<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2023-11-14T17:02:39-05:00</ReturnTs>
    <TaxPeriodEndDt>2022-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>520783935</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>SMITH ELLIOTT KEARNS &amp; COMPANY LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>19405 EMERALD SQUARE STE 1400</AddressLine1Txt>
        <CityNm>HAGERSTOWN</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21742</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>520610464</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>FAHRNEY-KEEDY MEMORIAL HOME INC</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>AKA FAHRNEY-KEEDY HOME AND VILLAGE</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>FAHR</BusinessNameControlTxt>
      <PhoneNum>3017336284</PhoneNum>
      <USAddress>
        <AddressLine1Txt>8507 MAPLEVILLE ROAD</AddressLine1Txt>
        <CityNm>BOONSBORO</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21713</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>STEPHEN COETZEE</PersonNm>
      <PersonTitleTxt>PRESIDENT/CEO</PersonTitleTxt>
      <PhoneNum>3017336284</PhoneNum>
      <SignatureDt>2023-11-14</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>STEPHEN</PersonFirstNm>
        <PersonLastNm>COETZEE</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>ERIN CLARK CPA</PreparerPersonNm>
      <PTIN>P01388029</PTIN>
      <PhoneNum>3017335020</PhoneNum>
      <PreparationDt>2023-11-14</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc7">
      <PrincipalOfficerNm>STEPHEN COETZEE</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>8507 MAPLEVILLE ROAD</AddressLine1Txt>
        <CityNm>BOONSBORO</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21713</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>21970814</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.FKHV.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1905</FormationYr>
      <LegalDomicileStateCd>MD</LegalDomicileStateCd>
      <ActivityOrMissionDesc>WE ARE COMMITTED TO ENHANCING THE LIVES OF SENIORS THROUGH CARING QUALITY SERVICES. WE ARE A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) WITH INDEPENDENT LIVING SERVICES, ASSISTED LIVING SERVICES, AND NURSING SERVICES. THE ORGANIZATION HAS 36 INDEPENDENT LIVING COTTAGES, 26 INDEPENDENT LIVING APARTMENTS, 32 ASSISTED LIVING BEDS, AND A 101 BED SKILLED NURSING FACILITY LOCATED IN BOONSBORO, MARYLAND. IN OCTOBER 2022, THE ORGANIZATION ACQUIRED COFFMAN NURSING HOME, INC. LOCATED IN HAGERSTOWN MARYLAND. COFFMAN IS A 59 BED FACILITY AND PROVIDES SKILLED NURSING CARE AND REHABILITATION SERVICES FOR RESIDENTS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>20</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>20</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>356</TotalEmployeeCnt>
      <TotalVolunteersCnt>22</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>5243512</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>4549975</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>16853121</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>17398554</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>-5117</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>-8160</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>19420</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>12061</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>22110936</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>21952430</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>2350</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>6550</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>14184934</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>14605546</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>125996</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>6601889</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>6616498</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>20789173</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>21228594</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1321763</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>723836</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>38902151</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>41276541</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>22387613</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>25953786</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>16514538</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>15322755</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>WE ARE COMMITTED TO ENHANCING THE LIVES OF SENIORS THROUGH CARING QUALITY SERVICES. WE ARE A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) WITH INDEPENDENT LIVING SERVICES, ASSISTED LIVING SERVICES, AND NURSING SERVICES. THE ORGANIZATION HAS 36 INDEPENDENT LIVING COTTAGES, 26 INDEPENDENT LIVING APARTMENTS, 32 ASSISTED LIVING BEDS, AND A 101 BED SKILLED NURSING FACILITY LOCATED IN BOONSBORO, MARYLAND. IN OCTOBER 2022, THE ORGANIZATION ACQUIRED COFFMAN NURSING HOME, INC. LOCATED IN HAGERSTOWN MARYLAND. COFFMAN IS A 59 BED FACILITY AND PROVIDES SKILLED NURSING CARE AND REHABILITATION SERVICES FOR RESIDENTS.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>8676035</ExpenseAmt>
      <RevenueAmt>11027943</RevenueAmt>
      <Desc>NURSING SERVICES TO PRIVATE PAY, MEDICARE, AND MEDICAID RESIDENTS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>2652580</ExpenseAmt>
