES &amp; SUBSCRIPTIONS</Description>
        <Total>490848</Total>
        <ProgramServices>378175</ProgramServices>
        <ManagementAndGeneral>112673</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>133917166</Total>
        <ProgramServices>102269624</ProgramServices>
        <ManagementAndGeneral>31647542</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>121899</BOY>
        <EOY>654300</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>9466337</BOY>
        <EOY>7940031</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
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        <EOY>11572780</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>40055</EOY>
      </ReceivablesFromOfficersEtc>
      <InventoriesForSaleOrUse>
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        <EOY>3230965</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>2971767</BOY>
        <EOY>2327207</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>163113056</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>94697673</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>66891116</BOY>
        <EOY>68415383</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>29112890</BOY>
        <EOY>29985010</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>2222866</BOY>
        <EOY>2549616</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>2228748</BOY>
        <EOY>2442386</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>57292</BOY>
        <EOY>36458</EOY>
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      <OtherAssetsTotal>
        <BOY>11811059</BOY>
        <EOY>15210134</EOY>
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      <TotalAssets>
        <BOY>139557792</BOY>
        <EOY>144404325</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>16120049</BOY>
        <EOY>15016003</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>58911</BOY>
        <EOY>27715</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>17194762</BOY>
        <EOY>17524445</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>8890225</BOY>
        <EOY>10069591</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>30291366</BOY>
        <EOY>36087110</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>72555313</BOY>
        <EOY>78724864</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>63551434</BOY>
        <EOY>61978388</EOY>
      </UnrestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>3451045</BOY>
        <EOY>3701073</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>67002479</BOY>
        <EOY>65679461</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>139557792</BOY>
        <EOY>144404325</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <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>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>15647</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>15647</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>LOBBYING ACTIVITIES</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1(I)</ReturnReference>
        <Explanation>THE ORGANIZATION PAYS DUES TO ORGANIZATIONS WHICH PARTICIPATE IN LOBBYING ACTIVITIES. THE PORTION OF THE ORGANIZATION'S TOTAL DUES ATTRIBUTABLE TO LOBBYING ARE $ 6,600 TO THE AMERICAN HOSPITAL ASSOCIATION AND $ 9,047 TO THE HOSPITAL &amp; HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA. TOTAL DUES ATTRIBUTABLE TO LOBBYING ARE $ 15,647.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
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        <BeginningOfYearBalance>3451045</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>250028</InvestmentEarningsOrLosses>
        <EndOfYearBalance>3701073</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>4279934</BeginningOfYearBalance>
        <Contributions>148544</Contributions>
        <InvestmentEarningsOrLosses>-977433</InvestmentEarningsOrLosses>
        <EndOfYearBalance>3451045</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>3969162</OtherCostOrOtherBasis>
        <BookValue>3969162</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>3202219</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>60957790</OtherCostOrOtherBasis>
        <Depreciation>31187158</Depreciation>
        <BookValue>32972851</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>26890531</OtherCostOrOtherBasis>
        <Depreciation>17682417</Depreciation>
        <BookValue>9208114</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>63302020</OtherCostOrOtherBasis>
        <Depreciation>43200345</Depreciation>
        <BookValue>20101675</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>4791334</OtherCostOrOtherBasis>
        <Depreciation>2627753</Depreciation>
        <BookValue>2163581</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>68415383</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>THIRD PARTY RATE ADJUSTMENTS</Description>
        <BookValue>1038165</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CASH SURRENDER VALUE LIFE INS</Description>
        <BookValue>1772152</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ACCRUED INTEREST RECEIVABLE</Description>
        <BookValue>267746</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>7536805</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>BENEF. INTEREST IN PERP. TRUST</Description>
        <BookValue>3701073</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER RECEIVABLES</Description>
