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            <State>GA</State>
            <ZIPCode>30384</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Skilled Nursing/Therapy</DescriptionOfServices>
        <Compensation>676875</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Simione Healthcare Consultants</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4130 Whitney Avenue</AddressLine1>
            <City>Hamden</City>
            <State>CT</State>
            <ZIPCode>06518</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Administrative/Directors</DescriptionOfServices>
        <Compensation>614153</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Core Medical Group</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2 Keewayon Drive</AddressLine1>
            <City>Salem</City>
            <State>NH</State>
            <ZIPCode>03079</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Skilled Nursing/Therapy</DescriptionOfServices>
        <Compensation>531579</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Fazzi Association Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>243 King Street 246</AddressLine1>
            <City>North Hampton</City>
            <State>MA</State>
            <ZIPCode>01061</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Quality Review</DescriptionOfServices>
        <Compensation>230309</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>4</NumberOfContractorsGT100K>
      <FederatedCampaigns>4250</FederatedCampaigns>
      <GovernmentGrants>754088</GovernmentGrants>
      <AllOtherContributions>341896</AllOtherContributions>
      <TotalContributions>1100234</TotalContributions>
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        <Description>Home Health Care</Description>
        <BusinessCode>621610</BusinessCode>
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      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>18812053</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>158661</TotalRevenueColumn>
        <ExclusionAmount>158661</ExclusionAmount>
      </InvestmentIncome>
      <GrossAmountSalesAssets>
        <Securities>328554</Securities>
        <Other>644</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>0</Securities>
        <Other>0</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>328554</Securities>
        <Other>644</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>329198</TotalRevenueColumn>
        <ExclusionAmount>329198</ExclusionAmount>
      </NetGainOrLossInvestments>
      <TotalRevenue>
        <TotalRevenueColumn>20400146</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>18812053</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>487859</ExclusionAmount>
      </TotalRevenue>
      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <CompCurrentOfficersDirectors>
        <Total>473258</Total>
        <ManagementAndGeneral>473258</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>9326330</Total>
        <ProgramServices>8182619</ProgramServices>
        <ManagementAndGeneral>1143711</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <OtherEmployeeBenefits>
        <Total>1679278</Total>
        <ProgramServices>1473344</ProgramServices>
        <ManagementAndGeneral>205934</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>746106</Total>
        <ProgramServices>654609</ProgramServices>
        <ManagementAndGeneral>91497</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>62814</Total>
        <ProgramServices>55111</ProgramServices>
        <ManagementAndGeneral>7703</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>52667</Total>
        <ProgramServices>46208</ProgramServices>
        <ManagementAndGeneral>6459</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesInvstMgmntFees>
        <Total>27361</Total>
        <ProgramServices>24006</ProgramServices>
        <ManagementAndGeneral>3355</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>2810571</Total>
        <ProgramServices>2465904</ProgramServices>
        <ManagementAndGeneral>344667</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>51006</Total>
        <ProgramServices>44751</ProgramServices>
        <ManagementAndGeneral>6255</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>19028</Total>
        <ProgramServices>16695</ProgramServices>
        <ManagementAndGeneral>2333</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>168605</Total>
        <ProgramServices>147929</ProgramServices>
        <ManagementAndGeneral>20676</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>374545</Total>
        <ProgramServices>328614</ProgramServices>
        <ManagementAndGeneral>45931</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>866437</Total>
        <ProgramServices>751648</ProgramServices>
        <ManagementAndGeneral>114789</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>45867</Total>
        <ProgramServices>40242</ProgramServices>
        <ManagementAndGeneral>5625</ManagementAndGeneral>
      </ConferencesMeetings>
      <DepreciationDepletion>
        <Total>304811</Total>
        <ProgramServices>267431</ProgramServices>
        <ManagementAndGeneral>37380</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>57202</Total>
        <ProgramServices>50187</ProgramServices>
        <ManagementAndGeneral>7015</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Program Supplies</Description>
        <Total>1095166</Total>
        <ProgramServices>1095166</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Medicaid Tax</Description>
        <Total>574990</Total>
        <ProgramServices>574990</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Printing and Publicatio</Description>
        <Total>243149</Total>
        <ProgramServices>213331</ProgramServices>
        <ManagementAndGeneral>29818</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Telephone</Description>
        <Total>193387</Total>
        <ProgramServices>169671</ProgramServices>
        <ManagementAndGeneral>23716</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>326299</Total>
        <ProgramServices>267593</ProgramServices>
        <ManagementAndGeneral>37403</ManagementAndGeneral>
        <Fundraising>21303</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>19498877</Total>
        <ProgramServices>16870049</ProgramServices>
        <ManagementAndGeneral>2607525</ManagementAndGeneral>
        <Fundraising>21303</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>4544336</BOY>
        <EOY>5126194</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>291052</BOY>
        <EOY>250378</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>2891017</BOY>
        <EOY>2001573</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>301340</BOY>
        <EOY>280959</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>2271609</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1828694</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>582804</BOY>
        <EOY>442915</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>7846594</BOY>
        <EOY>9390380</EOY>
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      <TotalAssets>
        <BOY>16457143</BOY>
        <EOY>17492399</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1705345</BOY>
