﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2010v3.4">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-11-09T14:07:48-06:00</Timestamp>
    <TaxPeriodEndDate>2010-12-31</TaxPeriodEndDate>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>341771508</EIN>
      <Name>
        <BusinessNameLine1>HOSPICE CARE OHIO</BusinessNameLine1>
      </Name>
      <NameControl>HOSP</NameControl>
      <Phone>3307451601</Phone>
      <USAddress>
        <AddressLine1>1 HOME CARE PLACE</AddressLine1>
        <City>AKRON</City>
        <State>OH</State>
        <ZIPCode>44320</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>DEBBIE GORBACH</Name>
      <Title>TREASURER</Title>
      <Phone>3303446603</Phone>
      <DateSigned>2011-11-09</DateSigned>
    </Officer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-03-07 17:11:31Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="8">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <DoingBusinessAs>
        <BusinessNameLine1>HOSPICE OF VISITING NURSE SERVICE</BusinessNameLine1>
      </DoingBusinessAs>
      <NameOfPrincipalOfficerPerson>KAREN L MULLEN</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>400 WABASH AVENUE</AddressLine1>
        <City>AKRON</City>
        <State>OH</State>
        <ZIPCode>44307</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>20697926</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.VNSA.COM</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1994</YearFormation>
      <StateLegalDomicile>OH</StateLegalDomicile>
      <ActivityOrMissionDescription>OUR MISSION IS TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE AND COMMUNITY WE SERVE.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>6</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>5</NbrIndependentVotingMembers>
      <TotalNbrEmployees>151</TotalNbrEmployees>
      <TotalNbrVolunteers>100</TotalNbrVolunteers>
      <TotalGrossUBI>649210</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>2582</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>1170654</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>756178</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>16234835</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>17123920</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>34852</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>257209</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>0</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>35530</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>17440341</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>18172837</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>5834224</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>5583806</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>10772743</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>11603196</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>16606967</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>17187002</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>833374</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>985835</RevenuesLessExpensesCY>
      <TotalAssetsBOY>9562340</TotalAssetsBOY>
      <TotalAssetsEOY>9880751</TotalAssetsEOY>
      <TotalLiabilitiesBOY>2035968</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>1020847</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>7526372</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>8859904</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>OUR MISSION IS TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE AND COMMUNITIES WE SERVE.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>12495526</Expense>
      <Revenue>14548126</Revenue>
      <Description>AT-HOME AND INPATIENT HOSPICE SERVICES INCLUDING SKILLED NURSING, THERAPIES, HOME HEALTH AIDES, SOCIAL SERVICES, SPIRITUAL COUNSELING, PAIN MANAGEMENT, SUPPLIES, EQUIPMENT AND OTHER RELATED SERVICES FOR TERMINALLY ILL PATIENTS.HISTORY - HOSPICE CARE OHIO WAS INCORPORATED IN 1994 AS A CHARITABLE NON-PROFIT CORPORATION UNDER OHIO LAW. HOSPICE CARE OHIO CONDUCTS ITS BUSINESS USING THE NAME HOSPICE OF VISITING NURSE SERVICE.COMMUNITY BENEFIT - HOSPICE OF VISITING NURSE SERVICE'S PURPOSE - THE PURPOSE OF HOSPICE OF VISITING NURSE SERVICE IS TO KEEP PATIENTS WITH A LIFE LIMITING ILLNESS AND THEIR FAMILIES COMFORTABLE, AT PEACE AND IN CONTROL OF THEIR LIVES DURING THIS CHANGING TIME AS WELL AS TO FACILITATE ACCESS TO HOSPICE AND SUPPORTIVE CARE SERVICES THROUGH COMMUNITY EVALUATION, SERVICE EXCELLENCE, COST CONTROL AND COLLABORATIVE