        <BookValue>894193</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>15210134</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ESTIMATED SELF-INSURANCE COSTS</Description>
        <Amount>1415793</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED POSTRETIREMENT BEN LIA</Description>
        <Amount>3172330</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED PENSION</Description>
        <Amount>30288441</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INTEREST RATE SWAP LIABILITY</Description>
        <Amount>1210546</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>36087110</TotalOfAmounts>
      <TotalRevenue>137935025</TotalRevenue>
      <TotalExpenses>133917166</TotalExpenses>
      <ExcessOrDeficitForYear>4017859</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>99433</NetUnrealizedGLOnInvestments>
      <OtherAmount>-5440310</OtherAmount>
      <TotalAdjustments>-5340877</TotalAdjustments>
      <ExcessOrDeficitPerFS>-1323018</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>132678625</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>99433</NetUnrealizedGainsInvestments>
      <OtherRevenues>-5440310</OtherRevenues>
      <RevenueNotRptdF990>-5340877</RevenueNotRptdF990>
      <RevenueSubtotal>138019502</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-84477</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-84477</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>137935025</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>134001643</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>84477</OtherExpensesIncluded>
      <ExpensesNotRptdF990>84477</ExpensesNotRptdF990>
      <ExpensesSubtotal>133917166</ExpensesSubtotal>
      <TotalExpensesPerForm990>133917166</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>ENDOWMENT FUND PURPOSE</Identifier>
        <ReturnReference>SCHEDULE D, PART V, LINE 4</ReturnReference>
        <Explanation>THE ENDOWMENT FUNDS CONSIST OF TEN SEPARATE FUNDS HELD THROUGH PNC BANK, BANK OF AMERICA, NATIONAL CITY BANK, AND MELLON BANK, OF WHICH THE PURPOSE IS TO IMPROVE THE HEALTHCARE FOR RESIDENTS OF THIS COMMUNITY.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 DISCLOSURE</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>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER CHANGES IN NET ASSETS &amp; RECONCILING ITEMS</Identifier>
        <ReturnReference>SCHEDULE D, PART XI, LINE 8, AND PART XII, LINE 2D</ReturnReference>
        <Explanation>CHANGE IN FV OF INT RATE SWAP AGREEMENTS (151,972) NET LOSS ARISING ON DEFINED BENEFIT PENSION PLANS (7,506,237) AMORTIZATION OF DEFINED BENEFIT PENSION LOSS 521,098 AMORTIZATION OF PRIOR DEFINED BENEFIT SERVICE COSTS 38,826 CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 250,028 TRANSFERS FROM VNA OF CRAWFORD COUNTY 1,293,530 TRANSFER FROM CRAWFORD COUNTY SUB-SPECIALISTS GROUP 313 TRANSFER TO COMMUNITY HEALTH SERVICES (7,562) TRANSFER FROM MMC FOUNDATION 121,666 --------- (5,440,310) SCHEDULE D, PART XII, LINE 4B AND PART XIII, LINE 2D THE FOLLOWING ITEMS WERE INCLUDED WITH EXPENSES ON THE AUDIT REPORT; HOWEVER, WERE MOVED TO BE PROPERLY INCLUDED ON THE STATEMENT OF REVENUE ON THE TAX RETURN: $ 50,340 RENTAL EXPENSES RELATED TO RENTAL INCOME 34,137 LOSS ON DISPOSAL OF FIXED ASSETS --------- $ 84,477</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>false</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>809029</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>809029</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00600</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>16884601</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10720811</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6163790</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04600</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>17693630</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10720811</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6972819</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05200</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>621085</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>163703</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>457382</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00340</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>1104261</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>607606</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>496655</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00370</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>5855414</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4404996</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1450418</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01090</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>413015</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>413015</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00310</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>7993775</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5176305</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2817470</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02110</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
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        <DirectOffsettingRevenue>15897116</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9790289</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07310</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1820827</BadDebtExpenseAmount>
      <AmountAttributableTo>289511</AmountAttributableTo>
