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        <OtherExpendituresAmt>92487</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>0</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>382591</OtherCostOrOtherBasisAmt>
        <BookValueAmt>382591</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>24575754</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10217066</DepreciationAmt>
        <BookValueAmt>14358688</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3986068</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2994706</DepreciationAmt>
        <BookValueAmt>991362</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1002401</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>697517</DepreciationAmt>
        <BookValueAmt>304884</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>16037525</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INT IN FOUNDATION</Desc>
        <BookValueAmt>2049854</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM FOUNDATION</Desc>
        <BookValueAmt>7590</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS</Desc>
        <BookValueAmt>1000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>LICENSE</Desc>
        <BookValueAmt>213711</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>WORK IN PROGRESS</Desc>
        <BookValueAmt>121755</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2393910</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTEREST RATE SWAP LIABILITY</Desc>
        <Amt>1596074</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1596074</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>14621937</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>18980</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-131625</OtherRevenueAmt>
      <RevenueNotReportedAmt>-112645</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>14734582</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>14734582</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>13628394</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>13628394</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>13628394</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>other income on financial statements not on return</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in valuation of interest in net assets of charitable foundation $23,198 Change in swap value $(154,823)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>use of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Temporarily restricted net assets are used to differentiate resources, the use of which is restricted by donors or grantors to a spcific time period or purpose, from resources on which no restrictions have been placed or that arise from the general operations of the company. Temporarily restricted gifts, grants, bequests, and investment income are recorded as additions to temporarily restricted net assets in the period received, unless the donor-imposed restrictions are met in the same reporting period, in which case the income is reported in unrestricted net assts. Temporarily restricted net assets include a wellness campaign and caring fund, as well as the net assets of the charitable foundation. permanently restricted net assets consist of amounts held in perpetuity or for terms designated by donors. Permanently restricted net assets include building, resident care, educational anc chaplaincy endowments and are included in the net assets of the charitable foundation. Income earned on permanently restricted ent assets was available to fund employee scholarships, facility improvements, chaplain support services, and to subsidize resident care.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <HousingAllowanceOrResidenceInd>X</HousingAllowanceOrResidenceInd>
      <WrittenPolicyRefTAndEExpnssInd>false</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>false</SubstantiationRequiredInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <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>TROY SNYDER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>185880</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2490</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4375</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17003</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>209748</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1b, policy regarding payment of expenses:</FormAndLineReferenceDesc>
        <ExplanationTxt>Troy Snyder was paid a $300 per month housing allowance through August of 2014, to assist him in paying temporary housing expenses until he purchased a home. The payment of the housing allowance was approved by the board of directors and the entire amount paid to him was reported as additional income to him on Form W-2.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>County of Ashland Ohio</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>346000122</BondIssuerEIN>
        <CUSIPNum>04417HAV3</CUSIPNum>
        <BondIssuedDt>2010-10-14</BondIssuedDt>
        <IssuePriceAmt>14005000</IssuePriceAmt>
        <PurposeDesc>county of ashland, ohio health</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>2460000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>14005000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>13724900</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>280100</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2026</SubstantialCompletionYr>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>false</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>false</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>true</Form8038TFiledInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>first merit bank</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>16.</TermOfHedgePct>
        <SuperintegratedHedgeInd>true</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Rick Spreng Spreng Smith Insurance</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Past President</RelationshipDescriptionTxt>
        <TransactionAmt>195225</TransactionAmt>
        <TransactionDesc>property/ liability Insurance</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Jay Meyers Simonson Construction</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Trustee</RelationshipDescriptionTxt>
        <TransactionAmt>336178</TransactionAmt>
        <TransactionDesc>CONSTRUCTION PROJECT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Review Process-Form 990, PAGE 6, PART VI, #11B</FormAndLineReferenceDesc>
        <ExplanationTxt>The return was prepared by an outside CPA firm and provided to the organization's CFO for review. A COPY OF THE FORM 990 is SENT TO EACH BOARD MEMBER FOR THEIR REVIEW AND COMMENTS prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Documents Avalaible to the Public-Form 990, PAGE 6, PART VI, #19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Determining Compensation-Form 990, PAGE 6, PART VI, SECTION B, #15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S SALARY, BENEFITS, ETC. MUST BE APPROVED BY THE BOARD. ON AN ANNUAL BASIS, THE BOARD MEETS TO REVIEW THE CEO'S CONTRACT. BASED ON PERFORMANCE, EXPECTATIONS AND THE ECONOMY AN INCREASE MAY BE GRANTED. ANY INCREASE MUST BE SUBMITTED TO THE HUMAN RESOURCES AND FINANCE DEPARTMENTS FOR IMPLEMENTATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Purpose of Bond Issue-schedule k, part i, row a, column f</FormAndLineReferenceDesc>
        <ExplanationTxt>Adjustable rate demand health care facilities revenue bonds series 2005 to retire Brethren Care, Inc.'s series 1999 series bonds and defease brethren care, inc.'s series 1996 bonds.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy-Form 990, PAGE 6, PART VI, SECTION B, #12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BRETHREN CARE, INC. MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REVIEWING, ON AN ANNUAL BASIS, THE POLICY AND HAVING EACH BOARD MEMBER SIGN OFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Family or Business Relationship-Form 990, PAGE 6, PART VI, SECTION A, #2</FormAndLineReferenceDesc>
        <ExplanationTxt>BRETHREN CARE, INC. HAD A BUSINESS TRANSACTION THROUGH SPRENG-SMITH AGENCY WITH WHICH RICK SPRENG IS THE PRESIDENT. SPRENG-SMITH AGENCY WRITES INSURANCE FOR BRETHREN CARE, INC. ALSO TIM ROWSEY IS THE INVESTMENT MANAGER FOR BRETHREN CARE, INC. INVESTMENT ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes in Net Assets-Form 990, Page 12, Part XI, #5</FormAndLineReferenceDesc>
        <ExplanationTxt>change in valuation of interest rate swap agreement $154,823 Change in valuation of interest in net assets of charitable foundation $23,198.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Brethren Care Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2140 Center Street</AddressLine1Txt>
          <CityNm>Ashland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44805</ZIPCd>
        </USAddress>
        <EIN>341651905</EIN>
        <PrimaryActivitiesTxt>support org</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>type II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>