        <RevenueAmt>4786514</RevenueAmt>
        <Desc>ASSISTED LIVING SERVICES.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>911005</ExpenseAmt>
        <RevenueAmt>1152789</RevenueAmt>
        <Desc>INDEPENDENT LIVING SERVICES.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>6158649</ExpenseAmt>
        <GrantAmt>6550</GrantAmt>
        <RevenueAmt>431308</RevenueAmt>
        <Desc>ALL OTHER SERVICES INCLUDE EXECUTIVE MANAGEMENT SERVICES, BUSINESS SUPPORT SERVICES, OTHER PATIENT CARE EXPENSES, DIETARY SERVICES, ADULT DAY CARE, AND PROPERTY SERVICES. EXPENSES BY PROGRAM ARE AS FOLLOWS: ROUTINE SERVICES - 3,653,166 CAPITAL AND PROPERTY SERVICES - 1,288,766 OTHER PATIENT CARE - 700,463 (INCLUDES GRANTS) ADULT DAY CARE - 387,658 STAFF DEVELOPMENT - 128,596 GRANTS TO ORGANIZATIONS - 6,550</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>6158649</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcGrantAmt>6550</TotalOtherProgSrvcGrantAmt>
      <TotalOtherProgSrvcRevenueAmt>431308</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>18398269</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc8">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc4">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc4">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc4">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc5">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc6">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc6">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>36</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>356</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>20</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>20</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>STEPHEN COETZEE</PersonNm>
        <PhoneNum>3017336284</PhoneNum>
        <USAddress>
          <AddressLine1Txt>8507 MAPLEVILLE ROAD</AddressLine1Txt>
          <CityNm>BOONSBORO</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21713</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN COETZEE</PersonNm>
        <TitleTxt>PRESIDENT/CE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>197055</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14664</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIA MCGLAUGHLIN</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>138128</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6517</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER STOCKSLAGER</PersonNm>
        <TitleTxt>CFO/TREASURE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>113312</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12705</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA A FOSTER</PersonNm>
        <TitleTxt>DIRECTOR OF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>101266</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6268</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN ANTHONY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY BOWMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WAYNE BRILL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY EICHELBERGER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LERRY FOGLE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR AARON GEORGE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUE GRAFF</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHY HARPLE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE HART</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TYLER HORNBECKER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID LYLES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM MITCHELL</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA MOSSER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN NOYES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEB PARK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANN PLATOU</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD RUTHERFORD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KERRI SEMLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOROTHY STRAWSBURG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STARLA WARD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>549761</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>40154</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>S GATES CONSTRUCTION LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>442 CAMELOT BLVD</AddressLine1Txt>
            <CityNm>FALLING WATERS</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>25419</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>103331</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <InfoInScheduleOPartVIIIInd>X</InfoInScheduleOPartVIIIInd>
      <FundraisingAmt>22623</FundraisingAmt>
      <GovernmentGrantsAmt>426178</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>4101174</AllOtherContributionsAmt>
      <NoncashContributionsAmt>3674196</NoncashContributionsAmt>
      <TotalContributionsAmt>4549975</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>15814457</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15814457</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>AMORTIZATION OF ENTRANCE FEES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>665030</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>665030</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INDEPENDENT LIVING</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>487759</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>487759</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT SERVICES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>431308</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>431308</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>17398554</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>615</TotalRevenueColumnAmt>
