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        <BusinessNameLine1>ALLIANCE VISITING NURSES</BusinessNameLine1>
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      <Phone>8143337000</Phone>
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        <AddressLine1>149 North Main Street</AddressLine1>
        <City>Meadville</City>
        <State>PA</State>
        <ZIPCode>16335</ZIPCode>
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    <Officer>
      <Name>Beth Eckley</Name>
      <Title>CEO</Title>
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      <DateSigned>2011-05-06</DateSigned>
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      <MissionDescription>Health care delivery &amp; management: Provide community based programs, services, and facilities to seniors, disabled and ill persons in their homes and communities. Collaborative care is provided by a team that includes nursing, therapy, personal care, home health aide, medical social work, and other related services. Services were provided regardless of race, ethnicity, creed, or ability to pay. We have gained recognition as an agency that is respected and is a contributing member of the community, truly making a difference in the lives of those residing in our geographical boundaries. VNA Alliance began utilizing Telehealth monitors during this fiscal year. This is a non reimbursable service that assists with daily monitoring/care of their patients. The cost of buying these monitors was $33,500.</MissionDescription>
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      <FeesForServicesProfFundraising>
        <Total>0</Total>
        <Fundraising>0</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>502106</Total>
        <ProgramServices>260902</ProgramServices>
        <ManagementAndGeneral>241204</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>76108</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>76108</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>125577</Total>
        <ProgramServices>33005</ProgramServices>
        <ManagementAndGeneral>92572</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>60122</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>60122</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </InformationTechnology>
      <Royalties>
        <Total>1061</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>1061</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Royalties>
      <Occupancy>
        <Total>50376</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>50376</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>185996</Total>
        <ProgramServices>174049</ProgramServices>
        <ManagementAndGeneral>11947</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>11214</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>11214</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>3316</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>3316</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>75999</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>75999</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>18876</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>18876</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>Dues and Subscriptions</Description>
        <Total>3464</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>1214</ManagementAndGeneral>
        <Fundraising>2250</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>4511727</Total>
        <ProgramServices>2503125</ProgramServices>
        <ManagementAndGeneral>2006352</ManagementAndGeneral>
        <Fundraising>2250</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>91712</BOY>
        <EOY>458558</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>594347</BOY>
        <EOY>935843</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>259274</BOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>94034</BOY>
        <EOY>44556</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>383844</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>91731</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>233976</BOY>
        <EOY>292113</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <IntangibleAssets>
        <BOY>350000</BOY>
        <EOY>350000</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>0</BOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>1623343</BOY>
        <EOY>2081070</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>541547</BOY>
        <EOY>385773</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </GrantsPayable>
      <DeferredRevenue>
        <BOY>28055</BOY>
        <EOY>7758</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </TaxExemptBondLiabilities>
      <UnsecuredNotesLoansPayable>
        <BOY>77891</BOY>
        <EOY>69372</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>647493</BOY>
        <EOY>462903</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>975850</BOY>
        <EOY>1618167</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>975850</BOY>
        <EOY>1618167</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>1623343</BOY>
        <EOY>2081070</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="R000002" softwareId="09000073" softwareVersion="v1.00">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>2124466</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1696919</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>412408</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1757349</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5373234</CurrentTaxYear>
        <Total>11364376</Total>
      </GrossReceiptsFromAdmissions>
      <TaxRevLeviedForOrgBenefit509>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit509>
      <ValueOfSvcsFcltsFurnishdByGovt>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </ValueOfSvcsFcltsFurnishdByGovt>
      <Total509>
        <CurrentTaxYearMinus4Years>2124466</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1696919</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>412408</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1757349</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5373234</CurrentTaxYear>
        <Total>11364376</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>11364376</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>1444</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>23</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>7</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>95</CurrentTaxYear>
        <Total>1569</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>1444</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>23</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>7</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>95</CurrentTaxYear>
        <Total>1569</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>779</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>-3694</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>35</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9618</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>20715</CurrentTaxYear>
        <Total>27453</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>2126689</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1693248</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>412443</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1766974</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5394044</CurrentTaxYear>