      <AmountReimbursedByMedicare>55514475</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>68988958</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-13474483</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostAccountingSystem>X</CostAccountingSystem>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>MEADVILLE MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1034 GROVE ST</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Other>PHYSICIAN PRACTICES</Other>
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      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>MEADVILLE MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>751 LIBERTY ST</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
        <Other>PHYSICIAN PRACTICES</Other>
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      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>MIND BODY WELLNESS CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>18201 CONNEAUT LAKE ROAD</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </Address>
        <Other>WELLNESS CENTER</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>YOLANDA G BARCO ONCOLOGY CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>16792 CONNEAUT LAKE ROAD</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </Address>
        <Other>ONCOLOGY CENTER</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>WELLNESS EXTENSION</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>11031 PERRY HIGHWAY</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </Address>
        <Other>WELLNESS CENTER</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <BadDebtFootnote>THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: THE HEALTH SYSTEM REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. LINE 2 WAS CALCULATED USING THE COST TO CHARGE RATIO TIMES BAD DEBT EXPENSE. BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY FOR LINE 3 WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. COST ACCOUNTING WAS USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED ON LINE 6.</ShortfallAsCommunityBenefit>
        <NeedsAssessment>MEADVILLE MEDICAL CENTER COMPLETES A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT ON A REGULAR BASIS TO DETERMINE HEALTH CARE NEEDS. THE MOST RECENT PREVIOUS ASSESSMENT WAS COMPLETED IN 2002-3 AND THE LATEST ASSESSMENT IS CURRENTLY UNDERWAY AND WILL BE COMPLETED IN 2011. MEADVILLE MEDICAL CENTER WORKS WITH MANY COMMUNITY PARTNERS INCLUDING; HEALTH AND HUMAN SERVICE PROVIDERS, EDUCATION, GOVERNMENT, FAITH, LAW ENFORCEMENT, AND OTHER INTERESTED PARTIES IN COMPLETING THE ASSESSMENT OF THE COMMUNITY HEALTH NEEDS.</NeedsAssessment>
        <PatientEducationAssistance>ELIGIBILITY FOR FINANCIAL ASSISTANCE IS REVIEWED ACCORDING TO THE U.S. GOVERNMENT'S FEDERAL POVERTY MEADVILLE MEDICAL CENTER (MMC) OFFERS A VARIETY OF FINANCIAL ASSISTANCE PROGRAMS TO MEET THE NEEDS OF PATIENTS. PROGRAMS APPLY ONLY TO MEADVILLE MEDICAL CENTER HOSPITAL CHARGES. PATIENTS WILL RECEIVE A SEPARATE BILL FROM EACH INDEPENDENT PRACTITIONER, OR GROUPS OF PRACTITIONERS, FOR CARE, TREATMENT, OR SERVICES PROVIDED. THE MEADVILLE MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM DOES NOT APPLY TO THESE CHARGES. IN ADDITION TO THE MEADVILLE MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAMS, PATIENTS MAY ALSO BE ELIGIBLE FOR PUBLIC PROGRAMS SUCH AS MEDICAID OR MEDICARE. APPLYING FOR SUCH PROGRAMS MAY BE REQUIRED PRIOR TO APPLYING FOR A MEADVILLE MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM. MEADVILLE MEDICAL CENTER WILL ASSIST PATIENTS WITH STATE FUNDED PUBLIC PROGRAMS AND THE ENROLLMENT PROCESS. THE MEADVILLE MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAMS INCLUDE FOUR PROGRAMS: 1. UNINSURED FINANCIAL ASSISTANCE - AVAILABLE TO UNINSURED PATIENTS, OFFERS FREE CARE OR DISCOUNTED CARE BASED ON FAMILY SIZE AND INCOME ACCORDING TO THE ELIGIBILITY CRITERIA 2. SELF-PAY DISCOUNT - AVAILABLE TO UNINSURED PATIENTS, OFFERS A 10% DISCOUNT, IF PAID WITH TEN (10) BUSINESS DAYS, NO APPLICATION NECESSARY, DOES NOT APPLY TO MEDICARE, MEDICAID, BCBS AND OTHER INSURANCE/THIRD PARTY PAYER DEDUCTIBLE AND CO-INSURANCE AMOUNTS. 3. CATASTROPHIC DISCOUNT - AVAILABLE TO UNINSURED AND INSURED PATIENTS, LIMITS THE OUT-OF-POCKET COSTS WHEN MEDICAL DEBTS SPECIFIC TO MEDICAL CARE AT MEADVILLE MEDICAL CENTER EXCEED 25% OF THE PATIENT'S FAMILY GROSS INCOME. 4. PAYMENT PLAN PROGRAM - AVAILABLE TO UNINSURED AND INSURED PATIENTS, ASSISTS PATIENTS WITH THEIR FINANCIAL OBLIGATIONS BY ESTABLISHING PAYMENT ARRANGEMENTS. TO QUALIFY FOR FREE SERVICES (100% FINANCIAL ASSISTANCE) THE PATIENT'S HOUSEHOLD INCOME MUST BE AT OR BELOW 200% OF THE CURRENT FEDERAL POVERTY GUIDELINES. TO QUALIFY FOR PARTIAL FINANCIAL ASSISTANCE, YOUR HOUSEHOLD INCOME MUST BE BETWEEN 200% TO 300% OF THE FEDERAL POVERTY GUIDELINES. IF PATIENTS RECEIVE PARTIAL FINANCIAL ASSISTANCE, PATIENTS ARE STILL RESPONSIBLE FOR PAYING THEIR PORTION OF THE BILL. HOWEVER, MMC IS COMMITTED TO WORKING WITH PATIENTS TO DEVELOP PAYMENT TERMS THAT ARE APPROPRIATE BASED ON THEIR INCOME AND ABILITY TO PAY. IF MMC ESTABLISHES A PAYMENT PLAN FOR PATIENTS, MMC WILL NOT CHARGE INTEREST ON THE ACCOUNT BALANCE WHILE PATIENTS MAKE THE PAYMENTS. PATIENTS WHO ARE AT OR BELOW THE 200% GUIDELINE WILL RECEIVE A FULL WRITE-OFF OF CHARGES. FOR PATIENTS WHO EXCEED THE 200% GUIDELINE, BUT HAVE INCOME LESS THAN THE 300% GUIDELINE, A SLIDING SCALE WILL BE USED TO DETERMINE THE PERCENT REDUCTION OF CHARGES THAT WILL APPLY.</PatientEducationAssistance>
