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        <ManagementAndGeneralAmt>479789</ManagementAndGeneralAmt>
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        <EOYAmt>700</EOYAmt>
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        <EOYAmt>161219</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-141078</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
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        <CurrentTaxYearMinus2YearsAmt>10167</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1506</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>820</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>2841525</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3014881</CurrentTaxYearAmt>
        <TotalAmt>16486673</TotalAmt>
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        <CurrentTaxYearAmt>3015701</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>91</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>393</CurrentTaxYearAmt>
        <TotalAmt>691</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>3675890</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3246276</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2854288</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3016094</CurrentTaxYearAmt>
        <TotalAmt>16562738</TotalAmt>
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      <PublicSupportCY509Pct>0.99785</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99790</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00211</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00200</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
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        <DepreciationAmt>22400</DepreciationAmt>
        <BookValueAmt>7390</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp />
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      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
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        <Amt>777094</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>777094</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>3016094</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>3016094</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>3016094</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3157172</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>3157172</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>3157172</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <TitleTxt>CEO, PHS - GARDEN CITY</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>159503</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>25000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>13500</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>207375</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL A HEATHER</PersonNm>
        <TitleTxt>CFO, PHS - GARDEN CITY</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>578297</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>200000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>23000</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2947</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>804244</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TROY SCHELL</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>250505</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>100000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 1B SAJU GEORGE, MICHAEL HEATHER, AND TROY ScHELL ARE DIRECTORS COMPENSATED OVER $10,000 AS PAID EMPLOYEES OF A RELATED ORGANIZATION AND, AS SUCH, ARE CONSIDERED NON-INDEPENDENT BOARD MEMBERS. LINE 6 PRIME HEALTHCARE SERVICES - GARDEN CITY, LLC IS THE SOLE MEMBER OF UNITED HOME HEALTH SERVICES, INC. LINE 11B THE ORGANIZATION'S FINANCE DEPARTMENT ACCUMULATES INFORMATION AND DATA NECESSARY TO COMPLETE THE FEDERAL FORM 990. AUDITED FINANCIAL DATA AND BOARD APPROVED POLICIES AND PROCEDURES ARE USED AS INPUT TO COMPLETE THE FORM. A DRAFT RETURN IS PREPARED AND REVIEWED BY THE ORGANIZATION'S INDEPENDENT OUTSIDE ACCOUNTANTS. AFTER THE REVIEW PROCESS IS COMPLETED BY THE INDEPENDENT OUTSIDE ACCOUNTANTS, THE FINANCE STAFF REVIEWS THE FINAL FORM 990 AND PROVIDES A COPY TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. LINE 12C THE ORGANIZATION'S BOARD HAS ADOPTED THE CONFLICT OF INTEREST POLICY OF ITS PARENT ENTITY. ALL OFFICERS, DIRECTORS, AND EMPLOYEES ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THIS IS MONITORED BY THE BOARD THROUGH QUARTERLY BOARD MEETING DISCUSSIONS. ALL POTENTIAL CONFLICTS ARE ADDRESSED BY THE BOARD. ANY ISSUES ARE DEALT WITH AS APPROPRIATE. LINES 15A &amp; 15B THE BOARD OF TRUSTEES ENGAGES AN OUTSIDE CONSULTING FIRM TO SURVEY THE MARKET FOR APPROPRIATE PLANS AND LEVELS OF COMPENSATION. APPROPRIATE PLANS AND COMPENSATION ARE THEN NEGOTIATED WITH TOP MANAGEMENT PERSONNEL. ONCE THIS IS DONE, THE COMPENSATION PLAN IS SENT TO THE COMPLIANCE ATTORNEY FOR REVIEW AND THEN TO THE BOARD FOR FINAL APPROVAL. ALL BOARD MEMBERS INVOLVED IN THIS PROCESS ARE INDEPENDENT MEMBERS. LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PULSE EMS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6245 INKSTER ROAD</AddressLine1Txt>
          <CityNm>GARDEN CITY</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48135</ZIPCd>
        </USAddress>
        <EIN>300691829</EIN>
        <PrimaryActivitiesTxt>EMERGENCY SVC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GC HOME MED EQUIP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6245 INKSTER ROAD</AddressLine1Txt>
          <CityNm>GARDEN CITY</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48135</ZIPCd>
        </USAddress>
        <EIN>262052696</EIN>
        <PrimaryActivitiesTxt>MEDICAL EQUIP.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AMERIGARD DEVELOPMENT</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6245 INKSTER ROAD</AddressLine1Txt>
          <CityNm>GARDEN CITY</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48135</ZIPCd>
        </USAddress>
        <EIN>382695779</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN OFFICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AMERIGARD DIAGNOSTIC CENTRE</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6245 INKSTER ROAD</AddressLine1Txt>
          <CityNm>GARDEN CITY</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48135</ZIPCd>
        </USAddress>
        <EIN>383160292</EIN>
        <PrimaryActivitiesTxt>DIAGNOSTIC TEST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GCH ASSURANCE COMPANY LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <EIN>980608598</EIN>
        <PrimaryActivitiesTxt>MALPRACTICE INS.</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PRIME HEALTHCARE SERV- GARDEN CITY LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6245 INKSTER ROAD</AddressLine1Txt>
          <CityNm>GARDEN CITY</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48135</ZIPCd>
        </USAddress>
        <EIN>464719451</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PRIME GARDEN CITY MEDICAL GROUP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6245 INKSTER ROAD</AddressLine1Txt>
          <CityNm>GARDEN CITY</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48135</ZIPCd>
        </USAddress>
        <EIN>383162092</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN OFFICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>