<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2020v4.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2021-11-02T15:40:39-05:00</ReturnTs>
    <TaxPeriodEndDt>2020-12-31</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>2020-01-01</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>2021-10-22</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>STEPHEN</PersonFirstNm>
        <PersonLastNm>COETZEE</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>TIMOTHY E PETERS CPA</PreparerPersonNm>
      <PTIN>P00957675</PTIN>
      <PhoneNum>3017335020</PhoneNum>
      <PreparationDt>2021-10-22</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2020</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</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>19166046</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.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>15</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>15</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>342</TotalEmployeeCnt>
      <TotalVolunteersCnt>29</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>333788</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>3386060</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>14469425</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>15743018</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>62340</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>-14321</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>1618</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>8865</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>14867171</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>19123622</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>17225</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>9774672</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>12633748</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>95779</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>5519025</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>6888481</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>15293697</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>19539454</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-426526</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-415832</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>35238886</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>37679498</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>21571687</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>23342799</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>13667199</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>14336699</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.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>8637467</ExpenseAmt>
      <RevenueAmt>10706769</RevenueAmt>
      <Desc>NURSING SERVICES TO PRIVATE PAY, MEDICARE, AND MEDICAID RESIDENTS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>1898550</ExpenseAmt>
        <RevenueAmt>3213501</RevenueAmt>
        <Desc>ASSISTED LIVING SERVICES.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>769137</ExpenseAmt>
        <RevenueAmt>1362639</RevenueAmt>
        <Desc>INDEPENDENT LIVING SERVICES.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>5940975</ExpenseAmt>
        <GrantAmt>17225</GrantAmt>
        <RevenueAmt>460109</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 - 3,146,108 CAPITAL AND PROPERTY SERVICES - 1,281,191 OTHER PATIENT CARE - 1,022,189 ADULT DAY CARE - 336,593 STAFF DEVELOPMENT - 137,669 GRANTS TO ORGANIZATIONS - 17,225</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>5940975</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcGrantAmt>17225</TotalOtherProgSrvcGrantAmt>
      <TotalOtherProgSrvcRevenueAmt>460109</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>17246129</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 referenceDocumentId="RetDoc5">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc5">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc6">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>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>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>30</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>342</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>15</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>15</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>
        <BusinessName>
          <BusinessNameLine1Txt>CHRISTOPHER R STOCKSLAGER</BusinessNameLine1Txt>
        </BusinessName>
        <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>188016</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21144</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIA MCGLAUGHLIN</PersonNm>
        <TitleTxt>ED OF CLINIC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>114056</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6576</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA GERAGHTY</PersonNm>
        <TitleTxt>DIRECTOR OF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>104568</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8177</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NASCHENA HENRIQUES</PersonNm>
        <TitleTxt>NURSE - LPN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>106787</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER STOCKSLAGER</PersonNm>
        <TitleTxt>CFO/TREASURE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>94009</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7490</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES ANGLE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</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>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>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>MALCOM HUTTO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE KENNEY</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>JOHN MILLER</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>WILLIAM MITCHELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <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>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>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>DR JASON VOURLEKIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>607436</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>43387</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAJOR LEAGUE BUILDERS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>22174 PONDSVILLE ROAD</AddressLine1Txt>
            <CityNm>SMITHSBURG</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21783</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>519878</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COLBY BACHTELL LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12785 AILANTHUS DRIVE</AddressLine1Txt>
            <CityNm>HAGERSTOWN</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21742</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>132325</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RAFFERTY PAVING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>17646 GETTYSBURG WAY</AddressLine1Txt>
            <CityNm>HAGERSTOWN</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21740</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PAVING</ServicesDesc>
        <CompensationAmt>108152</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>10561</FundraisingAmt>
      <GovernmentGrantsAmt>2897151</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>478348</AllOtherContributionsAmt>
      <TotalContributionsAmt>3386060</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>13920270</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13920270</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>AMORTIZATION OF ENTRANCE FEES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>835885</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>835885</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INDEPENDENT LIVING</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>526754</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>526754</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT SERVICES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>460109</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>460109</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>15743018</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>16136</TotalRevenueColumnAmt>