        <CommunityInformation>MEADVILLE MEDICAL CENTER SERVES ANY PERSON IN NEED OF SERVICE, THE MAJORITY OF WHICH RESIDE IN CENTRAL AND WESTERN CRAWFORD COUNTY IN NORTHWESTERN PENNSYLVANIA, PRIMARILY A RURAL AREA. THE POPULATION OF THE PRIMARILY RURAL SERVICE AREA WAS 76,460 WHEN LAST REVIEWED IN 2009. THE AREA HAS A HIGH RATE OF POVERTY, LOWER MEDIAN AND HOUSEHOLD INCOME, AND HIGHER RATE OF MEDICAL ASSISTANCE ELIGIBILITY THAN THE SURROUNDING AREAS AND THE STATE AND NATION AS A WHOLE. THE UNIQUE NEEDS OF THE COMMUNITY ARE CONSIDERED IN ALL PLANNING.</CommunityInformation>
        <CommunityBuildingActivities>MEADVILLE MEDICAL CENTER TAKES THE LEADERSHIP POSITION IN COMMUNITY BUILDING ACTIVITIES THAT PROMOTE HEALTH IN THE AREAS WE SERVE. WE ARE AN ACTIVE PARTICIPANT IN THE CRAWFORD (COUNTY) HEALTH IMPROVEMENT COALITION THAT ASSESSES NEEDS IN A ONGOING BASIS AND INITIATES NEEDED INTERVENTIONS, MOST RECENTLY FREE FLU SHOTS TO ELDERLY AND LOW INCOME PERSONS. MEADVILLE MEDICAL CENTER SUPPORTS FINANCIALLY AND OPERATIONALLY THE MEADVILLE AREA FREE CLINIC WHICH PROVIDES PRIMARY CARE FOR PERSONS WITH NO HEALTH INSURANCE, MEDICARE OR MEDICAL ASSISTANCE. THE FREE CLINIC IS ALSO SUPPORTED BY THE UNITED WAY COMMUNITY FUND DRIVE AND WAS STARTED TO MEET A COMMUNITY NEED AS DETERMINED IN A PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT.</CommunityBuildingActivities>
        <OtherInformation>SURPLUS FUNDS ARE INVESTED IN REPLACEMENT EQUIPMENT, NEW AND IMPROVED FACILITIES AND SERVICES TO THE COMMUNITY. TWO RECENT FACILITY IMPROVEMENTS HAVE BEEN COMPLETED TO MEET COMMUNITY NEEDS; THE YOLANDA G. BARCO ONCOLOGY INSTITUTE AND THE SURGERY CENTER AT GROVE TO ADDRESS GROWING NEED FOR ONCOLOGY SERVICES AND INCREASES IN OUTPATIENT SURGERY.</OtherInformation>
        <AffiliatedHealthCareSystem>THE PRIMARY PURPOSE OF THE HEALTH SYSTEM IS TO PROVIDE MEDICAL SERVICES TO THE LOCAL AND SURROUNDING COMMUNITIES THROUGH THE OPERATIONS OF THE MEDICAL CENTER, VNA, CHS, PCS, CCSG AND HCC. THE MEDICAL CENTER IS A SOLE COMMUNITY HOSPITAL LOCATED IN MEADVILLE, PENNSYLVANIA, AND PROVIDES PRIMARY ACUTE CARE MEDICAL SERVICES. VNA PROVIDED HOME HEALTH CARE IN MEADVILLE AND SURROUNDING AREAS. DURING 2009, THE HEALTH SYSTEM DISCONTINUED VNA OPERATIONS. CHS PROVIDES VARIOUS OUTPATIENT SERVICES, SOME OF WHICH ARE FUNDED THROUGH GOVERNMENTAL GRANTS. PCS IS COMPRISED OF FOUR PHYSICIAN PRACTICES LOCATED WITHIN CRAWFORD COUNTY, PENNSYLVANIA. CCSG OPERATES PHYSICIAN SPECIALTY PRACTICES IN MEADVILLE. HCC HOLDS THE EQUITY INVESTMENT IN VANTAGE HOLDING COMPANY, LLC. THE FOUNDATION WAS ESTABLISHED TO RECEIVE, ADMINISTER AND DISTRIBUTE FUNDS AND PROPERTY FOR THE BENEFIT AND SUPPORT OF THE HEALTH SYSTEM. MEADVILLE HOUSING CORPORATION IS A FOR-PROFIT COMPANY THAT RENTS RESIDENTIAL LIVING ACCOMMODATIONS AT TWO HOUSING SITES, BOTH OF WHICH ARE IN OR NEAR MEADVILLE, PENNSYLVANIA. NEEDS ARE ASSESSED AND PLANNING IS CONDUCTED CENTRALLY WITHIN THE ORGANIZATION WITH THE PARTICIPATION OF AFFILIATES. THE MEADVILLE HEALTH CENTER WAS OPENED TO ADDRESS GROWING NEED FOR MEDICAL CARE FOR PERSONS COVERED BY MEDICAL ASSISTANCE IN CENTRAL CRAWFORD COUNTY.</AffiliatedHealthCareSystem>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ACTIVE AGING INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1034 PARK AVE</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </AddressUS>
        <EINOfRecipient>251500945</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>8633</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>MONITORING USE OF GRANT FUNDS</Identifier>
        <ReturnReference>SCHEDULE I, PART I, LINE 2</ReturnReference>
        <Explanation>THE ORGANIZATION DONATES TO CHARITABLE ORGANIZATIONS THAT RELATE TO THE ORGANIZATION'S HEALTH CARE MISSION. THESE DONATIONS ARE APPROVED THROUGH ADMINISTRATION ON A CASE BY CASE BASIS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
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      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>ANTHONY DEFAIL</NamePerson>
        <BaseCompensationFilingOrg>669591</BaseCompensationFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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        <NamePerson>PHILIP PANDOLPH</NamePerson>
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        <NamePerson>DAVID POLAND</NamePerson>
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        <NamePerson>DENISE JOHNSON</NamePerson>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ANNALISA MCGLINN</NamePerson>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
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        <NamePerson>JASON W BROWN</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>BARRY B BITTMAN</NamePerson>
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        <OtherCompensationFilingOrg>1093</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>15734</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>2720</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>206881</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID MCNAMARA</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <OtherCompensationFilingOrg>115441</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>7344</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5066</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>127851</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SOCIAL CLUB DUES</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 1A</ReturnReference>
