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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN D KENNEDY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM L STULGINSKY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VALERIE WEBER MD MS FACP</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA O'CONNOR PHD MBA RN COS-C</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KELLY A THORNTON CPA</PersonNm>
        <TitleTxt>VICE CHAIR AND TREASURER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN CZEKANSKI PHD RN CNE</PersonNm>
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        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>M ELIZABETH BLIGAN</PersonNm>
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        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN T SASSO</PersonNm>
        <TitleTxt>TRUSTEE TO OCT 2019</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1403300</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>187912</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>34</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75206</ZIPCd>
          </USAddress>
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        <ServicesDesc>EMR SYSTEM</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NETSMART TECHNOLOGIES</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 823519</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>191823519</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE/CONSULTING</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JANI-KING OF PHILADELPHIA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>022417114</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD/CLEANING SERVICE</ServicesDesc>
        <CompensationAmt>172434</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>4773129</TotalContributionsAmt>
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        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>27152653</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27152653</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>27152653</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3442</TotalRevenueColumnAmt>
        <ExclusionAmt>3442</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>INSURANCE PROCEEDS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>28822</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
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        <ExclusionAmt>1281</ExclusionAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>469235</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>1614893</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>435667</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>2208682</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>99681</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>48194</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>130983</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>229671</ProgramServicesAmt>
        <ManagementAndGeneralAmt>288849</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>274480</ProgramServicesAmt>
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        <ProgramServicesAmt>140938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>177253</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>2771</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3486</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>182464</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>921621</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>780177</ProgramServicesAmt>
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        <ProgramServicesAmt>462761</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>398721</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>178802</ProgramServicesAmt>
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        <ProgramServicesAmt>25978509</ProgramServicesAmt>
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        <EOYAmt>249427</EOYAmt>
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        <EOYAmt>1986129</EOYAmt>
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        <EOYAmt>187859</EOYAmt>
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        <EOYAmt>785210</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>8020538</EOYAmt>
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        <EOYAmt>640256</EOYAmt>
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        <EOYAmt>11081633</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>78030</EOYAmt>
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      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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        <CurrentTaxYearMinus2YearsAmt>1438240</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1324795</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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      </TotalSupportCalendarYearGrp>
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      <PublicSupportPY509Pct>0.99830</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00010</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00010</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2015 AMOUNT: $ 9,464. 2016 AMOUNT: $ 36,886. 2017 AMOUNT: $ 4,090. 2018 AMOUNT: $ 93. 2019 AMOUNT: $ 1,281. VENDOR REFUNDS - 2018 AMOUNT: $ 414. INSURANCE PROCEEDS - 2017 AMOUNT: $ 29,923. 2018 AMOUNT: $ 107,227. 2019 AMOUNT: $ 28,822.</ExplanationTxt>
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        <ContributorBusinessName>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
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        <BookValueAmt>72455</BookValueAmt>
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        <Desc>ESCROW DEPOSITS</Desc>
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        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>16619</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>PREPAID DEFERRED COMPENSATION PLAN ASSET</Desc>
        <BookValueAmt>559094</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>785210</TotalBookValueOtherAssetsAmt>
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        <Desc>ESTIMATED THIRD-PARTY PAYOR SETTLEMENT</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>PREPAID DEFERRED COMPENSATION PLAN LIABILITY</Desc>
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      <TotalLiabilityAmt>640256</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON ITS EXEMPT INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2020 AND 2019. THE ORGANIZATION'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX DEFICIENCIES IN SUPPLIES AND OTHER EXPENSES.</ExplanationTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>DAWN E SEIDERS</PersonNm>
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        <TotalCompensationFilingOrgAmt>227828</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROXANA LEVITO</PersonNm>
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        <PersonNm>DAWN KING</PersonNm>
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        <PersonNm>AMY N SLOAN</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>PHILADELPHIA HOME CARE, A RELATED 501(C)(3) PUBLIC CHARITY, IS THE SOLE MEMBER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER ELECTS THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY CHANGES TO THE PROVISIONS IN THE BYLAWS RELATED TO THE MEMBER MUST BE APPROVED BY THE MEMBER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE ORGANIZATION'S EXECUTIVE MANAGEMENT, BOARD OF DIRECTORS, AND AUDIT COMMITTEE REVIEW THE FORM 990 BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY APPLIES TO ANY TRUSTEE OR PRINCIPAL OFFICER. A POTENTIAL CONFLICT MUST BE DISCLOSED TO THE TRUSTEES. AFTER DISCLOSURE OF THE POTENTIAL CONFLICT AND ALL MATERIAL FACTS BY THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON BY THE REMAINING TRUSTEES. IF A CONFLICT IS IDENTIFIED, THE TRUSTEES 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, THE TRUSTEES SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER OR NOT TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. EACH PERSON COVERED UNDER THIS POLICY IS REQUIRED TO SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL AND TOP FINANCIAL OFFICAL IS REVIEWED BY THE COMPENSATION COMMITTEE, COMPOSED OF CERTAIN MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE'S RECOMMENDATIONS ARE THEN REVIEWED AND APPROVED BY THE ENTIRE BOARD; THIS DELIBERATION AND APPROVAL IS CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES. THE COMMITTEE CONSIDERS CURRENT SALARY, POSITION, AND THEIR RELATION TO CONTEMPORARY POSITIONS IN OUR INDUSTRY GROUPING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
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</Return>