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            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18951</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>1655939</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GENESIS REHAB</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 821322</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19175</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY</ServicesDesc>
        <CompensationAmt>1101511</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LEDERACH ARCHITECTURE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>698 HARLEYSVILLE PIKE</AddressLine1Txt>
            <CityNm>LEDERACH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19450</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECT</ServicesDesc>
        <CompensationAmt>252535</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GOOD PLUMBING HEATING AC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>737 HAGEY CENTER DRIVE UNIT D</AddressLine1Txt>
            <CityNm>SUDERTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18964</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PLUMBING, HEATING, AC</ServicesDesc>
        <CompensationAmt>176611</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>301081</AllOtherContributionsAmt>
      <TotalContributionsAmt>301081</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET RESIDENT SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>17113118</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17113118</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>17113118</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>110597</TotalRevenueColumnAmt>
        <ExclusionAmt>110597</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>67971</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>36510</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>31461</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>31461</TotalRevenueColumnAmt>
        <ExclusionAmt>31461</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1797814</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1769263</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>28551</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>28551</TotalRevenueColumnAmt>
        <ExclusionAmt>28551</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>42857</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>13562</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>29295</TotalRevenueColumnAmt>
        <ExclusionAmt>29295</ExclusionAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>LAUNDRY REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>46021</TotalRevenueColumnAmt>
        <ExclusionAmt>46021</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>BARBER &amp; BEAUTY REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>44217</TotalRevenueColumnAmt>
        <ExclusionAmt>44217</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>GUEST QUARTERS &amp; MEALS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>25600</TotalRevenueColumnAmt>
        <ExclusionAmt>25600</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>45361</TotalRevenueColumnAmt>
        <ExclusionAmt>45361</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>161199</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>17775302</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17113118</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>361103</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>444588</TotalAmt>
        <ManagementAndGeneralAmt>444588</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>5262051</TotalAmt>
        <ProgramServicesAmt>4491589</ProgramServicesAmt>
        <ManagementAndGeneralAmt>770462</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>152366</TotalAmt>
        <ProgramServicesAmt>140055</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12311</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>629611</TotalAmt>
        <ProgramServicesAmt>551005</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78606</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>414907</TotalAmt>
        <ProgramServicesAmt>287526</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127381</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>119404</TotalAmt>
        <ManagementAndGeneralAmt>119404</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>35015</TotalAmt>
        <ManagementAndGeneralAmt>35015</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>712</TotalAmt>
        <ManagementAndGeneralAmt>712</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4280653</TotalAmt>
        <ProgramServicesAmt>4280653</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>62220</TotalAmt>
        <ManagementAndGeneralAmt>62220</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>391675</TotalAmt>
        <ProgramServicesAmt>275496</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116179</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>115678</TotalAmt>
        <ManagementAndGeneralAmt>115678</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>897082</TotalAmt>
        <ProgramServicesAmt>897082</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>34578</TotalAmt>
        <ProgramServicesAmt>21613</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12965</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>5698</TotalAmt>
        <ManagementAndGeneralAmt>5698</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>271480</TotalAmt>
        <ProgramServicesAmt>271480</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1290064</TotalAmt>
        <ProgramServicesAmt>1290064</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>124520</TotalAmt>
        <ProgramServicesAmt>124520</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>413754</TotalAmt>
        <ProgramServicesAmt>413754</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS</Desc>
        <TotalAmt>240390</TotalAmt>
        <ProgramServicesAmt>240390</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PA NURSING HOME ASSES.</Desc>
        <TotalAmt>178751</TotalAmt>
        <ProgramServicesAmt>178751</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES AND FEES</Desc>
        <TotalAmt>125745</TotalAmt>
        <ProgramServicesAmt>16605</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109140</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>235634</TotalAmt>
        <ProgramServicesAmt>154446</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81188</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>15726576</TotalAmt>
        <ProgramServicesAmt>13635029</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2091547</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>300</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>3992997</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>918</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>2355412</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>25710</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>70396</BOYAmt>