        <Explanation>THE ORGANIZATION PAYS SOCIAL CLUB DUES FOR ITS PRESIDENT ONLY. THE POLICY REGARDING PAYMENT OF THE DUES IS WRITTEN INTO THE PRESIDENT'S CONTRACT. THE CONTRACT STATES THAT DUES TO PROFESSIONAL ASSOCIATIONS AND SOCIETIES AND TO SUCH SERVICE ORGANIZATIONS AND CLUBS OF WHICH THE PRESIDENT IS A MEMBER WILL BE PAID SUBJECT TO THE APPROVAL OF THE CHAIRMAN OF THE BOARD AS BEING IN THE BEST INTERESTS OF THE EMPLOYER OR A SUBSIDIARY. THE DUES ARE PAID TO MEADVILLE COUNTRY CLUB AND THE IROQUOIS CLUB. ANY FEES THAT ARE NOT DIRECTLY RELATED TO THE BUSINESS OF THE HOSPITAL ARE THE RESPONSIBILITY OF THE PRESIDENT. THE ORGANIZATION PAID $4,495 IN DUES DURING CALENDAR YEAR 2009. THE PORTION OF DUES RELATED TO PERSONAL USE, $225, IS THE AMOUNT INCLUDED IN HIS 2009 W-2. TRAVEL FOR COMPANIONS SCHEDULE J, PART I, LINE 1A SPOUSES OCCASIONALLY TRAVEL WITH BOARD MEMBERS TO ATTEND CONTINUING EDUCATION SEMINARS. ANY ADDITIONAL COST INCURRED BY THE ORGANIZATION RELATED TO SPOUSAL TRAVEL IS REIMBURSED BY THE BOARD MEMBER.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4A</ReturnReference>
        <Explanation>THE ORGANIZATION MADE SEVERANCE PAYMENTS TO THE FOLLOWING INDIVIDUALS: $ 47,884 DAVID POLAND 115,441 DAVID MCNAMARA</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4B</ReturnReference>
        <Explanation>A SCHEDULED 457(F) CONTRIBUTION IN THE AMOUNT OF $106,653 WAS MADE ON BEHALF OF ANTHONY DEFAIL.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>NON-FIXED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 7</ReturnReference>
        <Explanation>THE CEO, CFO, CMO, PRESIDENT AND DR. BARRY BITTMAN ARE ELIGIBLE TO RECEIVE, AT THE EMPLOYER'S DISCRETION, AN ANNUAL INCENTIVE BONUS AT THE END OF EACH FISCAL YEAR. THE MAXIMUM OPPORTUNITY FOR THE PARTICIPANTS AND AMOUNTS AWARDED ARE DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS BASED UPON THE ACCOMPLISHMENT OF SPECIFIC PERFORMANCE GOALS AND CRITERIA ESTABLISHED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD. PHYSICIANS HAVE THE POTENTIAL TO RECEIVE A QUARTERLY BONUS BASED ON WORK RELATIVE VALUE UNITS AS COMPUTED USING CMS RBRVS METHODOLOGY AND MUTUALLY AGREED UPON QUALITY METRICS. THE QUARTERLY BONUS IS LIMITED AND SHALL NOT EXCEED 50% OF THE PROFITABILITY OF THE PRACTICE. PRESIDENT BASE COMPENSATION SCHEDULE J, PART II, COLUMB (B)(I) THE AMOUNT DISCLOSED IN COLUMN (B)(I) FOR MR. ANTHONY DEFAIL INCLUDES A ONE-TIME ADDITIONAL CONTRIBUTION OF $300,000, APPROVED BY THE COMPENSATION COMMITTEE, TO PROVIDE MR. DEFAIL WITH AN AGREED UPON TARGET RETIREMENT BENEFIT FROM HOSPITAL-PROVIDED CONTRIBUTIONS.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>PRESIDENT DEFERRED COMPENSATION</Identifier>
        <ReturnReference>SCHEDULE J, PART II, COLUMN (C)</ReturnReference>
        <Explanation>THE AMOUNT DISCLOSED IN COLUMN C (DEFERRED COMPENSATION) FOR MR. ANTHONY DEFAIL IS MADE UP OF THE FOLLOWING: (I) A SCHEDULED 457(F) CONTRIBUTION IN THE AMOUNT OF $106,653; (II) A MATCHING CONTRIBUTION TO THE 403(B) PLAN IN THE AMOUNT OF $4,900; (III) PENSION ACCRUAL OF $49,953</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>PA ECONOMIC DEVELOPMENT FINANCING AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>232899801</IssuerEIN>
        <CUSIPNumber>708693AC0</CUSIPNumber>
        <DateIssued>2006-06-29</DateIssued>
        <IssuePrice>10260000</IssuePrice>
        <DescriptionOfPurpose>CANCER CARE CENTER CONSTRUCTIO</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>CRAWFORD COUNTY HOSPITAL AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>251535164</IssuerEIN>
        <DateIssued>2008-08-29</DateIssued>
        <IssuePrice>10000000</IssuePrice>
        <DescriptionOfPurpose>GROVE ST. SURGERY CENTER ADDIT</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>10823317</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <AmountDefeased>0</AmountDefeased>
        <AmountUnspent>0</AmountUnspent>
        <IssuanceCostsFromProceeds>216960</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>10606357</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>10000000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <AmountDefeased>0</AmountDefeased>
        <AmountUnspent>0</AmountUnspent>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>10000000</CapitalExpenditures>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>FIRST NIAGRA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>5.</TermOfHedge>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>FIRST NATIONAL</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>15.</TermOfHedge>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoanTable>
        <NamePerson>DR DENISE JOHNSON</NamePerson>
        <PurposeOfLoan>TAIL COVERAGE LOAN</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>49000</OriginalPrincipalAmount>
        <BalanceDue>40055</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>40055</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DESANTIS JANITOR SUPPLY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCHEDULE O.</Relationship>
        <AmountOfTransaction>220939</AmountOfTransaction>
        <DescriptionOfTransaction>JANITOR SUPPLIES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>VOLUNTEERS</Identifier>
        <ReturnReference>FORM 990, PART I, LINE 6</ReturnReference>
