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      <ContractorCompensationGrp>
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            <BusinessNameLine1Txt>BRETTON WALBERG</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FOX ROTHSCHILD LLP</BusinessNameLine1Txt>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RDI</BusinessNameLine1Txt>
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          <USAddress>
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        <ServicesDesc>IT SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEHAW INC</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>176 VIRGINIA AVENUE 3RD FLOOR</AddressLine1Txt>
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        <ServicesDesc>PHARMACY</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMERICLEAN &amp; SUPPLY LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1172</AddressLine1Txt>
            <CityNm>HERMITAGE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>16148</ZIPCd>
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        <ServicesDesc>CLEANING SERVICES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>21</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>20735058</GovernmentGrantsAmt>
      <TotalContributionsAmt>20735058</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE RE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>73961137</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTED SERVICES</Desc>
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        <RelatedOrExemptFuncIncomeAmt>980211</RelatedOrExemptFuncIncomeAmt>
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        <RealAmt>2278289</RealAmt>
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        <RealAmt>262257</RealAmt>
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      <NetRentalIncomeOrLossGrp>
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        <SecuritiesAmt>45626</SecuritiesAmt>
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      <GainOrLossGrp>
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        <ExclusionAmt>505210</ExclusionAmt>
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        <Desc>MISCELLANEOUS</Desc>
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        <ManagementAndGeneralAmt>84692</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>254928</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>15643154</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>2694795</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <Form990ScheduleAPartVIGrp>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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        <BookValueAmt>447120</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>19643848</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7233666</DepreciationAmt>
        <BookValueAmt>12410182</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>2670484</DepreciationAmt>
        <BookValueAmt>3438010</BookValueAmt>
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        <DepreciationAmt>6028191</DepreciationAmt>
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      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>22217734</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>AGENCY FUND INVESTMENTS</Desc>
        <BookValueAmt>68776</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENTS IN AFFILIATES</Desc>
        <BookValueAmt>6759268</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>SHARON SINKING FUND</Desc>
        <BookValueAmt>1560000</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>8388044</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTEREST RATE SWAP LIABILITY</Desc>
        <Amt>35912</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS</Desc>
