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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LOGAN MEISINGER</PersonNm>
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        <PersonNm>WILLIAM C KRAFT</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>OSCAR SPADER</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>44</IndivRcvdGreaterThan100KCnt>
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      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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          </USAddress>
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      <GovernmentGrantsAmt>113330</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>136516</AllOtherContributionsAmt>
      <TotalContributionsAmt>249846</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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      <ProgramServiceRevenueGrp>
        <Desc>NET RESIDENT SERVICE REVENUE</Desc>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>2582847</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ASSETS WHOSE USE IS LIMITED OR RESTRICTED: FUNDS ON DEPOSIT WITH TRUSTEE - 213,596 BOND FUNDS AND DEBT SERVICE FUNDS ARE AVAILABLE TO MEET PRINCIPAL AND INTEREST PAYMENTS ON BONDS OUTSTANDING. BY BOARD FOR ENDOWMENT FUND - 7,250,726 ASSETS SET ASIDE FOR FUTURE CAPITAL IMPROVEMENTS. BY BOARD FOR SCHOLARSHIP FUND - 100,457 INTENDED FOR SCHOLARSHIPS IN THE HEALTHCARE FIELD. BY DONORS OR GRANTORS - 769,148 INTENDED FOR VARIOUS HOSPITAL EQUIPMENT AND OPERATIONS. ESCROW DEPOSITS - 11,017 RETURNED TO DUPLEX OWNERS OR LESSEES AND APARTMENT RESIDENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICAL FACILITY HAS NO RESERVE FOR UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2025 AND 2024. ADDITIONALLY, THE MEDICAL FACILITY HAS NOT RECOGNIZED ANY INTEREST OR PENALTIES IN RELATION TO INCOME TAX FILINGS AS OF OR FOR THE YEARS ENDED SEPTEMBER 30, 2025 OR 2024.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>TEMPORARILY RESTRICTED CONTRIBUTIONS 243,846 AMOUNTS RELEASED FROM RESTRICTION -32,333</ExplanationTxt>
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        <FormAndLineReferenceDesc>FACILITY 1, YORK GENERAL HEALTH CARE SERVICES - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE COMMUNITY WERE MENTAL HEALTH, CANCER, AND POVERTY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, YORK GENERAL HEALTH CARE SERVICES - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>IN APRIL OF 2015, FOUR CORNERS HEALTH DEPARTMENT LAUNCHED A COMMUNITY ASSESSMENT PROJECT THAT WILL HAVE LASTING EFFECTS FOR THE ENTIRE PUBLIC HEALTH SYSTEM IN THE DISTRICT. MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) IS A DYNAMIC PROCESS DEVELOPED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND THE NATIONAL ASSOCIATION OF CITY AND COUNTY HEALTH OFFICIALS (NACCHO) THAT HELPS COMMUNITIES PRIORITIZE PUBLIC HEALTH ISSUES AND IDENTIFY RESOURCES FOR ADDRESSING THEM. COMMUNITY OWNERSHIP IS THE FUNDAMENTAL COMPONENT OF MAPP. THE MAPP PROJECT INCLUDES FOUR COMMUNITY ASSESSMENTS. IN THIS REPORT, WE HAVE FOCUSED ON THE RESULTS OF THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT. THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT FOCUSES ON COLLECTING THE COMMUNITYS PERSPECTIVE ON ISSUES SUCH AS HEALTH CARE, EDUCATION, CARE FOR OLDER ADULTS, JOBS, SUPPORT NETWORKS, HEALTH PROBLEMS, AND RISKY BEHAVIORS. A SURVEY WAS DESIGNED BY UTILIZING A SAMPLE SURVEY PROVIDED BY NACCHO. AN UPDATED SURVEY WAS DISTRIBUTED IN 2018. THE SURVEY WAS AVAILABLE FROM MAY TO JULY OF 2018. IT WAS AVAILABLE AT COMMUNITY MEETINGS SUCH AS ROTARY, KIWANIS, OR SERTOMA CLUBS. THEY WERE TAKEN TO CHURCHES, SCHOOL EVENTS, COUNTY FAIRS, ETC. THE SURVEY WAS ALSO AVAILABLE ONLINE AT SURVEY MONKEY. IN YORK COUNTY, 254 RESPONSES WERE RECEIVED. AN UPDATED SURVEY WAS DISTRIBUTED IN 2021. THE SURVEY WAS AVAILABLE FROM MAY TO JULY OF 2021. IT WAS AVAILABLE AT COMMUNITY MEETINGS SUCH AS ROTARY, KIWANIS, AND SERTOMA CLUBS. THEY WERE TAKEN TO CHURCHES, SCHOOL EVENTS, COUNTY FAIRS, ETC. THE SURVEY WAS ALSO AVAILABLE ONLINE AT SURVEY MONKEY. IN YORK COUNTY, 1,701 RESPONSES WERE COLLECTED, WHICH WAS A VAST IMPROVEMENT OVER THE 254 RESPONSES COLLECTED IN 2018. AN UPDATED SURVEY WAS DISTRIBUTED IN 2024. THE SURVEY WAS AVAILABLE FROM JUNE TO AUGUST 2024. THE SURVEY WAS DISTRIBUTED VIA SOCIAL MEDIA, AT VARIOUS COMMUNITY WORKPLACES, AND IN-PERSON AT COMMUNITY MEETINGS, CHURCHES, SCHOOL EVENTS, AND THE COUNTY FAIR. THERE WERE 187 RESPONSES IN YORK COUNTY.