        <Explanation>MEADVILLE MEDICAL CENTER VOLUNTEERS DONATED OVER 30,000 HOURS IN THE PAST YEAR ASSISTING IN VARIOUS AREAS THROUGHOUT THE FACILITY. DUTIES INCLUDE BUT ARE NOT LIMITED TO TASKS SUCH AS TRANSPORTING AND ESCORTING PATIENTS, DELIVERING FLOWERS AND MAIL, PERFORMING CLERICAL DUTIES, ASSISTING IN THE COFFEE &amp; GIFT SHOPS, HANDING OUT BEEPERS IN THE SURGICAL FAMILY WAITING AREA AND MANNING THE INFORMATION DESKS, TO NAME A FEW. WE RECOGNIZE OUR VOLUNTEERS WITH VARIOUS ACTIVITIES THROUGHOUT VOLUNTEER WEEK INCLUDING A RECEPTION AND RECOGNITION GIFT, IN ADDITION TO A YEARLY CHRISTMAS RECEPTION. WE RECOGNIZE THE DEDICATION AND IMPORTANCE OF OUR VOLUNTEERS, AND READILY WELCOME NEW ADDITIONS TO OUR VOLUNTEER WORKFORCE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACTIVITY #1</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>OVER 70 PERCENT OF SURGERIES ARE DONE ON AN OUTPATIENT BASIS; AND OUTPATIENT SURGERY REMAINS A CONVENIENT, COST-SAVING ALTERNATIVE TO HOSPITAL ADMISSION FOR PATIENTS UNDERGOING CERTAIN PROCEDURES. THESE PATIENTS ARE PROVIDED WITH QUALITY CARE AND SAFETY, PLUS THE AVAILABILITY OF COMPLETE HOSPITAL FACILITIES AND SERVICES IF NEEDED. IN RECENT YEARS THE TREND IS MINIMALLY INVASIVE SURGERY WHICH HELPS PATIENTS TO RECOVER MUCH FASTER, SUFFER LESS PAIN AND RETURN TO WORK MORE QUICKLY. THE HOSPITAL RECENTLY ADDED THE SURGERY CENTER AT GROVE, A NEW WING AT THE GROVE STREET FACILITY THAT BRINGS ALL OUTPATIENT SURGERY AND PROCEDURES TO ONE CONVENIENT, PATIENT- AND FAMILY-FRIENDLY LOCATION ON ONE FLOOR. MOST FREQUENT SURGICAL CASES PERFORMED AT MMC ARE: ORTHOPEDIC -TOTAL HIP REPLACEMENT -TOTAL KNEE REPLACEMENT -JOINT REPLACEMENT -CERVICAL DISCECTOMY WITH FUSION -LUMBAR LAMINECTOMY WITH FUSION (LAPOROSCOPIC, OPEN, AND INNER BODY) -BACK IMPLANT FOR LUMBAR SPINAL FUSION -SHOULDER REPAIR (ARTHROSCOPIC AND OPEN) -KNEE ARTHROSCOPY -HIP AND ANKLE FRACTURES -CARPAL TUNNEL RELEASE -GANGLION CYST EXCISION EAR NOSE THROAT -MYRINGOTOMY -TONSIL AND ADENOID REMOVAL -ADENOIDECTOMY -TONSILLECTOMY -SEPTOPLASTY -THYROIDECTOMY -UVULOPALATOPHARYNGOPLASTY (TO ENLARGE THE LARYNX FOR SNORING/OBSTRUCTION) EYE SURGERY -CATARACT EXTRACTION WITH INTRAOCULAR LENS -IMPLANT -TEAR DUCT PROBING AND IRRIGATION -BLEPHOROPLASTY GENERAL SURGERY -LAPAROSCOPIC PROCEDURES (GALL BLADDER, HERNIA, APPENDECTOMY) -OPEN PROCEDURES (GALL BLADDER, HERNIA, APPENDECTOMY) -BREAST BIOPSY -MASTECTOMY -HEMORRHOIDECTOMY OB-GYN -HYSTERECTOMY - ABDOMINAL/VAGINAL (OPEN AND LAPAROSCOPIC ASSISTED) -D &amp; C -ENDOMETRIAL ABLATION -HYSTEROSCOPY -LAPAROSCOPIC TUBAL OCCLUSION -C-SECTION -COLD CONE BIOPSY OF CERVIX VASCULAR SURGERY -INSERTION OF TOTALLY IMPLANTABLE VASC ACCE PLASTIC SURGERY -BREAST REDUCTION -BREAST AUGMENTATION -LIPOSUCTION -LASER THERAPY OF BIRTHMARKS AND PORT WINE STRAINS -RHINOPLASTY PODIATRY -BUNIONECTOMY -HAMMERTOE CORRECTION -ANKLE STABILIZATION UROLOGY -LITHOTRON - ESWL -LASER LITHOTRIPSY -CYSTOSCOPY -VASECTOMY -DIAGNOSTIC LAPAROSCOPY -TURP, TURBT</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACTIVITY #2</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4B</ReturnReference>
        <Explanation>INPATIENT ACUTE CARE IS THE SYSTEM OF CARE RESERVED AND PROVIDED FOR PATIENTS WHOSE MEDICAL CONDITIONS NECESSITATE THEIR STAY IN A HOSPITAL OR TREATMENT FACILITY WHILE UNDERGOING TREATMENT. PATIENTS SUFFERING FROM DISEASE OR RECOVERING FROM INJURY OR INVASIVE SURGERY TYPICALLY MAKE UP THE LARGEST GROUP OF INPATIENT ACUTE PATIENTS. CONDITIONS UNDER THIS GROUP INCLUDE WOUND CARE, AMPUTEE SERVICES, STROKES AND OTHER TRAUMATIC BRAIN INJURIES, ARTHRITIS AND CANCER. INPATIENT CARE CAN BE QUITE EXPENSIVE FOR PATIENTS. THE FUNDING IS PROVIDED BOTH BY PATIENTS' INSURANCE POLICIES AS WELL AS GOVERNMENT SUBSIDY TO THE CENTER'S BUDGET.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACTIVITY #3</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4C</ReturnReference>
        <Explanation>PHYSICIANS ADMIT THOSE PATIENTS TO THE INTENSIVE CARE UNIT (ICU) WHOM THEY FEEL REQUIRE SPECIALIZED NURSING CARE AFTER SURGERY, AN ILLNESS, OR SOME OTHER SERIOUS MEDICAL CONDITION. AN ICU IS DESIGNED TO PROVIDE 24-HOUR CONCENTRATED MEDICAL AND NURSING CARE TO HELP BRING THE SERIOUSLY ILL PATIENT THROUGH THE CRITICAL PERIOD OF RECOVERY. PATIENTS IN THE ICU ARE TRANSFERRED TO A REGULAR NURSING UNIT WHEN THEIR PHYSICIANS FEEL THAT THE CRITICAL STAGE OF ILLNESS HAS PASSED. THE INTENSIVE CARE UNIT AT MEADVILLE MEDICAL CENTER IS A 12-BED INTENSIVE CARE UNIT THAT SUPPORTS THE CARDIAC, SURGICAL AND MEDICAL INTENSIVE CARE PATIENTS. IN ADDITION, A 16-BED TELEMETRY STEP-DOWN NURSING UNIT IS LOCATED ADJACENT TO THE ICU. PATIENTS WITH CARDIAC PROBLEMS ARE MONITORED FROM THEIR ROOMS; WITH THE MOST SOPHISTICATED MONITORING EQUIPMENT AVAILABLE. IN THE ICU, CONSTANT OBSERVATION AND INDIVIDUALIZED NURSING CARE ARE PROVIDED TO ASSURE THAT THE PATIENT IS COMFORTABLE AND RECEIVES THE BEST IN SKILLED NURSING CARE. THE HIGHLY SKILLED NURSING PERSONNEL WHO STAFF OUR UNIT ARE CERTIFIED CRITICAL CARE REGISTERED NURSES, AND THEY UTILIZE THE LATEST MONITORING AND LIFE-SAVING EQUIPMENT. THIS ATTENTIVE STAFF OF PROFESSIONAL NURSES ENSURES THAT ALL PATIENTS ARE CLOSELY OBSERVED, AND CARED FOR, 24 HOURS A DAY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>W-2'S FILED</Identifier>
        <ReturnReference>FORM 990, PART V, LINE 2A</ReturnReference>
        <Explanation>MEADVILLE MEDICAL CENTER FILES W-2'S FOR THREE OF ITS RELATED ORGANIZATIONS, PRIMARY CARE SERVICES, MEADVILLE MEDICAL CENTER FOUNDATION, AND CRAWFORD COUNTY SUB-SPECIALISTS GROUP. THE ORGANIZATION ALSO FILED THE W-2 FOR ONE OF CONNEAUT VALLEY HEALTH CENTER'S HIGHEST COMPENSATED EMPLOYEES, HUMBERTO DORTA. THE TOTAL NUMBER OF W-2'S FILED INCLUDES THESE W-2'S. THE COMPENSATION, EMPLOYEE BENEFITS AND PAYROLL TAXES AMOUNTS ARE THEN ALLOCATED TO THESE ORGANIZATIONS FOR THE AMOUNTS THAT REPRESENT WORK PERFORMED FOR THESE ORGANIZATIONS. THEREFORE, THE AMOUNT REPORTED ON PART IX INCLUDES ONLY THOSE AMOUNTS ALLOCATED TO WORK PERFORMED DIRECTLY FOR MEADVILLE MEDICAL CENTER. THE HIGHEST PAID EMPLOYEES ARE DETERMINED BY THE WORK PERFORMED FOR EACH ORGANIZATION. THEREFORE, THE FIVE HIGHEST PAID EMPLOYEES LISTED ON PART VII AND SCHEDULE J ARE THOSE EMPLOYEES WHO WORK DIRECTLY FOR MEADVILLE MEDICAL CENTER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINES 6, 7A, &amp; 7B</ReturnReference>
