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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
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        <Desc>NET PATIENT SERVICE</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>9496862</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9496862</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>9496862</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>4776</TotalRevenueColumnAmt>
        <ExclusionAmt>4776</ExclusionAmt>
      </InvestmentIncomeGrp>
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        <Desc>MANAGEMENT FEE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>405725</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>135193</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>540918</OtherRevenueTotalAmt>
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        <TotalRevenueColumnAmt>10042556</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4776</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>188719</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5152964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>725936</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>372351</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>22507</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>27600</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>374991</TotalAmt>
        <ManagementAndGeneralAmt>374991</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>21013</TotalAmt>
        <ProgramServicesAmt>16576</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4437</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>444443</TotalAmt>
        <ProgramServicesAmt>378079</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66364</ManagementAndGeneralAmt>
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        <TotalAmt>287149</TotalAmt>
        <ManagementAndGeneralAmt>287149</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>122159</TotalAmt>
        <ProgramServicesAmt>96365</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25794</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>452365</TotalAmt>
        <ProgramServicesAmt>428282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24083</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>13964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3738</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>92</ManagementAndGeneralAmt>
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        <TotalAmt>301656</TotalAmt>
        <ProgramServicesAmt>237961</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63695</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>31405</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8406</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PROVISION FOR BAD DEBTS</Desc>
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        <ManagementAndGeneralAmt>150275</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TELEHEALTH EQUIPMENT</Desc>
        <TotalAmt>122478</TotalAmt>
        <ProgramServicesAmt>122478</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>70282</TotalAmt>
        <ManagementAndGeneralAmt>70282</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>STAFF RECRUITMENT</Desc>
        <TotalAmt>13857</TotalAmt>
        <ProgramServicesAmt>10931</ProgramServicesAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DEPOSIT</Desc>
        <BookValueAmt>7741</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>252595</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD-PARTY PAYORS</Desc>
        <Amt>30212</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LONG TERM LOAN PAYABLE TO MEMBER ORGANIZATION</Desc>
        <Amt>463010</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>493222</TotalLiabilityAmt>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MS LAURIE NEANDER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>188719</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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            <BusinessNameLine1Txt>MARY IMOGENE BASSET HOSPITAL</BusinessNameLine1Txt>
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        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICERS OF THE AHC BOARD OF DIRECTORS ARE ALSO OFFICERS OF THE HOSPITAL.</RelationshipDescriptionTxt>
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        <TransactionDesc>AT HOME CARE HAS A LONG TERM PAYABLE DUE TO THE MARY IMOGENE BASSETT HOSPITAL (THE HOSPITAL). UNDER THE TERMS OF THIS AGREEMENT, THE HOSPITAL HAS AUTHORIZED AHC TO USE CERTAIN SOFTWARE THAT WAS PAID PARTIALLY BY THE HOSPITAL. THE AMOUNT OF THE LOAN IS $463,010 AND DOES NOT BEAR INTEREST. IN THE EVENT THAT AHC INTENDS TO DISSOLVE, AHC SHALL REPAY THE NOTE TO THE HOSPITAL PRIOR TO THE DISSOLUTION AND AS A PREFERRED CREDITOR.</TransactionDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES OF A.O. FOX MEMORIAL HOSPITAL AND THE MARY IMOGENE BASSETT HOSPITAL, MAKE UP 100% OF THE BOARD OF DIRECTORS. THESE 2 ENTITIES ARE RELATED PARTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>A.O. FOX MEMORIAL HOSPITAL AND THE MARY IMOGENE BASSETT HOSPITAL ARE BOTH MEMBERS OF THE ORGANZATION AND AS SUCH ARE ENTITLED TO THE RIGHT TO PARTICIPATE IN GOVERNANCE WHICH INCLUDES THE ABILITY TO ELECT MEMBERS OF THE GOVERNING BODY, AMONG OTHER THINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>A.O. FOX MEMORIAL HOSPITAL AND THE MARY IMOGENE BASSETT HOSPITAL, CONSIDERED MEMBERS OF THE ORGANIZATION, ELECT 100% OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TREASURER PRESENTS THE DRAFT 990 TO THE DIRECTORS OF THE BOARD PRIOR TO FILING. ANY QUESTIONS ARE RAISED AND ONCE APPROVED, THE 990 CAN BE FILED. A COMPLETE COPY OF THE ORGANIZATION'S FINAL FORM 990, INCLUDING ALL REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED/OR WAS MADE AVAILABLE TO EACH MEMBER OF THE BOARD BEFORE ITS FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST STATEMENTS ARE OBTAINED ANNUALLY FROM ALL PERSONS OF INTEREST. PERSONS OF INTEREST ARE CONSIDERED TO BE DIRECTORS, OFFICERS OR MEMBERS OF COMMITTEES OF THE GOVERNING BOARD WITH DIRECT OR INDIRECT FINANCIAL INTEREST. ONCE A POTENTIAL CONFLICT IS DISCLOSED, THE REMAINING BOARD WILL DECIDE IF A CONFLICT EXISITS. MEMBERS WITH A CONFLICT WILL LEAVE A MEETING DURING A VOTE ON A TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS EVALUATES THE EXECUTIVE DIRECTOR'S PERFORMANCE AND SALARY ANNUALLY. ADDITIONALLY, EACH FALL, THE EXECUTIVE DIRECTOR COMPLETES A COMPETITIVE WAGE ANALYSIS USING INDUSTRY SURVEYS PUBLISHED BY THE NATIONAL ASSOCIATION OF HOME CARE. THE PERSONNEL COMMITTEE AND FULL BOARD APPROVE THESE WAGES AS A COMPONENT OF THE ANNUAL BUDGET PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST MADE AT THE ADMINISTRATIVE OFFICE LOCATED ON 25 ELM STREET, ONEONTA, NY.</ExplanationTxt>
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          <CityNm>ONEONTA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13820</ZIPCd>
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        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
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      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
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      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AT HOME CARE PARTNERS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>264960</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>EXPENSES INCURRED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AT HOME CARE PARTNERS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>140765</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MANAGEMENT FEE CALCULATION</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>