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      <TotalOtherCompensationAmt>154586</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DEDICATED NURSING ASSOCIATES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6536 WILLIAM PENN HWY SUITE 201</AddressLine1Txt>
            <CityNm>DELMONT</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15626</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING AGENCY</ServicesDesc>
        <CompensationAmt>1674733</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SODEXO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9801 WASHINGTON BOULEVARD</AddressLine1Txt>
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            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20878</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RESIDENT MEAL SERVICES</ServicesDesc>
        <CompensationAmt>1225843</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SELECT REHABILITATION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
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          <USAddress>
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            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60694</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICAL, OCCUPATIONAL, AND SPEECH THERA</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TWOMAGNETS INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 103125</AddressLine1Txt>
            <CityNm>PASADENA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>91189</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING AGENCY</ServicesDesc>
        <CompensationAmt>511700</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SHIFTKEY</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75373</ZIPCd>
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        <ServicesDesc>NURSING AGENCY</ServicesDesc>
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      <GovernmentGrantsAmt>33244</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>121434</AllOtherContributionsAmt>
      <TotalContributionsAmt>154678</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET RESIDENT SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>18205281</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18205281</RelatedOrExemptFuncIncomeAmt>
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        <SecuritiesAmt>0</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>278872</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>278872</TotalRevenueColumnAmt>
        <ExclusionAmt>278872</ExclusionAmt>
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      <GamingGrossIncomeAmt>47695</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>26970</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>20725</TotalRevenueColumnAmt>
        <ExclusionAmt>20725</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER OPERATING INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>125539</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>125539</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>125539</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>18330820</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>871839</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>332889</TotalAmt>
        <ManagementAndGeneralAmt>332889</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>8474096</TotalAmt>
        <ProgramServicesAmt>7698493</ProgramServicesAmt>
        <ManagementAndGeneralAmt>756765</ManagementAndGeneralAmt>
        <FundraisingAmt>18838</FundraisingAmt>
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        <FundraisingAmt>323</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>935358</TotalAmt>