        <Amt>5295347</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>SHARON SINKING FUND</Desc>
        <Amt>1560000</Amt>
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      <TotalLiabilityAmt>6891259</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>911642</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUJATHA PANDIAN MD</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAMSEY AHMED MD</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15726</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>427066</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES LAUER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>339777</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15033</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>380810</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN DUMPE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>339577</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15033</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>380610</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GEORGE GARROW</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>287826</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17412</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>331238</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH MONTONE</PersonNm>
        <TitleTxt>CHIEF OPERATIONS OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>188014</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8135</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>222149</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIE SLABE</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>194869</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10519</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1825</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>207213</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS BURICH</PersonNm>
        <TitleTxt>ACTING CEO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>192844</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>DONALD F PERRY</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>BOARD MEMBER</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>LEASE OF REAL PROPERTY AND RENOVATIONS TO SAME</TransactionDesc>
        <TransactionCorrectedInd>0</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>DREW PIERCE</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>FORMER CEO</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>USE OF ORGANIZATION ASSETS TO RENOVATE PRIVATE RESIDENCES</TransactionDesc>
        <TransactionCorrectedInd>0</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>JOHN D LAENG</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>FORMER CEO</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>USE OF COMPANY CREDIT CARD</TransactionDesc>
        <TransactionCorrectedInd>0</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <PersonNm>ANN MARIE PIERCE</PersonNm>
        <RlnDisqualifiedPersonOrgTxt>WIFE OF FORMER CEO</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>RENOVATIONS</TransactionDesc>
        <TransactionCorrectedInd>0</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <BusinessName>
          <BusinessNameLine1Txt>LEGACY GIVING LLC</BusinessNameLine1Txt>
        </BusinessName>
        <RlnDisqualifiedPersonOrgTxt>ENTITY OWNED BY DISQUALIFED PERSON</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>FUNDRAISING CONSULTING</TransactionDesc>
        <TransactionCorrectedInd>0</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <BusinessName>
          <BusinessNameLine1Txt>COMPLIANCE ENVIRONMENTAL SERVICES</BusinessNameLine1Txt>
        </BusinessName>
        <RlnDisqualifiedPersonOrgTxt>ENTITY OWNED BY DISQUALIFED PERSON</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>AIR QUALITY TESTING</TransactionDesc>