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, YORK GENERAL HEALTH CARE SERVICES - PART V, LINE 6B</FormAndLineReferenceDesc>
        <ExplanationTxt>CONDUCTED CHNA IN CONJUCTION WITH FOUR CORNERS PUBLIC HEALTH AND HENDERSON HEALTH CARE SERVICES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, YORK GENERAL HEALTH CARE SERVICES - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>YORK GENERAL IS ADDRESSING THE FIVE HEALTH NEEDS IDENTIFIED IN THE COMMUNITY BY: 1. MENTAL HEALTH PROBLEMS: YORK GENERAL CURRENTLY PROVIDES ONE FULL DAY OF SPECIALTY CLINIC COVERAGE WITH A MENTAL HEALTH PROFESSIONAL. YORK GENERAL DOES NOT HAVE INPATIENT MENTAL HEALTH TREATMENT AVAILABLE, BUT CAN ADDRESS THAT COMMUNITY NEED OF OUTPATIENT SERVICES THROUGH OUR SPECIALTY CLINIC. 2. CANCER: YORK GENERAL HOSPITAL PROVIDES COMPREHENSIVE CANCER SERVICES TO AREA PATIENTS. YORK GENERAL'S ONCOLOGY DEPARTMENT AND EXPERIENCED STAFF ARE EQUIPPED TO PROVIDE CARE TO PATIENTS RECEIVING CHEMOTHERAPY AND RELATED CANCER TREATMENTS. YORK GENERAL HOSPITAL SPECIALTY CLINIC PROVIDES A VISITING ONCOLOGY PHYSICIAN AT LEAST FIVE TIMES A MONTH IN SPECIALTY CLINIC, ALLOWING PATIENTS TO RECEIVE TREATMENT AND CARE CLOSE TO HOME. 3. POVERTY: YORK GENERAL STRIVES TO PROVIDE ACCESSIBLE CARE TO ALL PATIENTS. IN AN EFFORT TO RECOGNIZE AND ASSIST THE IMPOVERISHED, BY DELELOPING A ROBUST COMMITTE TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, IMPLEMENT SCREENNG FOR SOCIAL DETERMINANTS OF HEALTH AND OFFIER FINANCIAL ASSISTANCE PROGRAMS INCLUDING SLIDING SCALE FEES AND CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, YORK GENERAL HEALTH CARE SERVICES - PART V, LINE 16J</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POLICY IS MENTIONED ON ALL FOLLOW UP ACCOUNT COLLECTION PHONE CALLS, AS WELL AS AVAILABLE ON THE HOSPITAL WEBSITE.</ExplanationTxt>
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      <FacilityNum>5</FacilityNum>
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            <AddressLine1Txt>2222 LINCOLN AVE</AddressLine1Txt>
            <CityNm>YORK</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68467</ZIPCd>
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          <FacilityTxt>SKILLED NURSING FACILITY</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
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            <AddressLine1Txt>2315 LINCOLN AVE</AddressLine1Txt>
            <CityNm>YORK</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68467</ZIPCd>
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          <FacilityTxt>DIALYSIS</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
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          <USAddress>
            <AddressLine1Txt>2319 LINCOLN AVE</AddressLine1Txt>
            <CityNm>YORK</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68467</ZIPCd>
          </USAddress>
          <FacilityTxt>HOME HEALTH AGENCY</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
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            <AddressLine1Txt>2714 N LINCOLN AVE</AddressLine1Txt>
            <CityNm>YORK</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68467</ZIPCd>
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          <FacilityTxt>ASSISTED LIVING</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>YORK GEN MEADOWLARK INDEP LIVING</BusinessNameLine1Txt>