        <ProgramServicesAmt>926487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8871</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>654787</TotalAmt>
        <ProgramServicesAmt>581475</ProgramServicesAmt>
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        <FundraisingAmt>1224</FundraisingAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>36304</TotalAmt>
        <ProgramServicesAmt>36304</ProgramServicesAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>3929604</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>37676</TotalAmt>
        <ProgramServicesAmt>9317</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28359</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>96273</ProgramServicesAmt>
        <ManagementAndGeneralAmt>130719</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>590210</TotalAmt>
        <ProgramServicesAmt>546307</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43903</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6188</ProgramServicesAmt>
        <ManagementAndGeneralAmt>423</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>349270</TotalAmt>
        <ProgramServicesAmt>349270</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>1236882</TotalAmt>
        <ProgramServicesAmt>1236882</ProgramServicesAmt>
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        <TotalAmt>401886</TotalAmt>
        <ProgramServicesAmt>401886</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PURCHASED MEDICAL SERVI</Desc>
        <TotalAmt>954021</TotalAmt>
        <ProgramServicesAmt>954021</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>778962</TotalAmt>
        <ProgramServicesAmt>775463</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3499</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PHARMACY</Desc>
        <TotalAmt>453558</TotalAmt>
        <ProgramServicesAmt>453558</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>353803</TotalAmt>
        <ProgramServicesAmt>184519</ProgramServicesAmt>
        <ManagementAndGeneralAmt>169284</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>972844</TotalAmt>
        <ProgramServicesAmt>902937</ProgramServicesAmt>
        <ManagementAndGeneralAmt>69843</ManagementAndGeneralAmt>
        <FundraisingAmt>64</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>21591665</TotalAmt>
        <ProgramServicesAmt>19636257</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1934959</ManagementAndGeneralAmt>
        <FundraisingAmt>20449</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>249069</BOYAmt>
        <EOYAmt>267632</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1346185</BOYAmt>
        <EOYAmt>1164062</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>1864221</BOYAmt>
        <EOYAmt>2008181</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1256400</BOYAmt>
        <EOYAmt>2093216</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>40362632</LandBldgEquipCostOrOtherBssAmt>
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        <EOYAmt>19163415</EOYAmt>
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        <BOYAmt>0</BOYAmt>
        <EOYAmt>1682373</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>49464309</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1963486</EOYAmt>
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        <EOYAmt>154276</EOYAmt>
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        <EOYAmt>12305558</EOYAmt>
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        <EOYAmt>18855</EOYAmt>