        <ExclusionAmt>615</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>8775</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-8775</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-8775</TotalRevenueColumnAmt>
        <ExclusionAmt>-8775</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>21670</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>22623</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>9609</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>12061</TotalRevenueColumnAmt>
        <ExclusionAmt>12061</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>21952430</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17398554</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>3901</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>6550</TotalAmt>
        <ProgramServicesAmt>6550</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>338266</TotalAmt>
        <ProgramServicesAmt>6945</ProgramServicesAmt>
        <ManagementAndGeneralAmt>314408</ManagementAndGeneralAmt>
        <FundraisingAmt>16913</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>11227626</TotalAmt>
        <ProgramServicesAmt>10422258</ProgramServicesAmt>
        <ManagementAndGeneralAmt>740135</ManagementAndGeneralAmt>
        <FundraisingAmt>65233</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>99670</TotalAmt>
        <ProgramServicesAmt>92218</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5173</ManagementAndGeneralAmt>
        <FundraisingAmt>2279</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2077565</TotalAmt>
        <ProgramServicesAmt>1676193</ProgramServicesAmt>
        <ManagementAndGeneralAmt>373197</ManagementAndGeneralAmt>
        <FundraisingAmt>28175</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>862419</TotalAmt>
        <ProgramServicesAmt>771840</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83482</ManagementAndGeneralAmt>
        <FundraisingAmt>7097</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>22914</TotalAmt>
        <ManagementAndGeneralAmt>22914</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>75250</TotalAmt>
        <ManagementAndGeneralAmt>75250</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1088282</TotalAmt>
        <ProgramServicesAmt>835966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>252316</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>84227</TotalAmt>
        <ProgramServicesAmt>73</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83072</ManagementAndGeneralAmt>
        <FundraisingAmt>1082</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>442481</TotalAmt>
        <ProgramServicesAmt>366444</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73196</ManagementAndGeneralAmt>
        <FundraisingAmt>2841</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>194829</TotalAmt>
        <ManagementAndGeneralAmt>194829</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1018425</TotalAmt>
        <ProgramServicesAmt>1018425</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>23535</TotalAmt>
        <ProgramServicesAmt>22652</ProgramServicesAmt>
        <ManagementAndGeneralAmt>883</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>25839</TotalAmt>
        <ProgramServicesAmt>6941</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18898</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>481121</TotalAmt>
        <ProgramServicesAmt>481121</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1463300</TotalAmt>
        <ProgramServicesAmt>1463300</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>273720</TotalAmt>
        <ManagementAndGeneralAmt>273720</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD COSTS</Desc>
        <TotalAmt>482782</TotalAmt>
        <ProgramServicesAmt>482782</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY &amp; DRUG COSTS</Desc>
        <TotalAmt>306209</TotalAmt>
        <ProgramServicesAmt>306209</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL/PATIENT SUPPLIES</Desc>
        <TotalAmt>249532</TotalAmt>
        <ProgramServicesAmt>249532</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>108899</TotalAmt>
        <ProgramServicesAmt>108663</ProgramServicesAmt>
        <ManagementAndGeneralAmt>236</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>275153</TotalAmt>
        <ProgramServicesAmt>80157</ProgramServicesAmt>
        <ManagementAndGeneralAmt>192620</ManagementAndGeneralAmt>
        <FundraisingAmt>2376</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>21228594</TotalAmt>
        <ProgramServicesAmt>18398269</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2704329</ManagementAndGeneralAmt>
        <FundraisingAmt>125996</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>13912</BOYAmt>
        <EOYAmt>278006</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>821309</BOYAmt>
        <EOYAmt>992833</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>49608</BOYAmt>
        <EOYAmt>1215956</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3537593</BOYAmt>