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            <CityNm>YORK</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68467</ZIPCd>
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          <FacilityTxt>INDEPENDENT LIVING</FacilityTxt>
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        <ExplanationTxt>COMMUNITY BENEFIT REPORT WAS PREPARED IN CONJUNCTION WITH THE NEBRASKA HOSPITAL ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTING METHODOLOGY FOR TABLE IN PART I - OVERALL COST TO CHARGE RATIO EXCEPT FOR SUBSIDISED HEALTH SERVICES WHERE COSTS WERE TAKEN FROM THE MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS MANY ACTIVITIES TO PROMOTE HEALTH IN THE COMMUNITIES SERVED. THESE ACTIVITIES INCLUDE SPONSOR OF HEALTH FAIR, SUPPORT GROUPS, EDUCATION PROGRAMS, AND MEDICATION ASSISTANCE. THE DONATED SERVICES AND FUNDS HELP FURTHER THE MISSION AND GOALS OF COMMUNITY ORGANIZATIONS WHICH, IN TURN, HELP IMPROVE OVERALL HEALTH STATUS AND QUALITY OF LIFE OF THE COMMUNITIES SERVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE COST REPORT WHICH USES COST TO CHARGE RATIOS BY DEPARTMENT WAS USED TO DETERMINE THE AMOUNTS REPORTED ON LINE 8.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>COLLECTION ACTIONS. FAILURE TO MAKE AND HONOR SATISFACTORY ARRANGEMENTS FOR PAYMENT TO THE HOSPITAL MAY RESULT IN REFERRAL TO A COLLECTION AGENCY, REPORTING TO THE CREDIT AGENCIES, AND LEGAL ACTION. THE HOSPITAL WILL NOT TAKE AN EXTRAORDINARY COLLECTION ACTION (LEGAL ACTION, REPORTING TO CREDIT AGENCY) UNTIL REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE IF A PERSON IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IF A PERSON APPLIES FOR FINANCIAL ASSISTANCE UNDER THIS POLICY, ALL COLLECTION EFFORTS WILL STOP UNTIL THE DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE IS MADE. IN THE EVENT A PATIENT APPLIES FOR FINANCIAL ASSISTANCE IN A TIMELY MANNER RELATED TO THE DATE WHEN CARE WAS PROVIDED AND IS DEEMED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE HOSPITAL WILL TAKE STEPS TO REVERSE COLLECTION ACTIONS, REPORTS, AND OTHER ACTIONS THAT HAVE BEEN TAKEN TO OBTAIN PAYMENT. UPON RECEIPT OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, NO FURTHER COLLECTION ACTION SHALL BE TAKEN AGAINST A PATIENT UNTIL THE FINANCE COMMITTEE HAS REVIEWED AND MADE A DETERMINATION ON THE APPLICATION ACCORDING TO THE PROCESS SET FORTH HEREIN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD MEMBERS ARE ACTIVE IN THE COMMUNITY AND IN TOUCH WITH THE RESIDENTS OF YORK COUNTY AND ARE AWARE OF THE NEEDS OF THE COMMUNITY, ON AN ONGOING BASIS. THE ADDITION OF OUR DIALYSIS PROGRAM WAS A RESULT OF BOARD INTERACTION WITH THE COMMUNITY. IN ADDITION, THE ORGANIZATION CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN DECEMBER 2021. EFFORTS WERE COORDINATED WITH THE LOCAL PUBLIC HEALTH OFFICE. THE HOSPITAL HAS DEVELOPED ONGOING RELATIONSHIPS WITH THE PUBLIC SCHOOL SYSTEM AND LOCAL COLLEGE AND ARE MADE AWARE OF ANY HEALTHCARE NEEDS FROM THESE INSTITUTIONS. THE HOSPITAL HAS ALSO IMPLEMENTED A PATIENT FAMILY ADVISORY COUNCIL THAT GATHERS INPUT FROM COMMUNITY MEMBERS. ADDITIONAL THE HOSPITAL HAS IMPLEMENTED A HOSPITAL ADVISORY BOARD THAT EDUCATES COMMUNITY MEMBERS AND ALSO INPUT FROM THE MEMBERS IN REGARDS TO COMMUNITY HEALTH NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHARITY CARE NOTICE IS POSTED IN THE ADMITTING BOOTHS AT THE MAIN ENTRANCE, IN ER, AND IN THE SPECIALTY CLINIC. A WRITTEN NOTICE IS PROVIDED TO EACH PERSON SEEKING SERVICES. THE CHARITY CARE POLICY IS ALSO DISCUSSED WITH PATIENTS WHEN MAKING COLLECTION CALLS. CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE ALSO AVAILABLE ON THE HOSPITAL WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>YORK, NE IS LOCATED AT THE INTERSECTION OF U.S. HIGHWAY 81 AND INTERSTATE 80. THE POPULATION OF YORK COUNTY AS OF 2020 WAS 14,125. THE MEDIAN HOUSEHOLD INCOME IS JUST OVER 63,000. AS OF 2020, APPROXIMATELY 9% OF PEOPLE OF ALL AGES WERE IN POVERTY. YORK COUNTY IS CURRENTLY NOT DESIGNATED AS A MEDICALLY UNDERSERVED AREA. APPROXIMATELY 13% OF HOSPITAL REVENUES ARE FROM MEDICAID ELIGIBLE PATIENTS. APPROXIMATELY 6% OF HOSPITAL GROSS REVENUES ARE FROM PATIENTS WITH NO INSURANCE COVERAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA OF YORK GENERAL HEALTH CARE SERVICES. THE OCCUPATIONS OF THE BOARD MEMBERS INCLUDE BUSINESS PROFESSIONALS, RETIRED MEDICAL PROFESSIONALS, AND LAWYER. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. SURPLUS FUNDS ARE USED TO UPDATE AND ADD NEW TECHNOLOGY AND EQUIPMENT, ADD NEW SERVICES, AND UPDATE THE PHYSICAL FACILITIES. OVER THE PAST YEARS, PROJECTS THAT HAVE BEEN EITHER PARTIALLY FUNDED OR TOTALLY FUNDED WITH SURPLUS REVENUES INCLUDE THE FOLLOWING: A NEW 129 BED NURSING HOME TO REPLACE AN OUTDATED AND UNSAFE FACILITY, NEW ASSISTED LIVING FACILITY, ADDITION OF DIALYSIS SERVICES FOR THE COMMUNITY, NEW MEDICAL OFFICE BUILDING AND WELLNESS CENTER, HOSPITAL REMODEL AND EXPANSION, DIGITAL MAMMOGRAPHY, AND CT AND MRI UPDATES. THESE ARE SOME OF THE MORE RECENT MAJOR PROJECTS. WE HAVE BEEN ABLE TO MAKE AVAILABLE TO THE RESIDENTS OF YORK THESE NEW SERVICES. THE ORGANIZATION IS ALSO ACTIVE IN ONGOING HEALTH AND WELLNESS ACTIVITIES IN THE COMMUNITY AND SCHOOLS. OUR HOME HEALTH PROVIDERS THE IMMUNIZATION CLINIC FOR YORK COUNTY. THE HOSPITAL IS CURRENTLY WORKING WITH THE PUBLIC SCHOOL SYSTEM TO PROVIDE FACILITIES FOR A PRE-KINDERGARTEN PROGRAM. YORK GENERAL ALSO OFFERS VACCINATION CLINICS.</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>JAMES ULRICH</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <BonusFilingOrganizationAmount>95119</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>16500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22737</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>511885</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MCQUISTAN</PersonNm>
        <TitleTxt>VP OF FINANCE</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>10790</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14962</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>312739</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER OBERMIER</PersonNm>
        <TitleTxt>VP OF NURSING</TitleTxt>
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        <BonusFilingOrganizationAmount>64900</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>15839</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14962</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>342362</TotalCompensationFilingOrgAmt>
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        <PersonNm>JAY COLBURN</PersonNm>
        <TitleTxt>VP OF LTC</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>11712</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22738</NontaxableBenefitsFilingOrgAmt>
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        <PersonNm>BETHANY CHILDERS</PersonNm>
        <TitleTxt>VP OF HR</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>12852</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>285654</TotalCompensationFilingOrgAmt>
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        <PersonNm>THOMAS C MCKENNY</PersonNm>
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        <DeferredCompensationFlngOrgAmt>6600</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>427664</TotalCompensationFilingOrgAmt>
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        <PersonNm>MATTHEW MONTGOMERY</PersonNm>