        <Explanation>MEMBERS ARE ELECTED BY THE MEMBERS OF THE CORPORATION, SERVE A TERM OF FIVE YEARS, AND MAY SERVE AN UNLIMITED NUMBER OF TERMS. MEMBERS HAVE SUCH POWERS AND DUTIES AS ARE SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW OF 1988 (NPCL). PART OF THE RESPONSIBILITY OF THE MEMBERS IS TO ELECT THE DIRECTORS AT THEIR ANNUAL MEETING AFTER NOMINATION HAS BEEN COMPLETED. THE BOARD OF DIRECTORS HAS THE AUTHORITY TO ADOPT, AMEND, AND REPEAL ANY ARTICLE AND/OR BYLAW SUBJECT TO THE POWER OF THE MEMBERS TO CHANGE SUCH AUCTION. THE MEMBERS RETAIN THE EXCLUSIVE RIGHT TO ADOPT, AMEND, AND REPEAL ANY BYLAW OR ARTICLE ON ANY SUBJECT ENUMERATED IN SECTION 5504(B) OF THE NPCL. ANY PERSON WHO HAS SERVED AS A MEMBER OF THIS CORPORATION MAY, IN THE DISCRETION OF THE BOARD OF DIRECTORS, BE ELECTED TO THE STATUS OF A MEMBER EMERITUS. ALL MEMBERS EMERITUS SHALL HAVE THE RIGHT TO PARTICIPATE IN THE AFFAIRS OF THE CORPORATION IN THE SAME MANNER AS MEMBERS OF THE CORPORATION AS DEFINED IN ARTICLE III OF THE BYLAWS, BUT SHALL NOT BE SUBJECT TO THE FOLLOWING PROVISIONS OF ARTICLE III OF THE BYLAWS. (A) RE-ELECTION ON A FIVE-YEAR BASIS UNDER SECTION 3.1 OF THE BYLAWS. MEMBERS EMERITUS SHALL CONTINUE IN PERPETUITY DURING THEIR LIFETIME, OR UNTIL THEIR SPECIFIC RESIGNATION. (B) SECTION 3.4(A), WHICH PROVIDES FOR REMOVAL IN THE EVENT OF FAILURE TO ATTEND FOUR CONSECUTIVE MEETINGS WITHOUT A JUSTIFIABLE EXCUSE. MEMBERS EMERITUS WILL NOT BE REQUIRED TO ATTEND MEETINGS IN ORDER TO MAINTAIN THEIR STATUS. MEMBERS EMERITUS ARE NOT ENTITLED TO VOTE AND ARE NOT COUNTED FOR THE PURPOSE OF DETERMINING A QUORUM UNDER ARTICLE IV, SECTION 4.3 OF THE BYLAWS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW OF THE FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11A</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 MEADVILLE MEDICAL CENTER. THE 990 IS INITIALLY INTERNALLY REVIEWED IN-DEPTH BY THE CEO, CFO, AND CONTROLLER. AFTER CHANGES ARE MADE FROM THIS REVIEW, THE 990 IS PLACED ON A WEB PORTAL WHERE EACH BOARD MEMBER HAS THE OPPORTUNITY TO REVIEW AND ASK QUESTIONS OR SUGGEST CHANGES BEFORE FILING. AFTER ALL QUESTIONS AND SUGGESTIONS ARE CONSIDERED, THE FORM 990 IS ELECTRONICALLY FILED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION HAS AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. ANY ACTUAL OR POTENTIAL CONFLICTS ARE EVALUATED AND DEEMED TO EITHER MAKE THE INTERESTED PERSON DISQUALIFIED OR INELIGIBLE TO SERVE. THROUGHOUT THE YEAR, EACH AFFECTED PERSON IS ALSO OBLIGATED TO FILE A SUPPLEMENTARY DISCLOSURE STATEMENT IF THERE IS A CHANGE IN CIRCUMSTANCES WHICH COULD CREATE CONFLICT. DETERMINATION OF ACTUAL CONFLICT WILL BE CONDUCTED BY THE BOARD OF DIRECTORS. ANY DIRECTOR, OFFICER OR DISQUALIFIED PERSON WHO IS DEEMED BY THE BOARD TO BE DISQUALIFIED BECAUSE OF AN ACTUAL OR APPARENT CONFLICT OF INTEREST ON ANY MATTER (I) SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, (II) SHALL ABSTAIN FROM VOTING (ALTHOUGH UPON INVITATION OF THE CHAIRMAN, HE OR SHE MAY PARTICIPATE IN BOARD DISCUSSIONS) AND (III) SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHEN PERMITTED BY LAW. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE EFFECT ON THE QUORUM. AN INDIVIDUAL WHO HAS A RELATIONSHIP WITH AN ENTITY THAT IN THE BOARD'S VIEW MAKES IT DIFFICULT OR IMPOSSIBLE FOR THAT INDIVIDUAL OR ANY OF THE REMAINING DIRECTORS TO DISCHARGE HIS OR HER RESPONSIBILITIES MAY BE DECLARED INELIGIBLE TO SERVE AND SHALL EITHER RESIGN OR MAY BE REMOVED BY A MAJORITY VOTE OF ALL REMAINING DIRECTORS IN OFFICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</ReturnReference>
        <Explanation>THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEADVILLE MEDICAL CENTER (MMC), WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM, YAFFE &amp; COMPANY, THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HOSPITALS ACROSS THE REGION AND THE NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, GEOGRAPHY, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS COMPENSATION PHILOSOPHY. THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DECISIONS IN MEETING MINUTES AND REPORTS ITS DECISIONS TO THE FULL BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DOCUMENT DISCLOSURE</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>UPON REQUEST, PHOTOCOPIES OF GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PICKUP BY THE REQUESTING PERSON.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>BUSINESS TRANSACTIONS</Identifier>
        <ReturnReference>SCHEDULE L, PART IV</ReturnReference>
        <Explanation>GARY DESANTIS, DIRECTOR, IS A SHAREHOLDER OF DESANTIS JANITOR SUPPLY, WITH WHICH THE ORGANIZATION PURCHASED $220,939 WORTH OF JANITOR SUPPLIES DURING FISCAL YEAR ENDING 6/30/2010.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEADVILLE MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1034 GROVE STREET</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </AddressUS>