        <EOY>1911901</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>953640</BOY>
        <EOY>881071</EOY>
      </DeferredRevenue>
      <TotalLiabilities>
        <BOY>2658985</BOY>
        <EOY>2792972</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>13762393</BOY>
        <EOY>14657842</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>5438</BOY>
        <EOY>11258</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>30327</BOY>
        <EOY>30327</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>13798158</BOY>
        <EOY>14699427</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>16457143</BOY>
        <EOY>17492399</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>901269</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>2590919</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1538632</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1173330</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1440208</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1100234</CurrentTaxYear>
        <Total>7843323</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>17775971</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>19293816</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>19998251</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>19261563</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>18812053</CurrentTaxYear>
        <Total>95141654</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>20366890</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>20832448</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>21171581</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>20701771</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>19912287</CurrentTaxYear>
        <Total>102984977</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>102984977</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>92326</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>92815</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>129861</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>207496</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>158661</CurrentTaxYear>
        <Total>681159</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>92326</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>92815</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>129861</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>207496</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>158661</CurrentTaxYear>
        <Total>681159</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>20459216</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>20925263</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>21301442</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>20909267</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>20070948</CurrentTaxYear>
        <Total>103666136</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99340</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99410</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00660</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00590</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>30327</BeginningOfYearBalance>
        <EndOfYearBalance>30327</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>30327</BeginningOfYearBalance>
        <EndOfYearBalance>30327</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>30327</BeginningOfYearBalance>
        <EndOfYearBalance>30327</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>30327</BeginningOfYearBalance>
        <EndOfYearBalance>30327</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <CurrentYearMinus4Years>
        <BeginningOfYearBalance>30327</BeginningOfYearBalance>
        <EndOfYearBalance>30327</EndOfYearBalance>
      </CurrentYearMinus4Years>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Buildings>
        <OtherCostOrOtherBasis>346769</OtherCostOrOtherBasis>
        <Depreciation>250272</Depreciation>
        <BookValue>96497</BookValue>
      </Buildings>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1924840</OtherCostOrOtherBasis>
        <Depreciation>1578422</Depreciation>
        <BookValue>346418</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>442915</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Assets Limited As To Use</Description>
        <BookValue>9390380</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>9390380</TotalBookValueOtherAssets>
      <TotRevenueEtcAuditedFinclStmt>20400146</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>20400146</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>20400146</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>19498877</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>19498877</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>19498877</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Description of Intended Use of Endowment Funds:</Identifier>
        <ReturnReference>Part V, Line 4:</ReturnReference>
        <Explanation>All income earned is used for operations</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Explanation>Part IV, line 11F - The Association is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, The Association is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Associations tax positions and concluded that the Association has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Jeanne McLaughlin</NamePerson>
        <Title>President &amp; CEO</Title>
        <BaseCompensationFilingOrg>225236</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>19089</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13900</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>258225</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mark Hamilton</NamePerson>
        <Title>Vice President &amp; CFO</Title>
        <BaseCompensationFilingOrg>187974</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>27059</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>215033</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 4</ReturnReference>
        <Explanation>Change to the Bylaws eliminated assembly of overseers (December 2012)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>Executive Director reviews the 990 before signing and makes available to the board of directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Each year all Board Members and top management are required to sign a Conflict of Interest Form.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The CEOs compensation is determined by the Board of trustees Compensation committee who uses salary market studies and performance to determine the compensation package. All other employees compensation is determined by salary market studies, years of experience in Healthcare &amp; Home Healthcare, and performance by job function.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>By request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Fees</Identifier>
        <ReturnReference>Form 990, Part IX, line 11g</ReturnReference>
        <Explanation>Other Contract Services: Program service expenses 2,465,904. Management and general expenses 344,667. Fundraising expenses 0. Total expenses 2,810,571.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>