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        <EOYAmt>546603</EOYAmt>
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        <EOYAmt>14988778</EOYAmt>
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        <EOYAmt>32784982</EOYAmt>
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        <EOYAmt>1690549</EOYAmt>
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        <EOYAmt>34475531</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>49464309</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-2234328</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>761969</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>2923286</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <SupportingOrgType1Ind>X</SupportingOrgType1Ind>
      <SupportedOrganizationsCnt>2</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>FELICIAN SERVICES INC</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>363685438</EIN>
        <OrganizationTypeCd>1</OrganizationTypeCd>
        <GoverningDocumentListedInd>1</GoverningDocumentListedInd>
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        <OtherSupportAmt>0</OtherSupportAmt>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>CATHOLIC DIOCESE OF GREENSBURG</BusinessNameLine1Txt>
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        <OtherSupportAmt>0</OtherSupportAmt>
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      <SupportedOrganizationsTotalCnt>2</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>0</SupportSumAmt>
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        <SupportedOrgSectionC456Ind>0</SupportedOrgSectionC456Ind>
        <SupportedOrgNotOrganizedUSInd>0</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>0</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>0</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>0</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>0</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>0</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>0</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>0</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>0</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>0</ContributionControllerInd>
        <ContributionFamilyInd>0</ContributionFamilyInd>
        <Contribution35ControlledInd>0</Contribution35ControlledInd>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
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      <TotalLobbyingExpendituresAmt>1354</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. ANNE HOME PAYS DUES TO LEADING AGE PA. A PORTION OF THE DUES ARE USED FOR LOBBYING PURPOSES.</ExplanationTxt>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>595598</OtherCostOrOtherBasisAmt>
        <BookValueAmt>595598</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>27681800</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8426101</DepreciationAmt>
        <BookValueAmt>19255699</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>3758983</DepreciationAmt>
        <BookValueAmt>954277</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>5092118</DepreciationAmt>
        <BookValueAmt>2146897</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>132959</OtherCostOrOtherBasisAmt>
        <BookValueAmt>132959</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>23085430</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED WORKERS' COMPENSATION</Desc>
        <Amt>397994</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>148609</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>546603</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>20327338</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>761969</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>255946</OtherRevenueAmt>
