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The U.S. Justice Department said Friday that Genesis Health Inc., a major nursing home operator based in Kennett Square, will pay $53.6 million to settle six federal lawsuits and investigations alleging that companies and facilities acquired by Genesis billed the government for “medically unnecessary therapy and hospice services, and grossly substandard nursing care.”

The final settlement is slightly larger than the $52.7 million Genesis estimated last summer, when the company disclosed an agreement in principal to settle the allegations, some of which date back to 2003.

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