VENTURES.2010 SERVICE LEVELS - HOSPICE OF VISITING NURSE SERVICE PROVIDED CARE TO OVER 1,800 PATIENTS AND THEIR FAMILIES.HOSPICE SERVICES:HOSPICE IS A UNIQUE PROGRAM FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES. THE FOCUS OF HOSPICE CARE OHIO IS TO HELP THE PATIENT AND FAMILY WITH END OF LIFE DECISION-MAKING, MEETING LIFE'S GOALS, ENHANCING FAMILY RELATIONSHIPS AND PROMOTING COMFORT.HOSPICE CARE IS PROVIDED BY A SPECIALLY TRAINED TEAM OF CARING HEALTH PROFESSIONALS AND VOLUNTEERS WHO STRIVE TO KEEP PATIENTS AND THEIR FAMILIES COMFORTABLE, AT PEACE, AND IN CONTROL OF THEIR LIVES DURING A CHANGING TIME.HOSPICE CARE IS AVAILABLE FOR INDIVIDUALS WHOSE DISEASE PROCESS HAS BEEN DEFINED AS TERMINAL.HOSPICE CARE CAN HELP THE PATIENT AND THE FAMILY BY:MANAGING PAIN AND DISTRESSFUL SYMPTOMS;TEACHING FAMILIES HOW TO COMFORT AND CARE FOR THEIR LOVED ONES;OFFERING SUPPORT FOR PROBLEMS, QUESTIONS, MEDICATION ADJUSTMENTS OR REASSURANCE 24 HOURS A DAY;COVERING MEDICATIONS, MEDICAL EQUIPMENT AND SUPPLIES RELATED TO THE TERMINAL ILLNESS;PROVIDING ASSISTANCE WITH PERSONAL CARE (BATHS, MEALS, LIGHT HOUSEKEEPING).HELPING TO STRENGTHEN RELATIONSHIPS WITH LOVED ONES;ASSISTING WITH THE BURDENS OF DECISION-MAKING AT THE END OF LIFE; ANDSUPPORTING THE FAMILY THROUGH THE BEREAVEMENT PERIOD.BEREAVEMENT SERVICES - HOSPICE OF VISITING NURSE SERVICE PROVIDES BEREAVEMENT SERVICES TO FAMILY MEMBERS OF HOSPICE PATIENTS AS WELL AS TO OTHERS THROUGHOUT THE COMMUNITY NEEDING SUCH SERVICE. BEREAVEMENT SUPPORT INCLUDES INDIVIDUAL SUPPORT, FAMILY MEETINGS, TELEPHONE REASSURANCE, SUPPORT GROUPS, A GRIEF EDUCATION SERIES, QUARTERLY NEWSLETTERS AND MEMORIAL SERVICES.COMMUNITY OUTREACH PROGRAMS - THE 2010 COMMUNITY OUTREACH PROGRAMS FOR HOSPICE OF VISITING NURSE SERVICES INCLUDED EXHIBITS AT 100 COMMUNITY EVENTS AND HEALTH FAIRS AND PROGRAMS. THESE EVENTS INCLUDED THE ANNUAL SUMMIT SENIOR EXPO AND THE SUMMIT COUNTY ANNUAL HEALTH AND HUMAN SERVICES FORUM. ACTIVITES AT MANY EVENTS CONSISTED OF DISTRIBUTION OF HEALTH EDUCATION MATERIALS AND BLOOD PRESSURE SCREENINGS. BEREAVEMENT SUPPORT NEWSLETTER - QUARTERLY NEWSLETTER SENT TO FAMILY MEMBERS OF PATIENTS WHO HAVE DIED IN THE HOSPICE PROGRAM. OFFERED EDUCATIONAL TIPS FOR COPING/GRIEF WORK AND OUTLINED SUPPORT GROUPS OFFERED BY HOSPICE OF VISITING NURSE SERVICE. DISTRIBUTED TO 4,000 PEOPLE QUARTERLY, AS WELL AS TO AREA NURSING FACILITIES, FUNERAL HOMES, AND OVER 300 CHURCHES.HOSPICE GROUNDS DEDICATION SERVICE - THE SERVICE IS HELD AT THE HOSPICE CARE CENTER TO REMEMBER AND HONOR PATIENTS CARED FOR BY THE STAFF AT HOSPICE OF VISITING NURSE SERVICE.QUALITY OF LIFE MATTERS - QUARTERLY NEWSLETTER OFFERED END-OF-LIFE CARE NEWS AND CLINICAL FINDINGS FOR PHYSICIANS. DISTRIBUTED TO 500 PHYSICIANS, NURSING FACILITIES AND ASSISTED LIVING CENTERS.HOSPICE MEMORIAL SERVICE - THE MEMORIAL SERVICE IS HELD TWICE (FALL AND SPRING) TO HONOR AND REMEMBER PATIENTS CARED FOR BY THE STAFF AT HOSPICE OF VISITING NURSE SERVICE.HOSPICE SPREAKER'S BUREAU - PROVIDED PROFESSIONAL SPEAKERS FOR VARIOUS COMMUNITY, CIVIC, AND CHURCH ORGANIZATIONS.VOLUNTEERS - VOLUNTEERS CONTRIBUTED OVER 25,000 HOURS OF THEIR TIME IN SUPPORT OF HOSPICE SERVICES OF HOSPICE OF VISITING NURSE SERVICE.</Description>
      <Activity2>
        <Expense>1205739</Expense>
        <Revenue>1926584</Revenue>
        <Description>SINCE 2005, HOSPICE CARE OHIO HAS BEEN THE SOLE MEMBER OF ADVANCED INFUSION SERVICES, LTD. THROUGH ADVANCED INFUSION SERVICES, LTD HOSPICE CARE OHIO DELIVERS HIGH-TECH INFUSION SERVICES TO PATIENTS PRIMARILY WITHIN THE AFFILIATED HEALTH SYSTEM AND TO MEDICALLY INDIGENT PATIENTS. ADVANCED INFUSION SERVICES, LTD IS REPORTED AS A DISREGARDED ENTITY ON SCHEDULE R, PART I OF THIS FORM 990 RETURN.</Description>
      </Activity2>
      <TotalProgramServiceExpense>13701265</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="RetDoc1039700001">0</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="RetDoc1039700001">1</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">1</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">1</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">0</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">0</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">1</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity>1</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">1</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>24</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>151</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>1</UnrelatedBusinessIncome>