        <EOYAmt>2174568</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>7933</BOYAmt>
        <EOYAmt>11322</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>94220</BOYAmt>
        <EOYAmt>101557</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>51035117</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>23321133</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>24425492</BOYAmt>
        <EOYAmt>27713984</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>9952084</BOYAmt>
        <EOYAmt>8788315</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>38902151</BOYAmt>
        <EOYAmt>41276541</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1388716</BOYAmt>
        <EOYAmt>2437169</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>4405489</BOYAmt>
        <EOYAmt>4663486</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>16455835</BOYAmt>
        <EOYAmt>17702210</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>137573</BOYAmt>
        <EOYAmt>1150921</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>22387613</BOYAmt>
        <EOYAmt>25953786</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8714930</BOYAmt>
        <EOYAmt>9448627</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>7799608</BOYAmt>
        <EOYAmt>5874128</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>16514538</BOYAmt>
        <EOYAmt>15322755</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>38902151</BOYAmt>
        <EOYAmt>41276541</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>723836</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-1915619</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>359895</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>333788</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3386060</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5243512</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>875779</CurrentTaxYearAmt>
        <TotalAmt>10199034</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>14086562</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14469425</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15743018</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16853121</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17398554</CurrentTaxYearAmt>
        <TotalAmt>78550680</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus4YearsAmt>9198</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18826</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13991</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>33346</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21670</CurrentTaxYearAmt>
        <TotalAmt>97031</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>14455655</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14822039</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19143069</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>22129979</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18296003</CurrentTaxYearAmt>
        <TotalAmt>88846745</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>88846745</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>19159</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>32811</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16136</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1909</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>615</CurrentTaxYearAmt>
        <TotalAmt>70630</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>19159</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>32811</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16136</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1909</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>615</CurrentTaxYearAmt>
        <TotalAmt>70630</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>14474814</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14854850</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19159205</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>22131888</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18296618</CurrentTaxYearAmt>
        <TotalAmt>88917375</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99920</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99900</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SUPPORTING SCHEDULE</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER OF PP&amp;E &amp; NET ASSETS 3,674,196</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>476899</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-61465</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>415434</OtherExpendituresAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>419608</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>57291</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>476899</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>376680</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>49769</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>6841</OtherExpendituresAmt>
        <EndYearBalanceAmt>419608</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>346163</BeginningYearBalanceAmt>
        <ContributionsAmt>12579</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>79675</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>61737</OtherExpendituresAmt>
        <EndYearBalanceAmt>376680</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>366770</BeginningYearBalanceAmt>