        <EOYAmt>54366</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>37757520</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>12329848</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>23170424</BOYAmt>
        <EOYAmt>25427672</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>3950057</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>188500</BOYAmt>
        <EOYAmt>188563</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>30768469</BOYAmt>
        <EOYAmt>35995995</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1432684</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>167289</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>9018756</BOYAmt>
        <EOYAmt>10605947</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
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      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>11295414</BOYAmt>
        <EOYAmt>13263904</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>22339667</BOYAmt>
        <EOYAmt>25564145</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>10431850</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8428802</BOYAmt>
        <EOYAmt>10431850</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>35995995</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>2048726</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-45678</NetUnrlzdGainsLossesInvstAmt>
      <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">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>43456</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>52634</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3500</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>150</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>301081</CurrentTaxYearAmt>
        <TotalAmt>400821</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>15205268</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15725889</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15822497</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17113118</CurrentTaxYearAmt>
        <TotalAmt>77652435</TotalAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>15257902</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15729389</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15822647</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17414199</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>750</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>600</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>350</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1650</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>3350</TotalAmt>
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      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearMinus3YearsAmt>600</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>350</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1650</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>3350</TotalAmt>
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      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>143738</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>114907</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>171817</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>178568</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus2YearsAmt>114907</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>171817</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>178568</CurrentTaxYearAmt>
        <TotalAmt>696262</TotalAmt>
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      <OtherIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>128668</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>118906</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>145352</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>204056</CurrentTaxYearAmt>
        <TotalAmt>656974</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>15530308</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15963202</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16139816</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17796823</CurrentTaxYearAmt>
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      <PublicSupportCY509Pct>0.98290</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98490</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00880</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00840</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS REVENUE - 2011 AMOUNT: $ 5,146. 2012 AMOUNT: $ 7,451. 2013 AMOUNT: $ 7,705. 2014 AMOUNT: $ 10,555. 2015 AMOUNT: $ 14,470. GUEST QUARTERS MEALS - 2011 AMOUNT: $ 25,697. 2012 AMOUNT: $ 27,363. 2013 AMOUNT: $ 20,903. 2014 AMOUNT: $ 27,037. 2015 AMOUNT: $ 25,600. STORE INVENTORY - 2011 AMOUNT: $ 29,149. 2012 AMOUNT: $ 34,623. 2013 AMOUNT: $ 36,950. 2014 AMOUNT: $ 41,470. 2015 AMOUNT: $ 42,857. TELEPHONE REVENUE - 2012 AMOUNT: $ 20,113. 2013 AMOUNT: $ 17,695. 2014 AMOUNT: $ 25,485. 2015 AMOUNT: $ 24,700. BARBER AND BEAUTY SHOP - 2012 AMOUNT: $ 19,597. 2013 AMOUNT: $ 19,175. 2014 AMOUNT: $ 19,923. 2015 AMOUNT: $ 44,217. TRANSPORTATION REVENUE - 2012 AMOUNT: $ 10,599. 2013 AMOUNT: $ 11,228. 2014 AMOUNT: $ 8,438. 2015 AMOUNT: $ 6,191. LAUNDRY REVENUE - 2012 AMOUNT: $ 8,922. 2013 AMOUNT: $ 5,250. 2014 AMOUNT: $ 12,444. 2015 AMOUNT: $ 46,021.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>712</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>712</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A MEMBER OF AND PAYS DUES TO LEADINGAGE AND LEADINGAGE PA, TWO ORGANIZATIONS WHICH ADVOCATE FOR SENIOR CITIZENS. A PORTION OF THE DUES IS ALLOCATED TO LOBBYING EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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      <LandGrp>
        <OtherCostOrOtherBasisAmt>1507117</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1507117</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>32612679</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>11621621</DepreciationAmt>
        <BookValueAmt>20991058</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>708227</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>708227</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2929497</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2929497</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>25427672</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE FEES AND DEPOSITS</Desc>
        <Amt>289994</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED REVENUE - ENTRANCE FEES</Desc>
        <Amt>12973910</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>13263904</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>17659346</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-45678</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-70278</OtherRevenueAmt>