        <ExclusionAmt>16136</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>6841</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>6611</SecuritiesAmt>
        <OtherAmt>30687</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>230</SecuritiesAmt>
        <OtherAmt>-30687</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-30457</TotalRevenueColumnAmt>
        <ExclusionAmt>-30457</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>13991</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>10561</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>5126</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>8865</TotalRevenueColumnAmt>
        <ExclusionAmt>8865</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>19123622</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15743018</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>-5456</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>17225</TotalAmt>
        <ProgramServicesAmt>17225</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>317382</TotalAmt>
        <ProgramServicesAmt>7080</ProgramServicesAmt>
        <ManagementAndGeneralAmt>294433</ManagementAndGeneralAmt>
        <FundraisingAmt>15869</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>10316071</TotalAmt>
        <ProgramServicesAmt>9644038</ProgramServicesAmt>
        <ManagementAndGeneralAmt>610195</ManagementAndGeneralAmt>
        <FundraisingAmt>61838</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>80149</TotalAmt>
        <ProgramServicesAmt>72350</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7799</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1179922</TotalAmt>
        <ProgramServicesAmt>1071906</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98729</ManagementAndGeneralAmt>
        <FundraisingAmt>9287</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>740224</TotalAmt>
        <ProgramServicesAmt>674079</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60411</ManagementAndGeneralAmt>
        <FundraisingAmt>5734</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>11272</TotalAmt>
        <ManagementAndGeneralAmt>11272</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>70002</TotalAmt>
        <ManagementAndGeneralAmt>70002</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1179886</TotalAmt>
        <ProgramServicesAmt>965515</ProgramServicesAmt>
        <ManagementAndGeneralAmt>214291</ManagementAndGeneralAmt>
        <FundraisingAmt>80</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>96115</TotalAmt>
        <ManagementAndGeneralAmt>94805</ManagementAndGeneralAmt>
        <FundraisingAmt>1310</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>973711</TotalAmt>
        <ProgramServicesAmt>886526</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86011</ManagementAndGeneralAmt>
        <FundraisingAmt>1174</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>218094</TotalAmt>
        <ManagementAndGeneralAmt>218094</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>877482</TotalAmt>
        <ProgramServicesAmt>865681</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11801</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>13886</TotalAmt>
        <ProgramServicesAmt>13225</ProgramServicesAmt>
        <ManagementAndGeneralAmt>482</ManagementAndGeneralAmt>
        <FundraisingAmt>179</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>7324</TotalAmt>
        <ProgramServicesAmt>3804</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3212</ManagementAndGeneralAmt>
        <FundraisingAmt>308</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>467450</TotalAmt>
        <ProgramServicesAmt>467450</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1410824</TotalAmt>
        <ProgramServicesAmt>1410824</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>185247</TotalAmt>
        <ManagementAndGeneralAmt>185247</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD COSTS</Desc>
        <TotalAmt>386181</TotalAmt>
        <ProgramServicesAmt>386181</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY &amp; DRUG COSTS</Desc>
        <TotalAmt>374856</TotalAmt>
        <ProgramServicesAmt>374856</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>258600</TotalAmt>
        <ProgramServicesAmt>258600</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EMPLOYEE COSTS</Desc>
        <TotalAmt>194297</TotalAmt>
        <ProgramServicesAmt>14826</ProgramServicesAmt>
        <ManagementAndGeneralAmt>179471</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>163254</TotalAmt>
        <ProgramServicesAmt>111963</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51291</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>19539454</TotalAmt>
        <ProgramServicesAmt>17246129</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2197546</ManagementAndGeneralAmt>
        <FundraisingAmt>95779</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>308239</BOYAmt>
        <EOYAmt>79363</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1443563</BOYAmt>
        <EOYAmt>1734176</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>144751</BOYAmt>
        <EOYAmt>109475</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1360681</BOYAmt>
        <EOYAmt>1827762</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <EOYAmt>229594</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>165537</BOYAmt>
        <EOYAmt>75602</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>39890629</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>15429127</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>23621852</BOYAmt>
        <EOYAmt>24461502</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>60356</BOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>107583</BOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>8026324</BOYAmt>
        <EOYAmt>9162024</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>35238886</BOYAmt>
        <EOYAmt>37679498</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1546863</BOYAmt>
        <EOYAmt>2047451</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>3587181</BOYAmt>
        <EOYAmt>4068939</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>16266205</BOYAmt>
        <EOYAmt>16941399</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>171438</BOYAmt>
        <EOYAmt>285010</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>21571687</BOYAmt>
        <EOYAmt>23342799</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>7163291</BOYAmt>
        <EOYAmt>7098915</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>6503908</BOYAmt>
        <EOYAmt>7237784</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13667199</BOYAmt>
        <EOYAmt>14336699</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>35238886</BOYAmt>
        <EOYAmt>37679498</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-415832</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1085332</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>282548</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>434372</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>359895</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>333788</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3386060</CurrentTaxYearAmt>
        <TotalAmt>4796663</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>13342945</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14123493</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14086562</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14469425</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15743018</CurrentTaxYearAmt>
        <TotalAmt>71765443</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus4YearsAmt>23092</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8238</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9198</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>18826</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13991</CurrentTaxYearAmt>