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        <BonusFilingOrganizationAmount>900</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>15095</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22738</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>335406</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL D MONFORE</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <BaseCompensationFilingOrgAmt>284589</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>300</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>5874</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14962</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>305725</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL JOHNSON</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <BaseCompensationFilingOrgAmt>245701</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>26775</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>8499</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>280975</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CORNELL H BONDE</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>202558</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>300</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>10879</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22738</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>236475</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIK PETERSON</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>163111</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>300</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>8615</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14962</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>186988</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOGAN MEISINGER</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <BaseCompensationFilingOrgAmt>258140</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15900</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>12992</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9271</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>296303</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM C KRAFT</PersonNm>
        <TitleTxt>I.T. DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>154949</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>650</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>8157</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14962</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>178718</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HEALTH CARE FACILITIES 2020B</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>476006520</BondIssuerEIN>
        <BondIssuedDt>2020-09-22</BondIssuedDt>
        <IssuePriceAmt>5515000</IssuePriceAmt>
        <PurposeDesc>REFINANCED SERIES 2013, 2014 AND 2015 BONDS.</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>2510000</RetiredAmt>
        <TotalProceedsAmt>5515000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>107017</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>5407983</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTH CARE FACILITIES 2020B REFINANCED SERIES 2013, 2014 AND 2015 BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTH CARE FACILITIES 2020B 12/31/20</ExplanationTxt>
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    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc7">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CORNERSTONE BANK</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionDesc>SEE PART V</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE L, PART IV: (A) NAME OF INTERESTED PERSON: CORNERSTONE BANK (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: KRIS HOLOCH AND FAMILY MEMBER'S CONTROL GREATER THAN 35% OF CORNERSTONE BANK. CHARLES HARRIS, CASSANDRA OTTE, AND STEVE ERMER ARE ALL ON CORNERSTONE BANK'S BOARD OF DIRECTORS. (C) &amp; (D) AMOUNT AND DESCRIPTION OF TRANSACTION: VARIOUS TRANSACTIONS IN CAPACITY AS YORK GENERAL HEALTH CARE SERVICES' FINANCIAL INSTITUTION. ADDITIONALLY, CORNERSTONE BANK IS TRUSTEE TO BOND FUNDS IN WHICH 1,130,868 WAS DEPOSITED THIS YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO BE OUR REGION'S TRUSTED CHOICE FOR THE IMPROVEMENT OF HEALTH AND DELIVERY