      <RevenueNotReportedAmt>-115956</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>17775302</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>17775302</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15656298</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>15656298</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>70278</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>70278</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>15726576</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPANY ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2016 AND 2015. THE COMPANY'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS PRIOR TO 2013 ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES NETTED WITH REVENUE ON FINANCIAL STATEMENTS -70,278.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES NETTED WITH REVENUE ON FINANCIAL STATEMENTS 70,278.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY MURPHY</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>192010</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>23432</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4320</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13240</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4118</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>237120</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MCLAIN</PersonNm>
        <TitleTxt>VP/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>160381</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20072</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10197</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11646</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9615</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>211911</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS AN INCENTIVE COMPENSATION PLAN FOR THE PRESIDENT AND THE CFO WHICH IS BASED ON QUANTITATIVE AND QUALITATIVE GOALS, INCLUDING MEETING OR EXCEEDING BUDGETED AMOUNTS, RESIDENT AND EMPLOYEE SATISFACTION, SURVEY COMPARISONS, COMPLIANCE WITH REGULATIONS AND ADHERENCE TO STRATEGIC PLANNING. THE INCENTIVE COMPENSATION CANNOT EXCEED 15% OF THE INDIVIDUAL'S BASE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NORTH PENN HEALTH HOSPITAL AND EDUCATIONAL AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>232130191</BondIssuerEIN>
        <BondIssuedDt>2004-07-22</BondIssuedDt>
        <IssuePriceAmt>10000000</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION AND REFINANCING</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NORTH PENN HEALTH HOSPITAL AND EDUCATIONAL AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>232130191</BondIssuerEIN>
        <BondIssuedDt>2007-03-21</BondIssuedDt>
        <IssuePriceAmt>4885000</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION AND REFINANCING</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HATFIELD TOWNSHIP INDUSTRIAL DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>232622492</BondIssuerEIN>
        <BondIssuedDt>2015-01-29</BondIssuedDt>
        <IssuePriceAmt>2500000</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION AND RENOVATIONS</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HATFIELD TOWNSHIP INDUSTRIAL DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>232622492</BondIssuerEIN>
        <BondIssuedDt>2014-12-22</BondIssuedDt>
        <IssuePriceAmt>10000000</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION AND RENOVATIONS</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>4735402</RetiredAmt>
        <TotalProceedsAmt>10000000</TotalProceedsAmt>
        <CapitalExpendituresAmt>1315000</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>8685000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2004</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>2130990</RetiredAmt>
        <TotalProceedsAmt>4885000</TotalProceedsAmt>
        <InReserveFundAmt>200000</InReserveFundAmt>
        <OtherSpentProceedsAmt>4685000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2007</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <TotalProceedsAmt>2500000</TotalProceedsAmt>
        <CapitalExpendituresAmt>50000</CapitalExpendituresAmt>
        <UnspentAmt>2450000</UnspentAmt>
        <CurrentRefundingInd>0</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <TotalProceedsAmt>10000000</TotalProceedsAmt>
        <CapitalExpendituresAmt>50000</CapitalExpendituresAmt>
        <UnspentAmt>9950000</UnspentAmt>
        <CurrentRefundingInd>0</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BOND ISSUES C AND D:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOND ISSUES AS PROVIDED BY THE HATFIELD TOWNSHIP INDUSTRIAL DEVELOPMENT AUTHORITY HAVE ONLY BEEN DRAWN DOWN TO ESTABLISH THE MINIMUM BOND ISSUE RELEASE AS REQUIRED. ELM TERRACE GARDENS HAS SO FAR BEEN FINANCING ITS CONSTRUCTIONS AND RENOVATIONS WITH EQUITY. IF ADDITIONAL FUNDS ARE NEEDED, THE BOND ISSUES WILL BE DRAWN DOWN AS NEEDED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CFO WILL PERFORM AN INITIAL REVIEW OF THE FORM 990. UPON HIS APPROVAL, THE BOARD OF DIRECTORS WILL RECEIVE COPIES OF THE RETURN BEFORE THE RETURN IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>1. DIRECTORS ATTEST UPON ELECTION TO THE BOARD AND ANNUALLY THEREAFTER THAT THEY ARE NOT DELIBERATELY ENGAGED IN ANY ACTIVITIES WHICH CREATE A CONFLICT OF INTEREST. DIRECTORS ATTEST UPON ELECTION TO THE BOARD AND ANNUALLY THEREAFTER THAT THEY WILL DISCLOSE SUCH A CONFLICT OF INTEREST SHOULD IT ARISE. SUCH ATTESTATION IS DOCUMENTED ON THE "INDIVIDUAL STATEMENT REGARDING CONFLICT OF INTEREST" FORM. 2. EXECUTED ATTESTATIONS ARE FILED IN THE BOARD OF DIRECTORS FILE. 3. SHOULD A DIRECTOR (OR ANYONE ELSE) BELIEVE THAT THERE EXISTS A CONFLICT OF INTEREST OR A POTENTIAL FOR A CONFLICT OF INTEREST BETWEEN THE INTERESTS OF ELM TERRACE GARDENS AND ANY OTHER INTEREST A DIRECTOR MAY HAVE, SUCH IS BROUGHT TO THE ATTENTION OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IN WRITING. 4. THE EXECUTIVE COMMITTEE EVALUATES THE CONFLICT OR POTENTIAL CONFLICT TO DETERMINE WHETHER IT UNDERMINES THE DIRECTOR'S ABILITY TO SERVE. 5. SHOULD THE BOARD DETERMINE THAT THE DIRECTOR NOT BE REMOVED FROM OFFICE, THE DIRECTOR ABSTAINS FROM DISCUSSION OF AND VOTING ON ANY MATTER RELATED TO THE CONFLICT OR POTENTIAL CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES THE PENNSYLVANIA LEADINGAGE SALARY SURVEY FOR SOUTHEASTERN PENNSYLVANIA AS WELL AS THE NY, NJ, AND PA REGIONAL LEADINGAGE AND HCS CCRC COMPENSATION SURVEYS IN DETERMINING ALL EMPLOYEE COMPENSATION. ALL COMPENSATION DECISIONS ARE DETERMINED TAKING INTO CONSIDERATION FAIR MARKET RANGES FOR THE INDUSTRY. THE COMPENSATION OF THE PRESIDENT IS APPROVED BY THE BOARD. THE PRESIDENT, IN TURN, DETERMINES COMPENSATION FOR OTHER KEY EMPLOYEES. ALL DECISIONS ARE DOCUMENTED, INCLUDING THE AWARDING OF INCENTIVE BONUSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENT IS INCLUDED IN THE DISCLOSURE STATEMENT PROVIDED TO EXISTING AND PROSPECTIVE RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>MSD CONTRACT: PROGRAM SERVICE EXPENSES 2,874,870. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,874,870. OCCUPATIONAL THERAPY SERVICES: PROGRAM SERVICE EXPENSES 377,561. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 377,561. PHYSICAL THERAPY SERVICES: PROGRAM SERVICE EXPENSES 493,855. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 493,855. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 534,367. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 534,367.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>