        <ContributionsAmt>30958</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-24945</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>26620</OtherExpendituresAmt>
        <EndYearBalanceAmt>346163</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>384016</OtherCostOrOtherBasisAmt>
        <BookValueAmt>384016</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>42319231</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>18765721</DepreciationAmt>
        <BookValueAmt>23553510</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3002681</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2591152</DepreciationAmt>
        <BookValueAmt>411529</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>5329189</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1964260</DepreciationAmt>
        <BookValueAmt>3364929</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>27713984</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN TRUSTS</Desc>
        <BookValueAmt>5712784</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING RESERVE</Desc>
        <BookValueAmt>2493532</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>BENEVOLENT FUND</Desc>
        <BookValueAmt>581999</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>8788315</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LINE OF CREDIT</Desc>
        <Amt>1097000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE OBLIGATIONS</Desc>
        <Amt>39214</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CHECKS IN EXCESS OF DEPOSITS</Desc>
        <Amt>14707</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1150921</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>20054708</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-1915619</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>8288</OtherRevenueAmt>
      <RevenueNotReportedAmt>-1907331</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>21962039</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-9609</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-9609</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>21952430</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>21246491</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>17897</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>17897</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>21228594</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>21228594</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOME HAS A BOARD DESIGNATED ENDOWMENT FUND. THE INCOME EARNED ON THE ENDOWMENT FUND, INCLUDING APPRECIATION, IS EXPENDABLE, FOR THE MAINTENANCE AND REPAIR OF THE HOME'S FACILITIES. ACCOUNTING STANDARDS CODIFICATION (ASC)958 PROVIDES GUIDANCE ON THE NET ASSET CLASSIFICATION OF ENDOWMENT FUNDS FOR A NOT-FOR-PROFIT ORGANIZATION THAT IS SUBJECT TO AN ENACTED VERSION OF THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT OF 2006 (UPMIFA.) ASC 958 ALSO REQUIRES DISCLOSURES ABOUT AN ORGANIZATION'S BOARD DESIGNATED ENDOWMENT FUNDS, AND THAT THE ORGANIZATION IS SUBJECT TO UPMIFA UNDER STATE LAW. ENDOWMENT INVESTMENT AND SPENDING POLICY: THE HOME'S INVESTMENT POLICY IS TO PROVIDE A COMMON INVESTMENT VEHICLE, WHICH WILL GENERATE A STABLE AND CONTINUOUSLY GROWING INCOME STREAM TO SUPPORT OPERATIONS. THE OVERALL INVESTMENT GOAL IS TO PRESERVE THE PURCHASING POWER OF THE FUTURE STREAM OF ENDOWMENT PAYOUT FOR THOSE FUNDS. OTHER GOALS INCLUDE MAXIMIZING RETURN WITHIN REASONABLE AND PRUDENT LEVELS OF RISK AND MAXIMIZING THE VALUE OF THE ENDOWMENT WHILE MAINTAINING LIQUIDITY NEEDED TO SUPPORT SPENDING IN PROLONGED DOWN MARKETS. THE HOME SEEKS A RETURN ON INVESTMENT CONSISTENT WITH LEVELS OF INVESTMENT RISK THAT ARE PRUDENT AND REASONABLE GIVEN MEDIUM-TO-LONG-TERM CAPITAL MARKET CONDITIONS AND THE INVESTMENT OBJECTIVES. THE HOME HAS BEEN ENABLED BY THE BOARD OF DIRECTORS TO SPEND THE INTEREST AND DIVIDENDS DERIVED FROM THE ENDOWMENT FUND ON ITS REPAIRS AND MAINTENANCE COSTS. IN AN EFFORT TO PRESERVE UNRESTRICTED CASH AND CONTINUE TO INCREASE THE HOME'S CCRC RESERVE TO MEET 2023 STATE-MANDATED REQUIREMENTS, THE BOARD DESIGNATED THE LEONARD MATHIAS ENDOWMENT INVESTMENT WITH A BALANCE OF 415,434 AT DECEMBER 31, 2022 TO BE USED TOWARD THE CCRC RESERVE REQUIREMENTS. AS A RESULT, 415,434 OF THE TOTAL INVESTMENT BALANCE WAS RECLASSIFIED TO OPERATING RESERVE ON THE STATEMENT OF FINANCIAL POSITION FOR THE YEAR ENDED DECEMBER 31, 2022. THIS RECLASSIFICATION IS SHOWN AS "OTHER EXPENDITURES" ON SCHEDULE D PART V TO REFLECT A ZERO BALANCE OF THE ENDOWMENT FUND AT DECEMBER 31, 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOME FOLLOWS THE FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS. THE HOME'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ON UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IN THE FINANCIAL STATEMENTS. THE HOME'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE AND LOCAL TAXING AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THE RETURNS ARE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBTS EXPENSE INCLUDED IN REVENUE ON FIN 8,288</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES -9,609</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES 9,609 PROVISION FOR BAD DEBTS EXPENSE INCLUDED IN REVENUE ON FIN 8,288</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc4">
      <FundraisingEventInformationGrp>
        <Event1Nm>GOLF TOURNAMENT</Event1Nm>