      <RevenueNotReportedAmt>1017915</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>19309423</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>47914</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>47914</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>19357337</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>21575953</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>26970</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>26970</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>21548983</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>42682</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>42682</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESIDENTS IN ST. ANNE HOME'S NURSING FACILITY ARE OFFERED ACCESS AND USE OF BANKING SERVICES VIA THE RESIDENT TRUST FUND. THE PURPOSE OF THE FUND IS TO ACCURATELY, TIMELY, AND PROPERLY PROCESS BANKING AND ACCOUNTING TRANSACTIONS ASSOCIATED WITH THE RESIDENT TRUST FUND AND TO ESTABLISH AND MAINTAIN A SYSTEM THAT ASSURES A FULL AND COMPLETE AND SEPARATE ACCOUNTING OF EACH RESIDENT'S PERSONAL FUNDS ENTRUSTED TO THE FACILITY ON THE RESIDENT'S BEHALF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOME IS A NOT-FOR-PROFIT ORGANIZATION, AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE (CODE) AND IS RECOGNIZED AS TAX-EXEMPT UNDER SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITES STATES OF AMERICA REQUIRE THE HOME TO EVALUATE TAX POSITIONS TAKEN BY THE HOME AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE HOME HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). THE HOME HAS CONCLUDED THAT AS OF JUNE 30, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2021, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GAMING DIRECT EXPENSES 26,970. NET ASSETS RELEASED FROM RESTRICTION 6,605. PENSION BENEFIT 222,371.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <IndividualWithBooksNm>BERTA LEWIS</IndividualWithBooksNm>
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        <AddressLine1Txt>685 ANGELA DRIVE</AddressLine1Txt>
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        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: LATROBE INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/01/2017</ExplanationTxt>
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        <RelationshipDescriptionTxt>FAMILY MEMBER OF CHRISTY KREMER, ASSISTANT ADMINISTRATOR</RelationshipDescriptionTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE CORPORATION IS FELICIAN SERVICES, INC., AN ILLINOIS NOT-FOR-PROFIT CORPORATION. THE SOLE MEMBER HAS RESERVED POWERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>FELICIAN SERVICES INC., THE SOLE MEMBER, MAY APPOINT, ELECT, OR REMOVE, WITH OR WITHOUT CAUSE, OR DETERMINE THE NUMBER OF DIRECTORS OF THE CORPORATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER SHALL HAVE THE SOLE AUTHORITY TO INITIATE AND APPROVE THE FOLLOWING ACTIONS: (A) TO ADOPT, ALTER, AMEND, OR REPEAL THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (B) TO ADOPT OR REVISE THE STATEMENTS OF PHILOSOPHY, MISSION, OR PURPOSE OF THE CORPORATION; (C) TO MERGE, CONSOLIDATE, DISSOLVE, OR OTHERWISE CHANGE THE CORPORATE STRUCTURE OF THE CORPORATION; (D) TO AUTHORIZE THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (E) TO AUTHORIZE THE CORPORATION TO INCUR ANY INDEBTEDNESS (OTHER THAN TRADE OBLIGATIONS INCURRED IN THE REGULAR COURSE OF BUSINESS), GUARANTEE ANY INDEBTEDNESS OF ANOTHER ENTITY, OR ALLOW ANY PROPERTY