OF QUALITY CARE THROUGHOUT LIFE. TO BE A REGIONAL HEALTHCARE PROVIDER FOR THE CITIZENS OF YORK COUNTY AND ITS CONTIGUOUS COUNTIES WITH READILY ACCESSIBLE HIGH QUALITY PRIMARY, OBSTETRICAL, MENTAL HEALTH, MEDICAL, SURGICAL, PEDIATRIC, AND LONG TERM HEALTH CARE PROGRAMS AND SERVICES. TO PROVIDE HIGH QUALITY PHYSICAL AND MANPOWER RESOURCES. TO OPERATE WITHIN RESPONSIBLE FISCAL GUIDELINES WITHOUT COMPROMISING PATIENT AND RESIDENT CARE IN PROVIDING PHYSICAL RESOURCES, MANPOWER AND SERVICES. TO BE A LEADER IN ADVOCATING HIGH QUALITY HEALH CARE PROGRAMS, DEVELOPING RESOURCES, AND PROVIDING SERVICES AND PROGRAMS THAT MEET BOTH PREVENTATIVE AND PRIMARY HEALTH CARE NEEDS TO THE CITIZENS OF THE SERVICE AREA. TO ESTABLISH AN ON-GOING PROCESS THAT INSURES THAT THE ORGANIZATION IS MEASURABLY MEETING ITS MISSION COMMITMENTS TO ITS PATIENTS, RESIDENTS, PHYSICAINS, EMPLOYEES, AND COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>KRIS HOLOCH CORNERSTONE BANK TREASURER OFFICER OFFICER CHARLES HARRIS CORNERSTONE BANK CHAIRMAN DIRECTOR DIRECTOR CASSANDRA OTTE CORNERSTONE BANK BOARD MEMBER DIRECTOR DIRECTOR STEVE ERMER CORNERSTONE BANK BOARD MEMBER DIRECTOR DIRECTOR</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE VP OF FINANCE AND IS SENT TO EACH DIRECTOR FOR THEIR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY MEMBERS WITH A CONFLICT OF INTEREST ABSTAIN FROM VOTING. THE ABSTENTION IS DOCUMENTED IN THE MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION FOR THE CEO. A COMPARISON OF AREA CEO'S IS INCLUDED. AN OUTSIDE CONSULTANT IS ENGAGED TO CONDUCT A EXECUTIVE COMPENSATION ANALYSIS. THE FIRM THAT WAS ENGAGED WAS MERCER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>A SALARY SURVEY FOR KEY EMPLOYEES IS COMPLETED BY HUMAN RESOURCES. THE H.R. DIRECTOR REVIEWS THE INFORMATION WITH THE CEO AND A RECOMMENDATION IS MADE. THE VICE PRESIDENT POSITIONS WERE ALSO INCLUDED IN THE ABOVE MENTIONED EXECUTIVE COMPENSATION ANALYSIS PERFORMED BY MERCER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST FOR REVIEW ON THE PREMISES.</ExplanationTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEADOW VIEW RETIREMENT HOMES</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>2319 N LINCOLN AVE</AddressLine1Txt>
          <CityNm>YORK</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68467</ZIPCd>
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        <PrimaryActivitiesTxt>SR. LIVING</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>YGHCS</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOME CARE PLUS</BusinessNameLine1Txt>
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          <AddressLine1Txt>2319 N LINCOLN AVE</AddressLine1Txt>
          <CityNm>YORK</CityNm>
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          <ZIPCd>68467</ZIPCd>
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        <PrimaryActivitiesTxt>HOME HLTH</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>YGHCS</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>YORK QUICK CLINIC LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>2222 N LINCOLN AVE</AddressLine1Txt>
          <CityNm>YORK</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68467</ZIPCd>
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        <PrimaryActivitiesTxt>URGENT MED</PrimaryActivitiesTxt>
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      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
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      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOME CARE PLUS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>600</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HOME CARE PLUS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>386438</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>YORK QUICK CLINIC LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>52056</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>