        <TransactionCorrectedInd>0</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <DisqualifiedPersonExBnftTrGrp>
        <BusinessName>
          <BusinessNameLine1Txt>TOPCOAT PLUS LLC</BusinessNameLine1Txt>
        </BusinessName>
        <RlnDisqualifiedPersonOrgTxt>ENTITY OWNED BY DISQUALIFED PERSON</RlnDisqualifiedPersonOrgTxt>
        <TransactionDesc>MISC. SERVICES</TransactionDesc>
        <TransactionCorrectedInd>0</TransactionCorrectedInd>
      </DisqualifiedPersonExBnftTrGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>AMERICLEAN &amp; SUPPLY LLC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OPERATED BY A FORMER KEY EMPLOYEE'S FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>867605</TransactionAmt>
        <TransactionDesc>HOUSEKEEPING</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCH L, PART 1, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>1. DONALD F. PERRY IN 2019, THE ORGANIZATION ENTERED INTO A COMMERCIAL LEASE AGREEMENT WITH DONALD F. PERRY TO LEASE THE WAREHOUSE LOCATED AT 7018 EAST STATE STREET, HERMITAGE, PA 16148. DONALD F. PERRY WAS A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS AT THE TIME THE COMMERCIAL LEASE AGREEMENT WAS EXECUTED. THE REMAINING MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS WERE UNAWARE OF THE COMMERCIAL LEASE AGREEMENT AND, UPON INFORMATION AND BELIEF, THE WAREHOUSE WAS NOT NECESSARY TO SUPPORT THE ORGANIZATION'S ACTIVITIES. THE CHARITY PAID TO MR. PERRY RENT IN THE AMOUNT OF $60,000 IN 2019 AND $60,000 IN 2020. ONE RENT PAYMENT OF $5,000 WAS MADE IN JANUARY 2021. BASED ON AVAILABLE COMPARABILITY DATA, THE RENT CHARGED UNDER THE COMMERCIAL LEASE AGREEMENT EXCEEDED FAIR MARKET VALUE BY $25,000 IN 2019 AND $30,000 IN 2020/EARLY 2021. THE COMMERCIAL LEASE AGREEMENT BEGAN ON JANUARY 1, 2019, AND WAS TERMINATED ON MARCH 26, 2021, ONCE THE POTENTIAL EXCESS BENEFIT ISSUE WAS DISCOVERED BY THE ORGANIZATION. IN ADDITION, DURING THE COURSE OF THE LEASE, THE ORGANIZATION PAID FOR WAREHOUSE IMPROVEMENTS (INCLUDING A NEW ROOF) IN THE AMOUNT OF $78,834.50; THE ORGANIZATION BELIEVES THESE IMPROVEMENTS MAINLY BENEFITTED DONALD F. PERRY, AS THE LESSOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCH L, PART 1, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>6. DREW PIERCE DREW PIERCE HAD ORGANIZATION EMPLOYEES PERFORM MANUAL LABOR ASSOCIATED WITH RENOVATIONS AT HIS PRIMARY RESIDENCE AND HIS VACATION HOME. THE WORK WAS PERFORMED DURING NORMAL WORKING HOURS WHEN SUCH EMPLOYEES SHOULD OTHERWISE HAVE BEEN DOING WORK ON BEHALF OF THE ORGANIZATION. IN ADDITION, ORGANIZATION FUNDS WERE USED TO PAY FOR MATERIALS AND EQUIPMENT NEEDED TO COMPLETE THE RENOVATIONS. THE ESTIMATED VALUE OF THE FREE LABOR, MATERIALS AND EQUIPMENT THAT DREW PIERCE RECEIVED IS $50,970. AT THE TIME THE CHARGES WERE INCURRED, DREW PIERCE WAS THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER AND, THEREFORE, A DISQUALIFIED PERSON. DREW PIERCE RECEIVED AN EXCESS BENEFIT FROM THE ORGANIZATION OF $50,970. THE ORGANIZATION'S BOARD OF DIRECTORS WAS UNAWARE OF THE FACT THAT IT HAD FUNDED THE RENOVATIONS AND ONLY DISCOVERED THESE EXCESS BENEFITS AS PART OF ITS COMPREHENSIVE REVIEW OF PAST CONDUCT BY MANAGERS AND BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCH L, PART 1, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>7. JOHN D. LAENG JOHN D. LAENG USED HIS COMPANY CREDIT CARD, ISSUED AND PAID FOR BY THE ORGANIZATION, FOR PERSONAL EXPENSES TOTALING $18,074. JOHN D. LAENG WAS THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER UNTIL DECEMBER 1, 2014, AT WHICH TIME HE TRANSITIONED TO A CONSULTING ROLE WHEREBY HE CONTINUED TO RECEIVE COMPENSATION FROM THE ORGANIZATION AND HAVE SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION'S OPERATIONS. THE CONSULTING SERVICES CEASED ON DECEMBER 31, 2016. THE PERSONAL USE OF THE COMPANY