      <Form990-TFiled>1</Form990-TFiled>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>6</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>5</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>1</MembersOrStockholders>
      <ElectionOfBoardMembers>1</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>1</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>0</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>1</LocalChapters>
      <PoliciesReferenceChapters>1</PoliciesReferenceChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>OH</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>DEBBIE GORBACH</NamePerson>
        <TelephoneNumber>3303446603</TelephoneNumber>
        <AddressUS>
          <AddressLine1>400 WABASH AVE</AddressLine1>
          <City>AKRON</City>
          <State>OH</State>
          <ZIPCode>44307</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <InfoInScheduleOPartVII>X</InfoInScheduleOPartVII>
      <Form990PartVIISectionA>
        <NamePerson>CHARLES M BILLOW</NamePerson>
        <Title>DIRECTOR, CHAIRMAN</Title>
        <AverageHoursPerWeek>0.20</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK BOBER CPA</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM LOWERY</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>0.20</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LOIS NORA MD JD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>0.20</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SANDRA SELBY REVEREND</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>0.20</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KAREN L TALBOTT MSCPA</NamePerson>
        <Title>PRES., TREAS., SEC.</Title>
        <AverageHoursPerWeek>0.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>388764</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15882</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RYAN GARST</NamePerson>
        <Title>PHARMACY DIRECTOR</Title>
        <AverageHoursPerWeek>52.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>115271</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20856</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHERYL ROBINSON</NamePerson>
        <Title>PHARMACIST</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>109509</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>14667</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>224780</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>388764</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>51405</TotalOtherCompensation>
      <NumberIndividualsGT100K>2</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>SODEXHO MARRIOTT SERV INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 70060</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>606730060</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONTRACTED FOOD SERVICE</DescriptionOfServices>
        <Compensation>250673</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ARAMARK</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>115 NORTH FIRST STREET</AddressLine1>
            <City>BURBANK</City>
            <State>CA</State>
            <ZIPCode>91502</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONTRACTED FACILITY SERVICES</DescriptionOfServices>
        <Compensation>233337</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>2</NumberOfContractorsGT100K>
      <RelatedOrganizations>756178</RelatedOrganizations>
      <TotalContributions>756178</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MEDICARE/MEDICAID</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>14757095</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>14548889</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>208206</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PRIVATE PAY MAJOR MED.</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>2366825</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1925821</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>441004</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>17123920</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>227984</TotalRevenueColumn>
        <ExclusionAmount>227984</ExclusionAmount>
      </InvestmentIncome>
      <GrossAmountSalesAssets>
        <Securities>2554314</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>2522023</Securities>
        <Other>3066</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>32291</Securities>
        <Other>-3066</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>29225</TotalRevenueColumn>