OF THE CORPORATION TO SECURE ANY INDEBTEDNESS; (F) TO APPROVE THE PURCHASE, TRANSFER, SALE, LONG-TERM LEASE, OR ENCUMBRANCE OF ANY REAL PROPERTY OWNED BY THE CORPORATION; (G) TO APPROVE THE CREATION OF, OR THE PURCHASE OF AN EQUITY INTEREST IN, ANY LEGAL ENTITY, OR TO APPROVE ENTERING INTO ANY PARTNERSHIP OR JOINT VENTURE (REGARDLESS OF ITS LEGAL FORM), OTHER THAN PASSIVE INVESTMENTS BY THE CORPORATION; (H) TO APPROVE AN ANNUAL OPERATING BUDGET, AND ANY CAPITAL BUDGET, OF THE CORPORATION; (I) TO APPROVE ANY UNBUDGETED OPERATING OR CAPITAL EXPENDITURES IN EXCESS OF $100,000; (J) TO APPOINT, ELECT, REMOVE, WITH OR WITHOUT CAUSE, OR DETERMINE THE NUMBER OF DIRECTORS OF THE CORPORATION; (K) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON OF THE BOARD; (L) TO APPOINT, ELECT, OR REMOVE, WITH OR WITHOUT CAUSE, THE OFFICERS OF THE CORPORATION; (M) TO APPROVE THE SELECTION OF THE INDEPENDENT AUDITORS OF THE CORPORATION; (N) TO ASSURE THAT ALL ACTIONS OF THE CORPORATION ARE CONSISTENT WITH THE PURPOSES OF THE CONGREGATION OF THE SISTERS OF ST. FELIX OF CANTALICE; (O) TO CARRY OUT PERIODIC EVALUATIONS OF THE CORPORATION AND TO OTHERWISE MONITOR THE ACCOMPLISHMENT OF THE GOALS AND THE ADHERENCE TO THE PHILOSOPHY OF THE CORPORATION; (P) TO APPROVE THE LONG-TERM AND STRATEGIC PLANS OF THE CORPORATION; AND (Q) TO APPROVE ANY ACTS OF EXTRAORDINARY ADMINISTRATION UNDER THE CANON LAW OF THE ROMAN CATHOLIC CHURCH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT AND CEO AND THE DIRECTOR OF ACCOUNTING SERVICES PERFORMED A DETAILED REVIEW OF THE FORM 990. EACH MEMBER OF THE BOARD OF DIRECTORS WAS PRESENTED WITH AN ELECTRONIC COPY OR PAPER COPY OF THE FORM 990 BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, HAS COMPLETED THE ST. ANNE HOME CONFLICT INTEREST STATEMENT, AND UNDERSTANDS THAT ST. ANNE HOME IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. TO ENSURE THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE A REVIEW OF A SUMMARY OF ALL THE COMPLETED ANNUAL CONFLICT OF INTEREST STATEMENTS MADE BY ALL BOARD MEMBERS. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTEREST PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A RANGE IS ESTABLISHED FOR EACH POSITION BASED ON COMPARABLE DATA, AND COMPENSATION IS INCREASED BASED ON EITHER PRE-DETERMINED AMOUNTS BASED ON A PERFORMANCE REVIEW, AND/OR A MARKET ADJUSTMENT BASED ON UPDATED COMPARABLE DATA. THIS PROCESS IS UNDERTAKEN ANNUALLY AT THE END OF EACH CALENDAR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES: PROGRAM SERVICE EXPENSES 3,929,604. MANAGEMENT AND GENERAL EXPENSES 299,033. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,228,637.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION LIABILITY ADJUSTMENT 1,240,913. CONTRIBUTION OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 1,773,536. DECREASE OF VALUE IN CHARITABLE REMAINDER TRUST -91,163.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGE IN OVERSIGHT PROCESS IN THE CURRENT YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN FACT, ST. ANNE HOME'S NURSING FACILITY IS ONE OF THE LONGEST ESTABLISHED AND MOST WELL-RESPECTED NOT-FOR-PROFIT NURSING FACILITY PROVIDERS IN WESTMORELAND COUNTY. RESIDENTIAL INDEPENDENT LIVING AT ST. ANNE HOME OFFERS PRIVATE AND AFFORDABLE INDEPENDENT LIVING WITH SUPPORTIVE SERVICES IN TWO-BED ROOM RESIDENTIAL HOMES THAT ARE WITHIN WALKING DISTANCE TO OUR MAIN CAMPUS. ST. ANNE HOME'S THREE LARGEST PROGRAM SERVICES BY EXPENSE ARE: 1) NURSING CARE/REHABILITATIVE SERVICES; 2) PERSONAL CARE HOME SERVICES; 3) INDEPENDENT LIVING CARE, ALL OF WHICH IS IN THE CONTEXT OF A CONTINUING CARE RETIREMENT COMMUNITY. THE FOLLOWING NARRATIVE