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        <ProgramServicesAmt>55450</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PATIENT EXPENSES</Desc>
        <TotalAmt>169540</TotalAmt>
        <ProgramServicesAmt>169540</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MILEAGE REIMBURSEMENT</Desc>
        <TotalAmt>108740</TotalAmt>
        <ProgramServicesAmt>108740</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>FINES AND PENALTIES</Desc>
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        <ManagementAndGeneralAmt>13883</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <ManagementAndGeneralAmt>6114</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>3817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1033</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>2791272</TotalAmt>
        <ProgramServicesAmt>2163111</ProgramServicesAmt>
        <ManagementAndGeneralAmt>628161</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>59997</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>648629</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>6371</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>389219</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>273293</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>1414649</EOYAmt>
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        <EOYAmt>2402939</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>399562</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>99960</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>6625</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>285187</BOYAmt>
        <EOYAmt>499522</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1674043</BOYAmt>
        <EOYAmt>1322359</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>580577</BOYAmt>
        <EOYAmt>581058</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2254620</BOYAmt>
        <EOYAmt>1903417</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2539807</BOYAmt>
        <EOYAmt>2402939</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-486822</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>135619</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>23662</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>28719</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>39993</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>27480</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>19417</CurrentTaxYearAmt>
        <TotalAmt>139271</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>23662</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>28719</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>39993</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>27480</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>19417</CurrentTaxYearAmt>
        <TotalAmt>139271</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>139271</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>45841</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>37740</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>41561</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>50260</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>37012</CurrentTaxYearAmt>
        <TotalAmt>212414</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>351685</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>12683504</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.39600</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.44310</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>783302</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>63678</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>55907</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>7261</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>783812</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>125142</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>105907</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>8977</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>783302</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>638145</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>173414</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>29302</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>9213</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>773044</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>649273</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>26874</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>29776</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>8226</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>638145</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>666041</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>41522</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>49988</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>8302</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>649273</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>28400</OtherCostOrOtherBasisAmt>
        <BookValueAmt>28400</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>447814</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>209724</DepreciationAmt>
        <BookValueAmt>238090</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>102295</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>102295</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>84003</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>77200</DepreciationAmt>
        <BookValueAmt>6803</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>273293</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2424750</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>135619</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>135619</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2289131</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>15319</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>15319</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2304450</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2775953</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2775953</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>15319</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>15319</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2791272</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENDOWMENT FUNDS ARE USED TO PROVIDE HOME HEALTH AGENCY SERVICES TO ECONOMICALLY DISADVANTAGED RECIPIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDITOR PREPARES A DRAFT COPY OF THE FORM 990 AND REVIEWS THE RETURN WITH THE FINANCE COMMITTEE AND ADDRESSES ANY QUESTIONS THAT MAY ARISE. UPON THEIR APPROVAL, A FINAL COPY IS SUBMITTED AND FILED BY THE AGENCY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH BOARD MEMBER IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM UPON ELECTION. AT EACH ANNUAL MEETING, THE BOARD OF DIRECTOR'S SHALL REVIEW AND GIVE POSITIVE AFFIRMATION OF ADHERENCE TO THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTOR'S EVALUATES THE EXECUTIVE DIRECTOR'S PEFORMANCE AND APPROVES HER SALARY ANNUALLY. THE EXECUTIVE DIRECTOR PERFORMS ANNUAL EVALUATIONS ON EMPLOYEES AND THE BOARD APPROVES AN ANNUAL RAISES FOR EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE TO THE PUBLIC FOR VIEWING AT COMMUNITY NURSING SERVICES UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART XI LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY'S BOARD OF DIRECTOR'S ASSUME THE RESPONSIBILITY OVER THE AUDIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART B, PAGE 1 - AMENDED RETURN</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDITIONAL PATIENT BILLING WAS COMPLETED AFTER THE FORM 990 WAS FILED INCREASING REVENUE BY $104,207. ADDITIONAL ACCOUNTS PAYABLES WERE RECEIVED AFTER THE FORM 990 WAS FILED CAUSING EXPENSES TO BE INCREASE BY $198,353. ACCOUNTS RECEIVABLE AND ACCOUNTS PAYABLE ON PART X HAVE INCREASED WITH THE ADDITIONAL ACCRUAL ADJUSTMENTS. THE FOLLOWING PARTS AND SCHEDULES WERE CHANGED FROM ORIGINAL FILING: PART 1 - REVENUE AND EXPENSES IN TOTAL ON LINE 19 CHANGED FROM $(322,868) TO $(486,822) DUE TO THE CHANGES MADE ON THE OTHER PARTS OF THE FORM 990 AS NOTED. PART VIII - LINES 2A,B,C,D CHANGED TO INCLUDED THE ADDITIONAL REVENUE FROM BILLINGS COMPLETED AFTER FILING OF FORM 990. THE TOTAL OF LINE 2G IS $2,272,247,INCREASED FROM $2,168,041. PART VIII - LINE 7B INCREASED TO $1,007,839 FROM $915,369 DUE TO ADDITIONAL INVESTMENT STATEMENTS RECEIVED AFTER FORM 990 FILED. PART VIII - LINE 8B ADDITIONAL EXPENSES WERE RECORDED FOR FUNDRAISING COST OF $566 PART IX - INVOICES WERE RECORDED FOR ADDITIONAL EXPENSES AFTER THE FORM 990 WAS FILED. EXPENSE ACCOUNTS THAT INCREASED INCLUDE ACCOUNTING, OTHER EXPENSES, ADVERTISING, OFFICE EXPENSE, INFORMATION TECHNOLOGY, OCCUPANCY, INTEREST, INSURANCE, PATIENT EXPENSES AND MILEAGE REIMBURSEMENT. THERE WAS ALSO SOME RECLASSIFYING OF PAYROLL AND PAYROLL REALTED EXPENSES. THE ADDITIONAL EXPENSE ON LINE 24C FOR FINES AND PENALTIES OF $13,883 WAS NOT REPORTED ON THE ORIGINAL RETURN. IN TOTAL EXPENSES INCREASED FROM $2,616,148 TO $2,791,272 DUE TO THE BOOKS NOT COMPLETED AT THE TIME OF FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>