        <ExclusionAmount>29225</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>LEASED SERVICES</Description>
        <BusinessCode>541900</BusinessCode>
        <TotalRevenueColumn>35530</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>35530</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>35530</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>18172837</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>16510240</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>649210</UnrelatedBusinessRevenue>
        <ExclusionAmount>257209</ExclusionAmount>
      </TotalRevenue>
      <OtherSalariesAndWages>
        <Total>4877410</Total>
        <ProgramServices>4552225</ProgramServices>
        <ManagementAndGeneral>325185</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>96287</Total>
        <ProgramServices>96287</ProgramServices>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>269194</Total>
        <ProgramServices>224185</ProgramServices>
        <ManagementAndGeneral>45009</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>340915</Total>
        <ProgramServices>326887</ProgramServices>
        <ManagementAndGeneral>14028</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>844</Total>
        <ProgramServices>844</ProgramServices>
      </FeesForServicesLegal>
      <FeesForServicesInvstMgmntFees>
        <Total>18386</Total>
        <ManagementAndGeneral>18386</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>4259258</Total>
        <ProgramServices>4173039</ProgramServices>
        <ManagementAndGeneral>86219</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>19539</Total>
        <ProgramServices>19539</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>2613897</Total>
        <ProgramServices>2453018</ProgramServices>
        <ManagementAndGeneral>160879</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>530045</Total>
        <ProgramServices>460316</ProgramServices>
        <ManagementAndGeneral>69729</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>174264</Total>
        <ProgramServices>173498</ProgramServices>
        <ManagementAndGeneral>766</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>30267</Total>
        <ProgramServices>30267</ProgramServices>
      </ConferencesMeetings>
      <PaymentsToAffiliates>
        <Total>200</Total>
        <ManagementAndGeneral>200</ManagementAndGeneral>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>153199</Total>
        <ProgramServices>130722</ProgramServices>
        <ManagementAndGeneral>22477</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>113595</Total>
        <ManagementAndGeneral>113595</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>ADMIN SVCS FROM PARENT</Description>
        <Total>3798664</Total>
        <ProgramServices>1178094</ProgramServices>
        <ManagementAndGeneral>2620570</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>RECRUITING EXPENSES</Description>
        <Total>30713</Total>
        <ProgramServices>28664</ProgramServices>
        <ManagementAndGeneral>2049</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS EXPENSE</Description>
        <Total>8439</Total>
        <ProgramServices>1794</ProgramServices>
        <ManagementAndGeneral>6645</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>-148114</Total>
        <ProgramServices>-148114</ProgramServices>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>17187002</Total>
        <ProgramServices>13701265</ProgramServices>
        <ManagementAndGeneral>3485737</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>320</BOY>
        <EOY>320</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>222329</BOY>
        <EOY>503655</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>2727425</BOY>
        <EOY>2200769</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>92921</BOY>
        <EOY>104283</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>31559</BOY>
        <EOY>50539</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>2232236</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1739112</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>600153</BOY>
        <EOY>493124</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>3660024</BOY>
        <EOY>3819921</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsProgramRelated>
        <BOY>239354</BOY>
        <EOY>239560</EOY>
      </InvestmentsProgramRelated>
      <OtherAssetsTotal>
        <BOY>1988255</BOY>
        <EOY>2468580</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>9562340</BOY>