        <EIN>251681342</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOSPICE OF CRAWFORD COUNTY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1034 GROVE STREET</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </AddressUS>
        <EIN>251480565</EIN>
        <PrimaryActivities>HOSPICE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VISITING NURSES ASSOC OF CRAWFORD COUNTY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1034 GROVE STREET</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </AddressUS>
        <EIN>251490882</EIN>
        <PrimaryActivities>NURSE ASSOC</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CONNEAUT VALLEY HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1034 GROVE STREET</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </AddressUS>
        <EIN>251490887</EIN>
        <PrimaryActivities>HEALTH CENTER</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PRIMARY CARE SUPPORT SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1034 GROVE STREET</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </AddressUS>
        <EIN>251602132</EIN>
        <PrimaryActivities>PHYS. OFFICES</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PRIMARY CARE SERVICES OF CRAWFORD COUNTY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1034 GROVE STREET</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </AddressUS>
        <EIN>251602133</EIN>
        <PrimaryActivities>PHYS. OFFICES</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1034 GROVE STREET</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </AddressUS>
        <EIN>251490886</EIN>
        <PrimaryActivities>PHYS. OFFICES</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEADVILLE MEDICAL CENTER AUXILIARY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>751 LIBERTY STREET</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </AddressUS>
        <EIN>251512834</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CRAWFORD COUNTY SUB-SPECIALISTS GROUP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>751 LIBERTY STREET</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </AddressUS>
        <EIN>205306787</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>706934</ShareOfTotalIncome>
        <ShareOfEOYAssets>204815</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HOME CARE CONNECTIONS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>751 LIBERTY STREET</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </AddressUS>
        <EIN>251605314</EIN>
        <PrimaryActivity>HOLDING COMPA</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>80342</ShareOfTotalIncome>
        <ShareOfEOYAssets>2116257</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEADVILLE HOUSING CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>934 B STREET</AddressLine1>
          <City>MEADVILLE</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </AddressUS>
        <EIN>250657800</EIN>
        <PrimaryActivity>HOUSING</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>946086</ShareOfTotalIncome>
        <ShareOfEOYAssets>2223767</ShareOfEOYAssets>
        <PercentageOwnership>0.60980</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>KING WINSLOW TRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>C/O PNC 620 LIBERTY AVE</AddressLine1>
          <City>PITTSBURGH</City>
          <State>PA</State>
          <ZIPCode>15222</ZIPCode>
        </AddressUS>
        <EIN>256196092</EIN>
        <PrimaryActivity>TRUST</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>135220</ShareOfTotalIncome>
        <ShareOfEOYAssets>2000452</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LOUISA PERRY TRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>C/O BANK OF AMERICA 777 MAIN ST</AddressLine1>
          <City>HARTFORD</City>
          <State>CT</State>
          <ZIPCode>06115</ZIPCode>
        </AddressUS>
        <EIN>066031521</EIN>
        <PrimaryActivity>TRUST</PrimaryActivity>
        <LegalDomicileState>CT</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>45309</ShareOfTotalIncome>
        <ShareOfEOYAssets>845661</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COMMUNITY HEALTH SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>5036</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEADVILLE MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>5385</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CRAWFORD COUNTY SUB-SPECIALISTS GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>44499</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPICE OF CRAWFORD COUNTY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>11176</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PRIMARY CARE SUPPORT SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>6096</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PRIMARY CARE SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>89536</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CONNEAUT VALLEY HEALTH CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>18560</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COMMUNITY HEALTH SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>408359</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PRIMARY CARE SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>195832</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CRAWFORD COUNTY SUB-SPECIALISTS GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>52759</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>COMMUNITY HEALTH SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>196360</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>