        <Total>11393398</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99745</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99490</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00014</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>The other income received in fiscal year ending in 2005 ($779), 2006 (loss $3,694), 2007 ($35), 2008 ($9,618), and 2009 ($20,715) were other miscellaneous incomes.</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="R000003" softwareId="09000073" softwareVersion="v1.00">
      <Land>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <BookValue>0</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>10783</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>3954</Depreciation>
        <BookValue>6829</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>0</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <InvestmentCostOrOtherBasis>2236</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>506</Depreciation>
        <BookValue>1730</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>370825</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>87271</Depreciation>
        <BookValue>283554</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>292113</TotalOfBookValueLandBuildings>
      <TotalOfAmounts>0</TotalOfAmounts>
      <TotalRevenue>5394044</TotalRevenue>
      <TotalExpenses>4511727</TotalExpenses>
      <ExcessOrDeficitForYear>882317</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>0</NetUnrealizedGLOnInvestments>
      <DonatedServicesAndFacilities>0</DonatedServicesAndFacilities>
      <InvestmentExpenses>0</InvestmentExpenses>
      <PriorPeriodAdjustments>0</PriorPeriodAdjustments>
      <OtherAmount>0</OtherAmount>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>882317</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>5378142</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>0</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>0</DonatedSrvcAndUseOfFacilities>
      <RecoveriesOfPriorYearGrants>0</RecoveriesOfPriorYearGrants>
      <OtherRevenues>0</OtherRevenues>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>5378142</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>0</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>15902</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>15902</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>5394044</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>4511727</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>0</DonatedServicesUseOfFacilities>
      <PriorYearAdjustments>0</PriorYearAdjustments>
      <LossesReported>0</LossesReported>
      <OtherExpensesIncluded>0</OtherExpensesIncluded>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>4511727</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>0</InvestmentExpensesNotIncluded2>
      <OtherExpensesNotIncluded>0</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>4511727</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P12_S00_L04b</Identifier>
        <ReturnReference>Schedule D, Part XII, Line 4b</ReturnReference>
        <Explanation>Miscellaneous Income</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="R000004" softwareId="09000073" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L06</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>The members are Concordia Visiting Nurses, Wesbury United Methodist Retirement Community, St. Paul Homes, and Meadville Medical Center. Each member has a 25% membership/share of Alliance Visiting Nurses.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L07a</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>Each member of Alliance Visiting Nurses may elect or appoint a maximum of 3 (three) board members.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L07b</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>The Meadville Medical Center has reserved powers and certain decisions of the governing body are subject to their approval.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11</ReturnReference>
        <Explanation>The return is reviewed by the CFO for Concordia Visiting Nurses, a 25% owner of Alliance Visiting Nurses. It is presented to the board members for their review prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>The corporate compliance officer attends at least 1 (one) board meeting a year. All officers, directors or trustees, and key employees are educated on compliance policies and procedures with the corporate compliance officer. Updates on corporate compliance are addressed in scheduled meetings during the year with all staff (including management). Specific corporate compliance goals and objectives are reviewed and evaluated on an ongoing basis during the year with the corporate compliance officer. Additionally, board members are required to disclose any potential conflict of interest prior to discussion on a topic where a conflict may exist. The Board will determine if a conflict exists and act accordingly, which may include the conflicted Board member recusing himself/herself from discussion and any votes related to the matter.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>The organization reviews national and state salary surveys for various non-profit organizations. Compensation is then appropriately determined based upon experience and by comparing to the benchmarks.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Alliance Visiting Nurses publishes an annual report that summarizes the financial operations of the organization which is mailed to all Alliance Visiting Nurses constituents and is available to the public upon request.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="R000005" softwareId="09000073" softwareVersion="v1.00">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Concordia Visiting Nurses</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>613 North Pike Road</AddressLine1>
          <City>Cabot</City>
          <State>PA</State>
          <ZIPCode>16023</ZIPCode>
        </AddressUS>
        <EIN>421704067</EIN>
        <PrimaryActivities>provide professional home care services (RN, PT, OT, ST, MSW, HHA)</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Concordia Lutheran Ministries</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Wesbury United Methodist Retirement Community</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>31 North Park Avenue</AddressLine1>
          <City>Meadville</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </AddressUS>
        <EIN>250425760</EIN>
        <PrimaryActivities>providing health care services to mature adults in a Christian environment</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(B)(1)(A)(i)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Paul Homes</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>339 E Jamestown Road</AddressLine1>
          <City>Greenville</City>
          <State>PA</State>
          <ZIPCode>16125</ZIPCode>
        </AddressUS>
        <EIN>250770308</EIN>
        <PrimaryActivities>provide health care services to mature adults in a Christian environment</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(2)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Meadville Meadical Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>751 Liberty Street</AddressLine1>
          <City>Meadville</City>
          <State>PA</State>
          <ZIPCode>16335</ZIPCode>
        </AddressUS>
        <EIN>251512436</EIN>
        <PrimaryActivities>provides hospital services</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(B)(1)(a)(iii)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>