        <EOY>9880751</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2004968</BOY>
        <EOY>983501</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>31000</BOY>
        <EOY>37346</EOY>
      </DeferredRevenue>
      <TotalLiabilities>
        <BOY>2035968</BOY>
        <EOY>1020847</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>5588574</BOY>
        <EOY>6813445</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>962097</BOY>
        <EOY>1100830</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>975701</BOY>
        <EOY>945629</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>7526372</BOY>
        <EOY>8859904</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>9562340</BOY>
        <EOY>9880751</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>985835</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>347697</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>784733</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1253212</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1305571</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1170654</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>791708</CurrentTaxYear>
        <Total>5305878</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>14457451</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13968625</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13756794</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>15983430</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>17917569</CurrentTaxYear>
        <Total>76083869</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>15242184</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>15221837</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>15062365</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17154084</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>18709277</CurrentTaxYear>
        <Total>81389747</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>81389747</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>100301</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>103490</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>107961</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>81147</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>227984</CurrentTaxYear>
        <Total>620883</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>100301</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>103490</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>107961</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>81147</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>227984</CurrentTaxYear>
        <Total>620883</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>15342485</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>15325327</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>15170326</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17235231</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>18937261</CurrentTaxYear>
        <Total>82010630</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99240</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99410</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00760</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>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>975</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>975</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF OTHER LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1I:</ReturnReference>
        <Explanation>OHIO HOSPICE AND PALLIATIVE CARE - $178 NATIONAL ASSOCIATION FOR HOMECARE AND HOSPICE - $370 NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION - $427</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>1937798</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>76034</InvestmentEarningsOrLosses>
        <OtherExpenditures>-33931</OtherExpenditures>
        <AdministrativeExpenses>1304</AdministrativeExpenses>
        <EndOfYearBalance>2046459</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>2291717</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>106808</InvestmentEarningsOrLosses>
        <OtherExpenditures>458959</OtherExpenditures>
        <AdministrativeExpenses>1768</AdministrativeExpenses>
        <EndOfYearBalance>1937798</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>3559134</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>-184830</InvestmentEarningsOrLosses>
        <OtherExpenditures>1079508</OtherExpenditures>
        <AdministrativeExpenses>3079</AdministrativeExpenses>