CREDIT CARD OCCURRED AFTER JANUARY 1, 2017, WHEN JOHN D. LAENG WAS NO LONGER AN EMPLOYEE OR CONTRACTOR OF THE CHARITY. GIVEN THESE FACTS, JOHN D. LAENG WAS A DISQUALIFIED PERSON WHO RECEIVED AN EXCESS BENEFIT FROM THE CHARITY OF $18,074. THE ORGANIZATION'S BOARD OF DIRECTORS WAS UNAWARE OF THE CHARGES AND ONLY DISCOVERED THESE EXCESS BENEFITS AS PART OF ITS COMPREHENSIVE REVIEW OF PAST CONDUCT BY MANAGERS AND BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCH L, PART 1, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>2. LEGACY GIVING LLC THE ORGANIZATION HIRED LEGACY GIVING LLC ("LEGACY") TO PROVIDE CERTAIN FUNDRAISING CONSULTING SERVICES TO THE ORGANIZATION. ON DECEMBER 16, 2009, THE ORGANIZATION ENTERED INTO AN AGREEMENT WITH LEGACY WHEREBY LEGACY WOULD RECEIVE $60.00 PER HOUR PLUS 15% OF ALL FUNDS RAISED AS A RESULT OF LEGACY'S EFFORTS. LEGACY IS OWNED BY DONALD F. PERRY'S SONS, MATTHEW PERRY AND TYLER PERRY. DONALD F. PERRY SERVED AS A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS AT THE TIME THE AGREEMENT WAS EXECUTED. UPON INFORMATION AND BELIEF, THE ORGANIZATION'S BOARD OF DIRECTORS WAS UNAWARE OF THE AGREEMENT. THE ORGANIZATION HAS BEEN UNABLE TO DETERMINE WHAT SERVICES WERE ACTUALLY PROVIDED IN EXCHANGE FOR THE AMOUNTS PAID TO LEGACY PURSUANT TO THE AGREEMENT. THE ORGANIZATION PAID THE FOLLOWING AMOUNTS TO LEGACY: $33,210.87 IN 2010; $5,809.93 IN 2011; AND $2,640.00 IN 2013. ALL SUCH AMOUNTS ARE BELIEVED TO CONSTITUTE EXCESS BENEFITS TO LEGACY. THE ORGANIZATION ONLY DISCOVERED THESE EXCESS BENEFITS AS PART OF ITS COMPREHENSIVE REVIEW OF PAST CONDUCT BY MANAGERS AND BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCH L, PART 1, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPLIANCE ENVIRONMENTAL SERVICES THE ORGANIZATION HIRED COMPLIANCE ENVIRONMENTAL SERVICES ("CES") TO PROVIDE AIR QUALITY TESTING AND OTHER SERVICES TO THE ORGANIZATION. IN 2015, THE ORGANIZATION STOPPED PAYING CES ON A PER-SERVICES BASIS, AND BEGIN PAYING CES A $5,000 PER MONTH RETAINER. DONALD F. PERRY AND HIS SONS COLLECTIVELY OWN 100% OF CES. DONALD F. PERRY SERVED AS A MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS AT THE TIME THE CES RETAINER BEGAN. THE RETAINER STRUCTURE WAS NOT APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS. THE MONTHLY RETAINERS WERE PAID FROM MARCH 2015 TO APRIL 2020. IN TOTAL, THE ORGANIZATION PAID $310,000.00 IN MONTHLY PAYMENTS OF $5,000.00 EACH TO CES OVER THE FIVE-YEAR PERIOD. BASED ON THE SERVICES ACTUALLY RENDERED TO THE ORGANIZATION DURING THIS TIME, THE CHARITY BELIEVES THAT CES RECEIVED AN EXCESS BENEFIT OF $ $101,343.34. THE ORGANIZATION ONLY DISCOVERED THESE EXCESS BENEFITS AS PART OF ITS COMPREHENSIVE REVIEW OF PAST CONDUCT BY MANAGERS AND BOARD MEMBERS."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCH L, PART 1, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>4. TOPCOAT PLUS, LLC THE ORGANIZATION HIRED TOPCOAT PLUS, LLC ("TOPCOAT") TO PERFORM CONSTRUCTION AND MAINTENANCE SERVICES FOR THE ORGANIZATION IN 2015 AND EARLY 2016. WHILE THE ORGANIZATION PAID $150,210 TO TOPCOAT, NO SERVICES WERE ULTIMATELY RENDERED BY TOPCOAT TO THE ORGANIZATION. UPON INFORMATION AND BELIEF, DREW PIERCE, THE ORGANIZATION'S THEN-CURRENT CHIEF EXECUTIVE OFFICER, AND MARK MARRIOTT, THE ORGANIZATION'S THEN-DIRECTOR OF FACILITIES, HIRED THIRD-PARTY CONTRACTORS TO PERFORM CONSTRUCTION AND MAINTENANCE SERVICES FOR THE ORGANIZATION AND, THEREAFTER, INTERCEPTED THE ASSOCIATED INVOICES FROM THE THIRD-PARTY CONTRACTORS. THEY THEN DRAFTED NEW INVOICES FROM TOPCOAT REFLECTING THAT THE WORK HAD BEEN PERFORMED BY TOPCOAT AND INCREASING EACH INVOICE PRICE BY APPROXIMATELY TWENTY PERCENT (20%). THE ORGANIZATION THEN PAID THE UP-CHARGED INVOICE AMOUNTS TO TOPCOAT, WHO PAID THE THIRD-PARTY CONTRACTORS AND RETAINED THE UPCHARGE AMOUNTS. TOPCOAT IS AND WAS, AT THE