DETAILS THE EXEMPT PURPOSE ACHIEVEMENTS OF THESE MAJOR PROGRAMS. AT ST. ANNE HOME, WE STRIVE TO PROVIDE THE HIGHEST QUALITY OF CAREGIVING SERVICES IN A CHRISTIAN ENVIRONMENT AND TO SERVE THOSE WITH LIMITED FUNDS TO THE BEST OF OUR ABILITY. THE CHARITY CARE THAT WE HAVE PROVIDED DURING THE YEAR ENDED JUNE 30, 2024, WAS VALUED AT $3,255,000. (THIS IS FROM THE BENEVOLENT CARE NOTE, PAGE 15 IN THE AUDITED FINANCIAL STATEMENTS = PERSONAL CARE $29,000 PLUS MEDICAL ASSISTANCE PROGRAM $3,226,000 EQUALS $3,255,000) THIS CHARITY CARE HELPED 133 NURSING FACILITY AND 1 VILLA ANGELA RESIDENTS TO CONTINUE TO RECEIVE CARE AND SERVICES FROM OUR ORGANIZATION. OUR WAITING LIST FOR BOTH SKILLED NURSING AND PERSONAL CARE REFLECTS THE FINE REPUTATION WE HAVE ESTABLISHED AMONG THE LONG-TERM CARE COMMUNITY AND OUR SUCCESS IN MEETING THE NEEDS OF OUR RESIDENTS. IN ADDITION TO THE CHARITABLE CARE AND SERVICES PROVIDED TO OUR RESIDENTS, ST. ANNE HOME IS ALSO PROUD OF OUR RELIGIOUS PROGRAMS PROPAGATING THE CORE VALUES AND THE CHARISM OF THE FELICIAN SISTERS OF NORTH AMERICA WHICH IS TO IMITATE BLESSED MARY ANGELA'S BOUNDLESS LOVE OF GOD AND TO SURRENDER TO GOD'S WILL IN COMPASSIONATE SERVICE, TOTAL AVAILABILITY, AND CONCERN FOR THE SALVATION OF ALL PEOPLE. WE OFFER A COMPREHENSIVE SPIRITUAL CARE PROGRAM, INCLUDING A VISITING CHAPLAIN AND SISTERS WHO RESIDE ON CAMPUS AND ARE AVAILABLE AT ALL TIMES. IN ADDITION, WE HAVE A DIRECTOR OF PASTORAL CARE THAT ENGAGES WITH PATIENTS AND RESIDENTS TO ASSIST WITH ANY SPIRITUAL NEEDS THAT THEY MAY HAVE. RESIDENTS ARE ENCOURAGED TO ATTEND DAILY RELIGIOUS SERVICES IN OUR LARGE, WELL-MAINTAINED CHAPEL WITH A 32-FOOT CATHEDRAL CEILING, WHERE DAILY APPROXIMATELY 70 RESIDENTS, FAMILY MEMBERS, AND STAFF ARE COMFORTED BY ITS SPIRITUAL BENEFITS. THERE ARE ALSO MANY OTHER SPIRITUAL PROGRAMS OFFERED INCLUDING: ANOINTING OF THE SICK, MAY CROWNING, MEMORIAL SERVICES, JOURNEY TO A NEW LIFE, AND OTHER ECUMENICAL SERVICES. MANY STAFF, VISITORS, PATIENTS AND RESIDENT FAMILY MEMBERS CONTINUALLY COMMENT THAT THE JOURNEY TO A NEW LIFE IS A WONDERFULLY DIGNIFIED AND RESPECTFUL WAY FOR THE PERSON WHO HAS PASSED TO DEPART ST. ANNE HOME. THIS CEREMONY GIVES CLOSURE TO THE STAFF AND GIVES THEM THE OPPORTUNITY TO SAY ONE FINAL GOODBYE TO THE PERSON THAT THEY BECAME SO CLOSE TO WHILE THEY WERE CARING FOR THEM. ADDITIONALLY, ST. ANNE HOME HAS IMPLEMENTED EDUCATIONAL PROGRAMS FOR OUR EMPLOYEES CONCERNING THE FELICIAN SISTERS OF NORTH AMERICA'S CORE VALUES OF MINISTRY: RESPECT FOR HUMAN DIGNITY, COMPASSION, SOLIDARITY WITH PEOPLE IN NEED, TRANSFORMATION, AND JUSTICE AND PEACE. WE FEEL THAT THESE CONTINUING EDUCATION PROGRAMS FOR STAFF WILL RESULT IN A DEEPER UNDERSTANDING AND APPRECIATION FOR THE MISSION AND VALUES OF ST. ANNE HOME. WHEN IT COMES TO STAFFING, ST. ANNE HOME MAKES IT A PRIORITY TO PROVIDE HIGH LEVEL, CLINICAL TRAINING TO ALL EMPLOYEES, IN ORDER TO ADVANCE OUR EXEMPT PURPOSES. EMPLOYEE TURNOVER RATES CONTINUE TO REMAIN WELL BELOW INDUSTRY BENCHMARKS AND HAVE CONSISTENTLY RANKED AS HAVING ONE OF THE LOWEST TURNOVER RATES IN WESTMORELAND COUNTY. CURRENTLY, 88 OF OUR EMPLOYEES HAVE 5 YEARS OF SERVICES OR MORE, OF THOSE 53 EMPLOYEES HAVE 10 YEARS OF SERVICE OR MORE AND OF THOSE, 22 EMPLOYEES HAVE 20 YEARS OF SERVICE OR MORE, 10 HAVE 30 YEARS OF SERVICE OR MORE, AND 3 HAVE 40 YEARS OF SERVICE OR MORE. WE ARE PROUD THAT OUR EMPLOYEES CHOOSE TO STAY AT ST. ANNE HOME, AS THIS STABILITY TRANSLATES INTO BETTER CARE FOR OUR RESIDENTS AND THEIR FAMILY MEMBERS. WE ALSO ENCOURAGE OUR EMPLOYEES TO TAKE ADVANTAGE OF OUR EMPLOYER PAID TUITION REIMBURSEMENT PROGRAM, WHICH ALLOWS STAFF MEMBERS TO ADVANCE THEIR SKILLS IN