        <EndOfYearBalance>2291717</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <PermanentEndowmentEOYBalance>0.43000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.57000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>88073</OtherCostOrOtherBasis>
        <Depreciation>23024</Depreciation>
        <BookValue>65049</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2144163</OtherCostOrOtherBasis>
        <Depreciation>1716088</Depreciation>
        <BookValue>428075</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>493124</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>INTEREST IN DEVELOPMENT FOUNDATION</Description>
        <BookValue>1616720</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>RECEIVEABLES FROM AFFILIATES</Description>
        <BookValue>851860</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>2468580</TotalBookValueOtherAssets>
      <TotalRevenue>18172837</TotalRevenue>
      <TotalExpenses>17187002</TotalExpenses>
      <ExcessOrDeficitForYear>985835</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>188255</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>188255</TotalAdjustments>
      <ExcessOrDeficitPerFS>1174090</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>18172837</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>18172837</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>18172837</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>17187002</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>17187002</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>17187002</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Explanation>PART V, LINE 4: THE FUNDS ARE USED TO FURTHER THE EXEMPT PURPOSES OF HOSPICE CARE OHIO</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Explanation>HOSPICE CARE OHIO ADOPTED FIN48 IN 2007 AS REQUIRED. NO FOOTNOTE DISCLOSURES WERE REQUIRED UNDER GAAP AS HOSPICE CARE OHIO DOES NOT HAVE ANY MATERIAL TAX CONTINGENCIES THAT REQUIRED SUCH DISCLOSURE.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>KAREN L TALBOTT MSCPA</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>222297</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>26854</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>139613</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>7350</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>8532</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>404646</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>LINE 4B: THE FOLLOWING EMPLOYEES RECEIVED EMPLOYER CONTRIBUTIONS TO A NONQUALIFIED TAXABLE PLAN. THE BENEFIT IS PAID BY AKRON GENERAL HEALTH SYSTEM (RELATIONSHIP DESCRIBED BELOW). THE CONTRIBUTIONS WERE TAXABLE TO THE EMPLOYEES IN 2010. KAREN L. TALBOTT $36,950</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>COMMUNITY HEALTH VENTURES, INC. (34-1478435) IS THE SOLE MEMBER OF HOSPICE CARE OHIO. THE INDIVIDUAL EMPLOYEE LISTED BELOW IS A PAID FULL TIME EMPLOYEE OF COMMUNITY HEALTH VENTURES, INC. THE AMOUNT SHOWN BELOW ON SCHEDULE J, PART II REFLECTS COMPENSATION FOR SERVICES TO THAT ORGANIZATION. KAREN L. TALBOTT</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>HOSPICE CARE OHIO HAS ONE MEMBER, COMMUNITY HEALTH VENTURES, INC. COMMUNITY HEALTH VENTURES, INC. IS ORGANIZED IN OHIO AS A NON-PROFIT ORGANIZATION AND IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC 501(C)(3). COMMUNITY HEALTH VENTURES, INC. IS NOT A PRIVATE FOUNDATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>COMMUNITY HEALTH VENTURES, INC. IS THE SOLE MEMBER OF HOSPICE CARE OHIO. AKRON GENERAL HEALTH SYSTEM IS THE SOLE MEMBER OF COMMUNITY HEALTH VENTURES, INC. IN ACCORDANCE WITH THE ORGANIZATION'S CODE OF REGULATIONS, AKRON GENERAL HEALTH SYSTEM NOMINATES CANDIDATES FOR OPENINGS ON THE ORGANIZATION'S BOARD. COMMUNITY HEALTH VENTURES, INC. ELECTS THE MEMBERS FROM AMONG THE NOMINEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>COMMUNITY HEALTH VENTURES, INC. IS THE SOLE MEMBER OF HOSPICE CARE OHIO. AKRON GENERAL HEALTH SYSTEM IS THE SOLE MEMBER OF COMMUNITY HEALTH VENTURES, INC. COMMUNITY HEALTH VENTURES, INC.'S RESPONSIBILITIES INCLUDE PROVIDING LONG TERM PLANNING, ESTABLISHING SYSTEM POLICIES AND PROCEDURES, AND ASSISTING ORGANIZATIONS OF COMMUNITY HEALTH VENTURES, INC. IN CARRYING OUT THEIR EXEMPT PROGRAMS. GENERALLY, COMMUNITY HEALTH VENTURES, INC. LIMITS ITS POWER OF APPROVAL OVER DECISIONS MADE BY THE BOARD OF HOSPICE CARE OHIO, TO THOSE CONCERNING MEMBERSHIP OF THAT BOARD AND THAT ORGANIZATION'S ANNUAL BUDGET.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 8B</Identifier>