        <GrossReceiptsEvent1Amt>25190</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>21590</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>3600</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>126</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>3014</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>560</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>988</OtherDirectExpensesEvent1Amt>
        <Event2Nm>FALL FRENZY</Event2Nm>
        <GrossReceiptsEvent2Amt>16458</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>1033</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>15425</GrossRevenueEvent2Amt>
        <FoodAndBeverageEvent2Amt>2328</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>400</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>898</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>41648</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>22623</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>19025</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>126</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>3014</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>2888</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>400</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>1886</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>8314</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>10711</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc5">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHEN COETZEE</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>197055</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5862</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8802</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>211719</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc6">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>FIXED ASSETS</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>3674196</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PAGE 2, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I COLUMN B INDICATES THE NUMBER OF CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>WE ARE COMMITTED TO ENHANCING THE LIVES OF SENIORS THROUGH CARING QUALITY SERVICES. WE ARE A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) WITH INDEPENDENT LIVING SERVICES, ASSISTED LIVING SERVICES, AND NURSING SERVICES. THE ORGANIZATION HAS 36 INDEPENDENT LIVING COTTAGES, 26 INDEPENDENT LIVING APARTMENTS, 32 ASSISTED LIVING BEDS, AND A 101 BED SKILLED NURSING FACILITY LOCATED IN BOONSBORO, MARYLAND. IN OCTOBER 2022, THE ORGANIZATION ACQUIRED COFFMAN NURSING HOME, INC. LOCATED IN HAGERSTOWN MARYLAND. COFFMAN IS A 59 BED FACILITY AND PROVIDES SKILLED NURSING CARE AND REHABILITATION SERVICES FOR RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OTHER SERVICES INCLUDE EXECUTIVE MANAGEMENT SERVICES, BUSINESS SUPPORT SERVICES, OTHER PATIENT CARE EXPENSES, DIETARY SERVICES, ADULT DAY CARE, AND PROPERTY SERVICES. EXPENSES BY PROGRAM ARE AS FOLLOWS: ROUTINE SERVICES - 3,653,166 CAPITAL AND PROPERTY SERVICES - 1,288,766 OTHER PATIENT CARE - 700,463 (INCLUDES GRANTS) ADULT DAY CARE - 387,658 STAFF DEVELOPMENT - 128,596 GRANTS TO ORGANIZATIONS - 6,550</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD MEETS SEMI-MONTHLY AND THE 990 INFORMATION IS PROVIDED AT THEIR NEXT MEETING AFTER THE 990 IS RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL ASSOCIATES ARE REQUIRED TO DISCLOSE TO THEIR SUPERVISOR/DEPARTMENT MANAGER/VICE PRESIDENT OF OPERATIONS ANY SITUATION WHICH MIGHT POSSIBLY CONSTITUTE A CONFLICT OF INTEREST. ANY SITUATION WHICH WOULD CREATE AN ACTUAL CONFLICT OF INTEREST OR THE APPEARANCE OF CONFLICT MUST BE AVOIDED. IF ANY SITUATION POSES DOUBT CONSULT WITH SUPERVISOR/DEPARTMENT MANAGER/VICE PRESIDENT OF OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS AND SUBMITTED IN A LETTER BY THE CHAIRMAN OF THE BOARD OF DIRECTORS TO THE ACCOUNTING DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION IN THE ACCOUNTING OFFICE AND THE CEO'S OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VIII</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 1(G) NON-CASH CONTRIBUTIONS EFFECTIVE NOVEMBER 1, 2022, FAHRNEY-KEEDY RECEIVED A CONTRIBUTION OF ASSETS AND ASSUMED CERTAIN LIABILITIES FROM COFFMAN NURSING HOME, INC. THERE WAS NO MONETARY CONSIDERATION PROVIDED IN THIS TRANSACTION. ASSETS TRANSFERRED TO FAHRNEY-KEEDY INCLUDED CASH AND CASH EQUIVALENTS, INVESTMENTS, ACCOUNTS RECEIVABLE, REAL AND TANGIBLE PERSONAL PROPERTY, INVENTORY, CONTRACTS, LICENSES, AND PREPAID EXPENSES. ASSUMED LIABILITIES INCLUDED TRADE ACCOUNTS PAYABLE, A NOTE PAYABLE, AND CERTAIN EMPLOYEE PAYABLES. THE ORGANIZATION HAS RECORDED A CONTRIBUTION OF 3,674,196 FROM COFFMAN NURSING HOME INC. FOR THE YEAR ENDED DECEMBER 31, 2022. THIS AMOUNT REPRESENTS THE NET ASSETS OF COFFMAN AS OF THE CONTRIBUTION DATE, AND A CONTRIBUTION OF PROPERTY BASED ON THE APPRAISED VALUE OF THE REAL ESTATE AND PERSONAL PROPERTY TRANSFERRED, LESS THE SETTLEMENT VALUE OF LIABILITIES ASSUMED. THIS CONTRIBUTION IS REPORTED ON FORM 990 PART VIII, LINE 1G AS A NON-CASH CONTRIBUTION, AND IS ALSO REPORTED ON SCHEDULE B. DUE TO THE NATURE OF THE CONTRIBUTION, IT IS CONSIDERED AN "UNUSUAL GRANT- AND IS EXCLUDED FROM THE PUBLIC SUPPORT CALCULATION ON SCHEDULE A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBTS EXPENSE INCLUDED IN REVENUE ON FIN 8,288 DIRECT FUNDRAISING EXPENSES 9,609 DIRECT FUNDRAISING EXPENSES -9,609 PROVISION FOR BAD DEBTS EXPENSE INCLUDED IN REVENUE ON FIN -8,288</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