TIME, OWNED 50% BY MARK MARRIOTT AND 50% BY THREESDJ, LLC, WHICH IS AND WAS, AT THE TIME, EQUALLY OWNED BY STEVE MIRIZIO, DREW PIERCE AND JOHN D. LAENG. AT THE TIME OF THE TRANSACTIONS BETWEEN THE ORGANIZATION AND TOPCOAT, MARK MARRIOTT WAS THE DIRECTOR OF FACILITIES OF THE ORGANIZATION, DREW PIERCE WAS CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION AND JOHN D. LAENG WAS THE PRIOR CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION (THROUGH DECEMBER 1, 2014), OFFERING CONSULTING SERVICES THROUGH DECEMBER 31, 2016. GIVEN THE AFOREMENTIONED OWNERSHIP INTERESTS AND EACH INDIVIDUAL'S SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION, TOPCOAT IS A DISQUALIFIED PERSON OF THE ORGANIZATION THAT HAS RECEIVED AN EXCESS BENEFIT. THE AMOUNT OF SUCH EXCESS BENEFIT IS UNKNOWN DUE TO THE ORGANIZATION'S INABILITY TO REVIEW PAPERWORK THAT IT BELIEVES WAS SHREDDED BY THE INVOLVED PARTIES. BASED ON THE DOCUMENTATION AVAILABLE TO THE ORGANIZATION, THE ORGANIZATION ESTIMATES THAT TWENTY PERCENT (20%) OF THE TOTAL AMOUNTS PAID TO TOPCOAT (OR APPROXIMATELY $30,000.00) REPRESENTS AN EXCESS BENEFIT TO TOPCOAT. THE ORGANIZATION'S BOARD OF DIRECTORS WAS UNAWARE OF THE TRANSACTIONS BETWEEN THE ORGANIZATION AND TOPCOAT AND ONLY DISCOVERED THESE EXCESS BENEFITS AS PART OF ITS COMPREHENSIVE REVIEW OF PAST CONDUCT BY MANAGERS AND BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCH L, PART 1, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>5. ANNE MARIE PIERCE THE ORGANIZATION RENTS 379 PENN AVE (THE "SPACE") FROM AN UNRELATED THIRD PARTY. FROM AUGUST 2018 TO JANUARY 2020, ANNE MARIE PIERCE USED THE SPACE, WHICH INCLUDED A GYMNASIUM, TO PROVIDE PRIVATE BATON LESSONS TO HER STUDENTS. THE SPACE WAS RENOVATED AT A COST OF APPROXIMATELY $300,000 TO THE ORGANIZATION. OF THESE RENOVATION COSTS, WE BELIEVE THAT MOST, IF NOT ALL, IS ATTRIBUTABLE TO RENOVATIONS TO THE GYMNASIUM USED BY ANNE MARIE PIERCE TO PROVIDE PRIVATE BATON LESSONS TO HER STUDENTS. NO PORTION OF THIS RENOVATION EXPENSE WAS INCURRED FOR THE BENEFIT OF THE ORGANIZATION, WHICH DOES NOT EVEN OWN THE SPACE. INSTEAD, THESE EXPENSES WERE INCURRED FOR THE BENEFIT OF ANNE MARIE PIERCE. ANNE MARIE PIERCE IS THE WIFE OF DREW PIERCE, WHO WAS, AT THE TIME, THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. ANNE MARIE PIERCE IS A DISQUALIFIED PERSON WHO RECEIVED AN EXCESS BENEFIT IN THE AMOUNT OF $300,000. THE ORGANIZATION'S BOARD OF DIRECTORS WAS UNAWARE OF THE RENOVATIONS COSTS PAID BY THE ORGANIZATION FOR THE BENEFIT OF ANNE MARIE PIERCE'S BUSINESS ACTIVITIES. THE ORGANIZATION ONLY DISCOVERED THESE EXCESS BENEFITS AS PART OF ITS COMPREHENSIVE REVIEW OF PAST CONDUCT BY MANAGERS AND BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRIMARY HEALTH NETWORK HAS A CPA FIRM PREPARE ITS FORM 990. THE FORM 990 IS REVIEWED BY MANAGEMENT AND THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. THE FORM IS ALSO MADE AVAILABLE TO THE BOARD OF DIRECTORS AT ANY TIME UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICTS OF INTEREST STATEMENTS ARE REVIEWED ANNUALLY OR MORE FREQUENTLY, IF NECESSARY, BY THE CORPORATE COMPLIANCE OFFICER, THE CEO, AND THE AUDIT &amp; RISK COMMITTEE OF THE BOARD. APPROPRIATE CHANGES ARE MADE, IF NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMPENSATION IS DETERMINED BASED ON SURVEYS AND PUBLICATIONS FROM PRIMARY HEALTH NETWORK'S STATE AND NATIONAL ASSOCIATION, AND INDEPENDENT ASSOCIATIONS WITHIN THE HEALTH CARE INDUSTRY. COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIMARY HEALTH NETWORK MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THIS TIME PRIMARY HEALTH NETWORK DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FV OF SWAP 77,240. NET ASSET TRANSFER TO AFFILIATE 76,941.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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</Return>