        <Explanation>ALL DECISIONS REQUIRING THE AUTHORITY OF THE BOARD OF DIRECTORS ARE MADE AT THAT LEVEL. THE BOARD OF DIRECTORS DOES NOT DELEGATE BOARD AUTHORITY TO ANY COMMITTEE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>HOSPICE CARE OHIO IS A MEMBER OF THE AKRON GENERAL HEALTH SYSTEM. HOSPICE CARE OHIO PREPARES ITS FORM 990 INTERNALLY. THE RETURN IS SUBJECT TO FINANCIAL REVIEW BY THE CHIEF FINANCIAL OFFICER OF AKRON GENERAL HEALTH SYSTEM, THE VICE PRESIDENT OF ACCOUNTING AND FINANCE OF AKRON GENERAL HEALTH SYSTEM, AND REVIEWED FOR COMPLIANCE WITH THE REPORTING REQUIREMENTS OF FORM 990 BY THE DIRECTOR OF CORPORATE TAX FOR AKRON GENERAL HEALTH SYSTEM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>HOSPICE CARE OHIO IS A MEMBER OF THE AKRON GENERAL HEALTH SYSTEM (SYSTEM). AKRON GENERAL HEALTH SYSTEM IS THE PARENT ORGANIZATION OF THE SYSTEM AND AS SUCH IT DETERMINES CERTAIN POLICIES AND PROCEDURES APPLICABLE TO ALL MEMBER ORGANIZATIONS. IN THE CASE OF CONFLICT OF INTEREST POLICY, AKRON GENERAL HEALTH SYSTEM NOT ONLY DETERMINES THE POLICY AND THE PROCEDURE, IT CARRIES OUT THE PROCEDURE FOR ALL SYSTEM ORGANIZATIONS ITSELF. A CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO ALL BORAD MEMBERS, MANAGEMENT PERSONNEL, EMPLOYED PHYSICIANS AND ANY OTHER PERSONNEL THAT HAVE BEEN DESIGNATED BY MANAGEMENT. THE DISTRIBUTION COVERS ALL SYSTEM ORGANIZATIONS. ALL RESPONSES THAT INDICATE A PERCEIVED CONFLICT OF INTEREST ARE TURNED OVER TO THE GOVERNANACE AND COMPLIANCE COMMITTEE (THE COMMITTEE) OF AKRON GENERAL HEALTH SYSTEM FOR REVIEW. THE COMMITTEE MAKES A DETERMINATION AS TO WHETHER THE PERCEIVED CONFLICT IS LIKELY TO BE AN ACTUAL CONFLICT, THE MATERIALITY OF ANY ACTUAL CONFLICTS AND THE EXTENT OF SAEFGUARD REQUIRED FOR ANY ACTUAL CONFLICTS. SAFEGUARDS INCLUDE, BUT ARE NOT LIMITED TO, REQUIRING, IN THE CASE OF A BOARD MEMBER, THAT THE PERSON RECUSE HIMSELF OR HERSELF FROM ANY DISCUSSIONS OR VOTING THAT MAY BE AFFECTED BY THE CONFLICT, REQUIRING THE PERSON TO DISENGAGE FROM THE CONDUCT CREATING THE CONFLICT OR REQUIRING THE PERSON TO RESIGN FROM THE POSITION AFFECTED BY THE CONFLICT. THIS PROCESS IS CONDUCTED BY AKRON GENERAL HEALTH SYSTEM'S LEGAL DEPARTMENT ANNUALLY IN JANUARY. THE CONFLICT OF INTEREST LETTER PUTS THE RECIPIENT ON NOTICE THAT HE OR SHE IS UNDER AN ONGOING DUTY TO REPORT ANY POTENTIAL CONFLICTS THAT MAY ARISE SUBSEQUENT TO THIS FORMAL PROCESS. SUBSEQUENT EVENT REPORTING IS MONITORED BY AKRON GENERAL HEALTH SYSTEM'S LEGAL DEPARTMENT. ANY SUBSEQUENTLY REPORTED ITEMS ARE SUBJECT TO THE AFOREMENTIONED REVIEW PROCESS BY AKRON GENERAL HEALTH SYSTEM'S GOVERNANCE AND COMPLIANCE COMMITTEE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE REPORTING ORGANIZATION IS A MEMBER OF THE AKRON GENERAL HEALTH SYSTEM. THE EXEMPT PURPOSE OF THE SYSTEM PARENT, AKRON GENERAL HEALTH SYSTEM (AGHS), IS TO SUPPORT THE MEMBERS OF THAT SYSTEM. ONE OF THE SUPPORT SERVICES THAT AGHS PROVIDES IS DETERMINING THE COMPENSATION OF THE TOP MANAGEMENT PERSONNEL OF THE REPORTING ORGANIZATION. AGHS FOLLOWS A PROCESS FOR DETERMINING THE COMPENSATION OF THE REPORTING ORGANIZATION'S TOP MANAGEMENT PERSONNEL THAT IS BASED ON THE SAFE HARBOR DESCRIBED BY INTERNAL REVENUE CODE SECTION 4958 FOR ESTABLISHING THE PRESUMPTION OF REASONABLE COMPENSATION. THEREFORE, THE PROCESS CALLS FOR RECOMMENDATIONS - DEVELOPED BY AN INDEPENDENT COMPENSATION CONSULTANT, BASED ON COMPARABLE MARKET DATA FROM PUBLISHED SURVEYS AND THE FORMS 990 OF COMPARABLE ORGANIZATIONS - THAT ARE WITHIN THE RANGE OF THE COMPENSATION OF SIMILARLY SITUATED PERSONS AT SIMILARLY SITUATED ORGANIZATIONS. THESE RECOMMENDATIONS ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE REPORTING ORGANIZATION'S BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT PERSONS AND THE DELIBERATIONS ARE DOCUMENTED, CONTEMPORANEOUSLY, IN THE COMMITTEE'S MINUTES. THE COMPENSATION FOR ALL TOP MANAGEMENT WAS REVIEWED FOR REASONABLENESS USING THIS PROCESS IN 2008.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>CURRENTLY, HOSPICE CARE OHIO DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR ITS FINANCIAL STATEMENTS GENERALLY AVAILABLE TO THE PUBLIC. HSOPICE CARE OHIO DOES MAKE THESE DOCUMENTS AVAILABLE ON A CASE BY CASE BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>TITLE AND HOURS FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990, PART VII, COLUMNS A AND B</ReturnReference>
