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      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>46273</TotalAmt>
        <ManagementAndGeneralAmt>46273</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>888071</TotalAmt>
        <ManagementAndGeneralAmt>888071</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1221799</TotalAmt>
        <ProgramServicesAmt>1099619</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122180</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>418386</TotalAmt>
        <ProgramServicesAmt>376547</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41839</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>2212444</TotalAmt>
        <ProgramServicesAmt>2182073</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30371</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>474285</TotalAmt>
        <ProgramServicesAmt>474285</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs &amp; Maintenance</Desc>
        <TotalAmt>380611</TotalAmt>
        <ProgramServicesAmt>256729</ProgramServicesAmt>
        <ManagementAndGeneralAmt>123882</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>27399715</TotalAmt>
        <ProgramServicesAmt>23457256</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3942459</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>360953</BOYAmt>
        <EOYAmt>506284</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2868179</BOYAmt>
        <EOYAmt>2928367</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>35000</BOYAmt>
        <EOYAmt>35000</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>341183</BOYAmt>
        <EOYAmt>297951</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>32524184</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>6018399</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>27616988</BOYAmt>
        <EOYAmt>26505785</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>5707037</BOYAmt>
        <EOYAmt>5681452</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1389333</BOYAmt>
        <EOYAmt>1693568</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>38318673</BOYAmt>
        <EOYAmt>37648407</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>5160630</BOYAmt>
        <EOYAmt>7458615</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>34590432</BOYAmt>
        <EOYAmt>34097413</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>992811</BOYAmt>
        <EOYAmt>214703</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>40743873</BOYAmt>
        <EOYAmt>41770731</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>-2425200</BOYAmt>
        <EOYAmt>-4122324</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-2425200</BOYAmt>
        <EOYAmt>-4122324</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>38318673</BOYAmt>
        <EOYAmt>37648407</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-1697124</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>39049030</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>32983094</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>27319746</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>25296794</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>25701368</CurrentTaxYearAmt>
        <TotalAmt>150350032</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>39049030</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>32983094</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>27319746</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>25296794</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>25701368</CurrentTaxYearAmt>
        <TotalAmt>150350032</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>150350032</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>167</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>275</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>837</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5889</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1223</CurrentTaxYearAmt>
        <TotalAmt>8391</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>19102</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3746</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17011</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>39859</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>150398282</TotalSupportAmt>
      <PublicSupportCY170Pct>0.99970</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99920</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10, Explanation of Other Income:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2012 Amount: $ 19,032. 2013 Amount: $ 3,746. 2014 Amount: $ 17,011. CAFETERIA INCOME - 2012 Amount: $ 70.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>440000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>440000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>26160000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2944250</DepreciationAmt>
        <BookValueAmt>23215750</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2741266</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>727450</DepreciationAmt>
        <BookValueAmt>2013816</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3182918</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2346699</DepreciationAmt>
        <BookValueAmt>836219</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>26505785</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>MISCELLANEOUS LONG TERM LIABILITIES</Desc>
        <Amt>214703</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>214703</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>25702591</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>25702591</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>25702591</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>27399715</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>27399715</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>27399715</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS AMENDED, AND FROM STATE INCOME TAXES UNDER THE NOT-FOR-PROFIT CORPORATION LAWS OF THE COMMONWEALTH OF PENNSYLVANIA. ACCORDINGLY, NO PROVISION FOR INCOME TAXES FOR THE ORGANIZATION HAS BEEN PROVIDED. THE ORGANIZATION HAS IDENTIFIED ITS TAX STATUS, AS A TAX-EXEMPT ENTITY, AS A TAX POSITION. THE ORGANIZATION HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS: HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THE ORGANIZATION IS NO LONGER SUBJECT TO TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2014.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Gateways Organization INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11 Wallenberg Circle</AddressLine1Txt>
          <CityNm>Monsey</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10952</ZIPCd>
        </USAddress>
        <RecipientEIN>133984085</RecipientEIN>
        <IRCSectionDesc>501(c) 3</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <ValuationMethodUsedDesc>fmv</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>CONTRIBUTION</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization maintains records of grants in its generl ledger.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J PART I QUESTIONS 3</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DETERMING COMPENSATION FOR ANY OFFICERS AND/OR KEY EMPLOYEES OF THE ORGANIZATION, THE ORGANIZATION ANALYZES SALARIES IN THE REGION FOR SUCH POSITIONS AND DISCUSS SUCH SALARIES WITH HEADHUNTERS AND OTHER FACILITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AS IS CUSTOMARY IN THE NURSING HOME INDUSTRY, CARING HEARTS CONTRACTS WITH A CONSULTING COMPANY, GLOBAL HEALTHCARE SERVICES, BY WHICH DUTIES SUCH AS LIAISON TO PROFESSIONALS AND LOCAL, STATE AND FEDERAL GOVERNMENTS ARE DELEGATED. HOWEVER, AT ALL TIMES, THE OFFICERS AND THE BOARD OF DIRECTORS OF CARING HEARTS MAINTAIN CONTROL OVER THESE DECISIONS INSOFAR AS GLOBAL HEALTHCARE SERVICES HAS TO OBTAIN APPROVAL PRIOR TO CARRYING OUT SUCH DUTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF FORM 990 IS FURNISHED TO EACH MEMBER OF THE BOARD AND REVIEWED BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ORDER TO CONSISTENTLY AND REGULARLY MONITOR COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY, THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, AND key employee TO ANNUALLY COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES THAT COULD CONTRIBUTE TO A CONFLICT OF INTEREST. ADDITIONALLY, THE POLICY IS REVIEWED ANNUALLY BY EACH MEMBER OF THE BOARD OF DIRECTORS AND ANY CHANGES ARE TO BE COMMUNICATED TO ALL EMPLOYEES AND VOLUNTEERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DETERMINING COMPENSATION FOR ANY OFFICERS AND/OR KEY EMPLOYEES OF THE ORGANIZATION, THE ORGANIZATION ANALYZES SALARIES IN THE REGION FOR SUCH POSITIONS AND DISCUSS SUCH SALARIES WITH HEADHUNTERS AND OTHER FACILITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WILL PROVIDE, UPON IN-PERSON or VERBAL OR WRITTEN REQUEST, DOCUMENTS RELATING TO THE GOVERNANCE, CONFLICTS OF INTEREST AND FINANCIAL STATEMENTS TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Professional Fees: Program service expenses 7,950,595. Management and general expenses 6,191. Fundraising expenses 0. Total expenses 7,956,786.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>