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        <BusinessNameLine1>UNITED HOME HEALTH SERVICES INC</BusinessNameLine1>
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        <EOY>976862</EOY>
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        <BOY>275257</BOY>
        <EOY>227469</EOY>
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      <OtherLiabilities>
        <BOY>35843</BOY>
        <EOY>5103</EOY>
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      <TotalLiabilities>
        <BOY>311100</BOY>
        <EOY>232572</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>706397</BOY>
        <EOY>744290</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>706397</BOY>
        <EOY>744290</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>1017497</BOY>
        <EOY>976862</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>37893</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
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        <CurrentTaxYearMinus3Years>18593</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>16143</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>15012</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11962</CurrentTaxYear>
        <Total>77877</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>3424402</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4114277</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3815078</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3758163</CurrentTaxYear>
        <Total>18317711</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>3221958</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3442995</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4130420</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3830090</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3770125</CurrentTaxYear>
        <Total>18395588</Total>
      </Total509>
      <PublicSupportTotal509>18395588</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1083</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>204</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>1287</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1083</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>204</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>1287</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>9597</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>220</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>328</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>414</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>65</CurrentTaxYear>
        <Total>10624</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>3231555</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3443215</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4131831</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3830708</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3770190</CurrentTaxYear>
        <Total>18407499</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99935</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.80770</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00007</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00000</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land />
      <Buildings />
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>8826</OtherCostOrOtherBasis>
        <Depreciation>8826</Depreciation>
        <BookValue>0</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>608950</OtherCostOrOtherBasis>
        <Depreciation>564717</Depreciation>
        <BookValue>44233</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>44233</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO RELATED PARTIES</Description>
        <Amount>5103</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>5103</TotalOfAmounts>
      <TotalRevenue>3770187</TotalRevenue>
      <TotalExpenses>3732294</TotalExpenses>
      <ExcessOrDeficitForYear>37893</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>37893</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>3770187</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>3770187</RevenueSubtotal>
      <TotalRevenuePerForm990>3770187</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>3732294</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>3732294</ExpensesSubtotal>
      <TotalExpensesPerForm990>3732294</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>SCHEDULE D</Identifier>
        <ReturnReference>FIN 48 FOOTNOTE</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>GARY LEY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>353631</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>7350</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>19996</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>380977</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PART VI</Identifier>
        <ReturnReference>SECTION A</ReturnReference>
        <Explanation>LINE 1B GARY LEY IS COMPENSATED AS A PAID EMPLOYEE OF GARDEN CITY HOSPITAL, A RELATED ORGANIZATION. 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, GARDEN CITY HOSPITAL. 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 AND 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:GARY LEY TITLE:CHAIRMAN OF THE BOARD HOURS:39</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:TIMOTHY JODWAY TITLE:CFO HOURS:40</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GARDEN CITY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6245 INKSTER ROAD</AddressLine1>
          <City>GARDEN CITY</City>
          <State>MI</State>
          <ZIPCode>48135</ZIPCode>
        </AddressUS>
        <EIN>381358390</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GARDEN CITY HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6245 INKSTER ROAD</AddressLine1>
          <City>GARDEN CITY</City>
          <State>MI</State>
          <ZIPCode>48136</ZIPCode>
        </AddressUS>
        <EIN>382645157</EIN>
        <PrimaryActivities>SUPPORT ORG</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AMERIGARD DIAGNOSTIC CENTRE</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6245 INKSTER ROAD</AddressLine1>
          <City>GARDEN CITY</City>
          <State>MI</State>
          <ZIPCode>48135</ZIPCode>
        </AddressUS>
        <EIN>383162092</EIN>
        <PrimaryActivity>DIAGNOSTIC TESTIN</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AMERIGARD DEVELOPMENT</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6245 INKSTER ROAD</AddressLine1>
          <City>GARDEN CITY</City>
          <State>MI</State>
          <ZIPCode>48135</ZIPCode>
        </AddressUS>
        <EIN>382695779</EIN>
        <PrimaryActivity>PHYSICIANS OFFICE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GCH ASSURANCE COMPANY LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <EIN>980608598</EIN>
        <PrimaryActivity>MALPRACTICE INS</PrimaryActivity>
        <LegalDomicileState>AP</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>