        <Explanation>KAREN L. TALBOTT - PRESIDENT, TREASURER, SECRETARY, AND DIRECTOR OF THE REPORTING ORGANIZATION. MS. TALBOTT ALSO SERVED AS PRESIDENT, TREASURER, AND DIRECTOR OF COMMUNITY HEALTH VENTURES, INC. - 60.0 HOURS AVERAGE PER WEEK, PRESIDENT AND DIRECTOR OF ROSE LANE, INC. - .5 HOURS AVERAGE HOURS PER WEEK, PRESIDENT AND TREASURER OF VISITING HOURS, INC. - .3 HOURS AVERAGE PER WEEK AND PRESIDENT, TREASURER, AND DIRECTOR OF VISITING NURSE SERVICE, INC. - .5 HOURS AVERAGE PER WEEK.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 188,255. VARIOUS TEMPORARILY RESTRICTED NET ASSETS 205. TEMPORARILY RESTRICTED ACTIVITY 74,524. TRANSER FOR FURNISHINGS &amp; EQUIPMENT 61,617. CHANGE IN VALUE OF NET ASSETS IN AFFILIATED ORGANIZATION -10,835. CHANGE IN VALUE IN AKRON GENERAL DEVELOPMENT FOUNDATION 33,931. TOTAL TO FORM 990, PART XI, LINE 5: 347,697.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C, COMMITTEE RESPONSIBLE FOR OVERSIGHT OF AUDIT:</ReturnReference>
        <Explanation>AKRON GENERAL HEALTH SYSTEM ISSUES AUDITED FINANCIAL STATEMENTS, PREPARED IN ACCORDANCE WITH GAAP, THAT REPRESENT THE CONSOLIDATION OF ITS FINANCIAL STATEMENTS WITH THOSE OF EACH ORGANIZATION WITHIN THE AKRON GENERAL HEALTH SYSTEM (COLLECTIVELY, THE "SYSTEM). THE FINANCE AND AUDIT COMMITTEE OF AKRON GENERAL HEALTH SYSTEM'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE SYSTEM'S AUDIT.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ADVANCED INFUSION SERVICES LTD</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1 HOME CARE PLACE</AddressLine1>
          <City>AKRON</City>
          <State>OH</State>
          <ZIPCode>44320</ZIPCode>
        </AddressUS>
        <EIN>341847339</EIN>
        <PrimaryActivities>HOME INFUSION SERVICES</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <TotalIncome>1926584</TotalIncome>
        <EOYAssets>908273</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VISITING NURSE SERVICE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1 HOME CARE PLACE</AddressLine1>
          <City>AKRON</City>
          <State>OH</State>
          <ZIPCode>44320</ZIPCode>
        </AddressUS>
        <EIN>340714779</EIN>
        <PrimaryActivities>HOME HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>IRC 501 (C) (3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>COMMUNITY HEALTH VENTURES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY HEALTH VENTURES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1 HOME CARE PLACE</AddressLine1>
          <City>AKRON</City>
          <State>OH</State>
          <ZIPCode>44320</ZIPCode>
        </AddressUS>
        <EIN>341478435</EIN>
        <PrimaryActivities>SUPPORTING ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>IRC 501 (C) (3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11C, III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AKRON GENERAL HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VISITING HOURS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1 HOME CARE PLACE</AddressLine1>
          <City>AKRON</City>
          <State>OH</State>
          <ZIPCode>44320</ZIPCode>
        </AddressUS>
        <EIN>341347010</EIN>
        <PrimaryActivities>HOME HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>IRC 501 (C) (3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>COMMUNITY HEALTH VENTURES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ROSE LANE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1 HOME CARE PLACE</AddressLine1>
          <City>AKRON</City>
          <State>OH</State>
          <ZIPCode>44320</ZIPCode>
        </AddressUS>
        <EIN>341527202</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>IRC 501 (C) (3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>COMMUNITY HEALTH VENTURES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>VISITING NURSE EQUIPMENT &amp; SUPPLIES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1 HOME CARE PLACE</AddressLine1>
          <City>AKRON</City>
          <State>OH</State>
          <ZIPCode>44320</ZIPCode>
        </AddressUS>
        <EIN>341442841</EIN>
        <PrimaryActivity>DURABLE MEDICAL EQUIPMENT</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <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>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VISITING NURSE SERVICE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>5267515</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VISITING NURSE SERVICE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>5470205</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>VISITING NURSE EQUIPMENT &amp; SUPPLIES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>100898</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>