        <TotalAmt>73345</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>13648585</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14566103</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14455655</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14822039</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>19143069</CurrentTaxYearAmt>
        <TotalAmt>76635451</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>76635451</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>34590</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>17613</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19159</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>32811</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16136</CurrentTaxYearAmt>
        <TotalAmt>120309</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>34590</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>17613</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19159</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>32811</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16136</CurrentTaxYearAmt>
        <TotalAmt>120309</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>13683175</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14583716</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14474814</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14854850</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>19159205</CurrentTaxYearAmt>
        <TotalAmt>76755760</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99840</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99650</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </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>376680</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>49769</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>6841</OtherExpendituresAmt>
        <EndYearBalanceAmt>419608</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>346163</BeginningYearBalanceAmt>
        <ContributionsAmt>12579</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>79675</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>61737</OtherExpendituresAmt>
        <EndYearBalanceAmt>376680</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>366770</BeginningYearBalanceAmt>
        <ContributionsAmt>30958</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-24945</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>26620</OtherExpendituresAmt>
        <EndYearBalanceAmt>346163</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>325008</BeginningYearBalanceAmt>
        <ContributionsAmt>30470</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>24060</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>12768</OtherExpendituresAmt>
        <EndYearBalanceAmt>366770</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>970034</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>84362</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>729388</OtherExpendituresAmt>
        <EndYearBalanceAmt>325008</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>355019</OtherCostOrOtherBasisAmt>
        <BookValueAmt>355019</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>34846037</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>12336136</DepreciationAmt>
        <BookValueAmt>22509901</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2637494</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2110869</DepreciationAmt>
        <BookValueAmt>526625</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2052079</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>982122</DepreciationAmt>
        <BookValueAmt>1069957</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>24461502</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN TRUSTS</Desc>
        <BookValueAmt>7240396</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING RESERVE</Desc>
        <BookValueAmt>1921628</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>9162024</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE</Desc>
        <Amt>155018</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LIFE CARE CREDITS</Desc>
        <Amt>129992</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>285010</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>20381599</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1085332</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>167772</OtherRevenueAmt>
      <RevenueNotReportedAmt>1253104</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>19128495</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-4873</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-4873</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>19123622</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>19712099</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>4873</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>4873</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>19707226</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>-167772</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>-167772</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>19539454</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.</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 167,772</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSE REPORTED ON PART VIII, LINE 8B -4,873</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSE REPORTED ON PART VIII, LINE 8B 4,873</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBTS EXPENSE INCLUDED IN REVENUE ON FIN -167,772</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc4">
      <FundraisingEventInformationGrp>
        <Event1Nm>GOLF TOURNAMENT</Event1Nm>
        <GrossReceiptsEvent1Amt>19977</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>10561</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>9416</GrossRevenueEvent1Amt>
        <CashPrizesEvent1Amt>253</CashPrizesEvent1Amt>
        <NonCashPrizesEvent1Amt>213</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>2314</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>841</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>310</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>19977</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>10561</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>9416</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>253</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>213</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>2314</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>841</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>310</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>3931</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>5485</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc5">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FREDERICK HEALTH HOSPITAL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 WEST 7TH STREET</AddressLine1Txt>
          <CityNm>FREDERICK</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21701</ZIPCd>
        </USAddress>
        <RecipientEIN>520591612</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM EXPENSES</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc6">
      <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>188016</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5563</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15581</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>209160</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <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.</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 - 3,146,108 CAPITAL AND PROPERTY SERVICES - 1,281,191 OTHER PATIENT CARE - 1,022,189 ADULT DAY CARE - 336,593 STAFF DEVELOPMENT - 137,669 GRANTS TO ORGANIZATIONS - 17,225</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 XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBTS EXPENSE INCLUDED IN REVENUE ON FIN 167,772 DIRECT FUNDRAISING EXPENSE REPORTED ON PART VIII, LINE 8B 4,873 DIRECT FUNDRAISING EXPENSE REPORTED ON PART VIII, LINE 8B -4,873 PROVISION FOR BAD DEBTS EXPENSE INCLUDED IN REVENUE ON FIN -167,772</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
