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        <Amt>947741</Amt>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Murta</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>269183</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>105000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>4963</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>386743</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Crabb III</PersonNm>
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        <OtherCompensationRltdOrgsAmt>60536</OtherCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Copies of the 990s are provided to the Chairman of Deaconess Associations, Inc for presentation to the Board and committee review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Each manager, officer, director, and Board member are given a copy of the Conflict-of-Interest policy to review and are required to sign a certification to disclose affiliations or interest which could appear to cause a conflict of interest which are reviewed and updated on an annual basis.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for the Chief Executive Officer and Chief Operating Officer are reviewed and approved by the Board and Compensation Committee, which established compensation after considering comparability data and information form independent consultants and the Compensation Commitee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Copies of the governing documents are available to the public through the Secretary of Stat'es website or other similar agencies and organizations, or upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Write off intercompany balance $670,810</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Deaconess Diagnostic LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>615 Elsinore Place</AddressLine1Txt>
          <AddressLine2Txt>Suite 900</AddressLine2Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45202</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>Radiology services</PrimaryActivitiesTxt>
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        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>Deaconess Associations Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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          <BusinessNameLine1Txt>Deaconess Health Associations Fund Inc</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>fundraising</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Tristate Health Systems Inc</BusinessNameLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>medical services</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Deaconess Senior Services LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>615 Elsinore Place</AddressLine1Txt>
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          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        </USAddress>
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        <PrimaryActivitiesTxt>parent-provides mgmt</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Cottingham Retirement Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>c/o DSS 615 Elsinore Place</AddressLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Deaconess Senior Services Inc</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Deaconess Long Term Care of Ohio</BusinessNameLine1Txt>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <DisregardedEntityName>
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          <CityNm>Raleigh</CityNm>
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        <PrimaryActivitiesTxt>Home health care services</PrimaryActivitiesTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Stewart Healthcare Enterprises Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>2411 Springer Drive</AddressLine1Txt>
          <CityNm>Norman</CityNm>
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        <PrimaryActivitiesTxt>Home Healthcare Services</PrimaryActivitiesTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
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        <USAddress>
          <AddressLine1Txt>2411 Springer Drive</AddressLine1Txt>
          <CityNm>Norman</CityNm>
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        <PrimaryActivitiesTxt>Hospice services</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Deaconess Healthcare Holdings Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>615 Elsinore Place</AddressLine1Txt>
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        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
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        <PrimaryActivitiesTxt>Home health care services</PrimaryActivitiesTxt>
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        <PrimaryActivitiesTxt>Home health care services</PrimaryActivitiesTxt>
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        <PrimaryActivitiesTxt>Home health care services</PrimaryActivitiesTxt>
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        <RelatedOrganizationName>
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        <PrimaryActivitiesTxt>Home health care services</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Mays Hospice Care Inc</BusinessNameLine1Txt>
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        <EIN>731619474</EIN>
        <PrimaryActivitiesTxt>Home health care services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
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        <EntityTypeTxt>C</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Skyline Wellness Management Services of TX LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3310 Lamar Ave Ste A</AddressLine1Txt>
          <CityNm>Paris</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <EIN>473113731</EIN>
        <PrimaryActivitiesTxt>Home health care services</PrimaryActivitiesTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Central Pyramid Accounting Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>3057 Clarksville Street</AddressLine1Txt>
          <CityNm>Paris</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75460</ZIPCd>
        </USAddress>
        <EIN>141976654</EIN>
        <PrimaryActivitiesTxt>Management company for home health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>Deaconess Healthcare Services Company</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>s</TransactionTypeTxt>
        <InvolvedAmt>3552913</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Principle loan payments</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Deaconess Healthcare Services Company</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a-i</TransactionTypeTxt>
        <InvolvedAmt>2326866</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Based on SOFR plus .55%</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Deaconess Healthcare Services Company</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>s</TransactionTypeTxt>
        <InvolvedAmt>780431</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual amount</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Deaconess Healthcare Holdings Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>s</TransactionTypeTxt>
        <InvolvedAmt>7161694</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Principle loan payments</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Deaconess Healthcare Holdings Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>a-i</TransactionTypeTxt>
        <InvolvedAmt>3517752</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Based on SOFR plus .55%</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Deaconess Healthcare Holdings Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>2309248</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual amount</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="R000007" softwareId="24021167" softwareVersionNum="v1.00">
      <ExplanationTxt>Additional time was needed to complete an accurate return.</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>