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      <BenefitsToMembersGrp>
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      </BenefitsToMembersGrp>
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      <CompDisqualPersonsGrp>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>6838779</TotalAmt>
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        <ManagementAndGeneralAmt>17846</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>155942</ProgramServicesAmt>
        <ManagementAndGeneralAmt>408</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1346965</TotalAmt>
        <ProgramServicesAmt>1343450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3515</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>609138</TotalAmt>
        <ProgramServicesAmt>607548</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1590</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>3727797</TotalAmt>
        <ProgramServicesAmt>75172</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3652625</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>144326</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97775</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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      <RoyaltiesGrp>
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      <TravelGrp>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>657</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2264</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>20574778</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4041824</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>2103747</BOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>4503468</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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      <ReconcilationRevenueExpnssAmt>184904</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>true</FSAuditedInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
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        <CurrentTaxYearMinus1YearAmt>23651086</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>24785034</CurrentTaxYearAmt>
        <TotalAmt>91769315</TotalAmt>
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      <GrossReceiptsNonUnrltBusGrp>
        <TotalAmt>0</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <TaxRevLeviedOrgnztnlBnft509Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft509Grp>
      <GovtFurnSrvcFcltsVl509Grp>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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        <CurrentTaxYearAmt>22</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>16450</CurrentTaxYearAmt>
        <TotalAmt>16566</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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      <First5Years509Ind>X</First5Years509Ind>
      <PublicSupportCY509Pct>0.00000</PublicSupportCY509Pct>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
      <EquipmentGrp />
      <OtherLandBuildingsGrp />
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>RELATED PARTY PAYABLES</Desc>
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      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3697383</TotalLiabilityAmt>
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      <RevenueNotReportedFinclStmtAmt>2446820</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>24801506</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>22370708</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>200926</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>200926</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>22169782</ExpensesSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>2446820</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>24616602</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCH D, XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>Adjustment due to implementation of Topic 606 Revenue Recognition standard: $2,446,820</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCH D, XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>Adjustment due to implementation of Topic 606 Revenue Recognition standard: $2,446,820</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Eric Beck DO</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>433334</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>600000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>410599</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1443933</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Peter Pronovost MD</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>810271</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>477410</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>238705</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1526386</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William E Finn</PersonNm>
        <TitleTxt>President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>379241</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>109000</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>9739</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>25138</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>523118</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Judy Bartel</PersonNm>
        <TitleTxt>Board Member/CCO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>209970</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>17644</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>3744</DeferredCompRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY KOVACS</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>172904</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>15433</BonusRelatedOrganizationsAmt>
        <DeferredCompRltdOrgsAmt>3470</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>8705</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>200512</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SEAN CANNONE</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>347673</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>57015</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>404688</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELISSA COLE</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>281782</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>137872</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>419654</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION B, #11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS INITIALLY THE FORM 990 IS PREPARED BY THE OUTSIDE ACCOUNTING FIRM WHO SENDS IT TO MANAGEMENT FOR THEIR REVIEW AND APPROVAL. MANAGEMENT THEN FORWARDS THE FORM 990 TO THE BOARD OF MANAGERS FOR THEIR REVIEW AND APPROVAL BEFORE IT IS FINALIZED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION B, #12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY ALL BOARD OR MANAGERS AND EMPLOYEES ARE REQUIRED TO SUBMIT A DISCLOSURE STATEMENT AT THE BEGINNING OF EMPLOYMENT AND ANNUALLY THEREAFTER. IF A MATTER ARISES WHICH A BOARD OF MANAGER OR EMPLOYEE HAS A CONFLICT OF INTEREST, IT SHALL BE PROMPTLY DISCLOSED TO THE PRESIDENT AS APPROPRIATE. STAFF MAY INITIATE DISCLOSURE THROUGH THEIR SUPERVISOR. HOWEVER, THE BOARD OF MANAGERS OR EMPLOYEE SHALL NOT PARTICIPATE IN THE DISCUSSION OR VOTE TO DETERMINE WHETHER A CONFLICT EXISTS UNLESS REQUESTED TO DO SO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION C, #19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS AVAILABLE TO PUBLIC HOSPICE OF THE WESTERN RESERVE AT UNIVERSITY HOSPITALS DOES MAKE ITS FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC BY PROVIDING COPIES UPON REQUEST and INSPECTION AT THE HEADQUARTERS OFFICE. HOSPICE OF THE WESTERN RESERVE AT UNIVERSITY HOSPITALS DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC AT THIS TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPICE OF THE WESTERN RESERVE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>17876 ST CLAIR AVENUE</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44110</ZIPCd>
        </USAddress>
        <EIN>341256377</EIN>
        <PrimaryActivitiesTxt>HOSPICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WRCS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPICE OF MEDINA COUNTY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>17876 ST CLAIR AVENUE</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44110</ZIPCd>
        </USAddress>
        <EIN>341363926</EIN>
        <PrimaryActivitiesTxt>HOSPICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WRCS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WESTERN RESERVE CARE SOLUTIONS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>17876 ST CLAIR AVENUE</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44110</ZIPCd>
        </USAddress>
        <EIN>832255711</EIN>
        <PrimaryActivitiesTxt>Holding co</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12b</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UH HOME CARE SERVICESINC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4510 RICHMOND ROAD</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44128</ZIPCd>
        </USAddress>
        <EIN>341527536</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UHHS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Hospice of the Western Reserve Foundatio</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>17876 St Clair Avenue</AddressLine1Txt>
          <CityNm>Cleveland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44110</ZIPCd>
        </USAddress>
        <EIN>863150092</EIN>
        <PrimaryActivitiesTxt>Finl Support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>509(a)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HWR</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>STEIN HOSPICE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>17876 ST CLAIR AVENUE</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44110</ZIPCd>
        </USAddress>
        <EIN>341411008</EIN>
        <PrimaryActivitiesTxt>HOSPICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WRCS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