THEIR CURRENT PROFESSION OR EXPLORE A NEW CAREER. THROUGH THE PROMOTION OF OUR CORE VALUE OF TRANSFORMATION, THE PROCESS THAT ENCOURAGES AN OPEN MIND AND HEART, LEADING TO CONTINUOUS IMPROVEMENT OF THE PERSON AND OUR MINISTRY, ST. ANNE HOME HOPES TO PROVIDE BETTER CAREGIVERS FOR OUR RESIDENTS AND THEIR FAMILY MEMBERS AS WELL AS STRENGTHEN OUR COMMUNITY'S WORKFORCE. ST. ANNE HOME ALSO REACHES OUT TO THE COMMUNITY IN MANY WAYS BEYOND THE SERVICES WE OFFER TO OUR RESIDENTS. ST. ANNE HOME HAS DONATED TIME, SUPPORT, AND FINANCIAL RESOURCES TO THE FOLLOWING ORGANIZATIONS IN THE PAST FISCAL YEAR: GREENSBURG VOLUNTEER FIRE DEPARTMENT, FEEDING THE SPIRIT, ROTARY CLUB OF GREENSBURG, DIOCESE OF GREENSBURG CATHOLIC CHARITIES, THE ALZHEIMER'S ASSOCIATION, AND ST. EMMA MONASTERY, AND SISTERS OF CHARITY OF SETON HILL. ST. ANNE HOME ALSO SERVES AS A COMMUNITY COLLECTION SITE FOR RECYCLED PAPER. REUSABLE MATERIALS AND SUPPLIES SUCH AS ELECTRONICS, CARDBOARD, AND PAPER THAT ARE USED IN THE FACILITY ARE RECYCLED. ST. ANNE HOME DONATED 225 CANS OF FOOD TO THE LATROBE UNITED METHODIST CHURCH THAT SERVES MEALS TO PEOPLE IN NEED. THE VILLA ANGELA AT ST. ANNE HOME RESIDENTS MADE 150 BAGS OF DOG FOOD AND DONATED THEM TO FEEDING THE SPIRIT FOR THE HOMELESS. IN SUPPORT OF ONE OF OUR CORE VALUES, SOLIDARITY WITH PEOPLE IN NEED, OUR EMPLOYEES AND COMMUNITY PARTNERS PURCHASED CHRISTMAS GIFTS FOR OUR VULNERABLE RESIDENTS TO ENSURE ALL NURSING FACILITY AND PERSONAL CARE HOME RESIDENTS RECEIVED A CHRISTMAS GIFT. OUR EMPLOYEES PURCHASED GIFTS FOR APPROXIMATELY 22 RESIDENTS. ITEMS PURCHASED WERE SWEATERS, PAJAMAS, SWEATSHIRTS, TOPS, HATS, BODY LOTIONS, PERFUMES, SOCKS, DECORATIONS FOR THEIR ROOMS, ROBES, BLANKETS, THROWS, CANDY, COOKIES, POP, SNACK FOODS, ETC. EACH RESIDENT WAS ASKED TO GIVE 3 GIFT SUGGESTIONS OF ITEMS THEY WANTED OR NEEDED FOR CHRISTMAS. THIS IS DONE EACH YEAR WITH OUR CHRISTMAS WISH PROGRAM. THESE SUGGESTIONS WERE PUT ONTO TAGS AND HUNG ON A BOARD PLACED BY THE TIMECLOCK. THE RESIDENTS AND FAMILIES WERE VERY HAPPY AND APPRECIATIVE OF ALL THE GIFTS RECEIVED AND PARTICIPATION FROM THE STAFF WAS OUTSTANDING. THE STAFF COMMENTED ON HOW NICE IT WAS TO HELP OUR RESIDENTS AND WERE EXCITED ABOUT PURCHASING THE GIFTS. IN ADDITION, ST. ANNE HOME IS COMMITTED TO PROVIDING REWARDING VOLUNTEER OPPORTUNITIES THAT POSITIVELY IMPACT THE LIVES OF OUR RESIDENTS AND THOSE THAT GIVE THEIR TIME. A TOTAL OF 34 VOLUNTEERS GAVE 2,395 HOURS OF SERVICE IN THE YEAR ENDING JUNE 30, 2024. THESE VOLUNTEERS INCLUDED ST. ANNE HOME'S FRIENDS, THOSE IN NEED OF COMMUNITY SERVICE HOURS AND EMPLOYEES. IN SUMMARY, OUR ACHIEVEMENTS ADVANCED CHARITABLE PURPOSES THROUGH THE CARE PROVIDED TO RESIDENTS REQUIRING FINANCIAL ASSISTANCE, ADVANCED RELIGIOUS PURPOSES THROUGH PROPAGATION THE CORE VALUES AND THE CHARISM OF THE FELICIAN SISTERS OF NORTH AMERICA, ADVANCED EDUCATION THROUGH THE CLINICAL TRAINING AND TUITION REIMBURSEMENT PROGRAM OFFERED TO EMPLOYEES, AND LESSENED GOVERNMENTAL BURDENS VIA PROVIDING EMPLOYMENT OPPORTUNITIES TO INDIVIDUALS WITH DISABILITIES, MAKING CHARITABLE CONTRIBUTIONS SUPPORTING OTHER LOCAL NON-PROFITS, PARTNERING WITH THE COMMUNITY TO ENHANCE RESIDENT SAFETY, AND PROVIDING A NUMBER OF SPECIFIC, FOCUSED PROGRAMS TO BENEFIT PERSONS WITHIN OUR COMMUNITY AND BEYOND. BY CONTINUALLY EVALUATING AND REFINING OUR CARE, SERVICES AND PROGRAMS, ST. ANNE HOME WILL REMAIN THE LEADING RESOURCE FOR THE CLINICAL, ETHICAL, AND SPIRITUAL ISSUES OF AGING AND A PREMIER PROVIDER OF CARE AND SUPPORTIVE SERVICES IN THE CITY OF GREENSBURG, WESTMORELAND COUNTY, AND SURROUNDING COMMUNITIES.</ExplanationTxt>
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