﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2013v4.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2015-02-06T09:06:02-06:00</ReturnTs>
    <TaxPeriodEndDt>2014-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>232290841</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1>PADDEN GUERRINI &amp; ASSOCIATES PC</BusinessNameLine1>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1>91 CUMBERLAND PARKWAY</AddressLine1>
        <City>MECHANICSBURG</City>
        <State>PA</State>
        <ZIPCode>170555676</ZIPCode>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2013-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>231500399</EIN>
      <BusinessName>
        <BusinessNameLine1>ST ANNE'S RETIREMENT COMMUNITYINC</BusinessNameLine1>
      </BusinessName>
      <BusinessNameControlTxt>STAN</BusinessNameControlTxt>
      <PhoneNum>7172855443</PhoneNum>
      <USAddress>
        <AddressLine1>3952 COLUMBIA AVENUE</AddressLine1>
        <City>COLUMBIA</City>
        <State>PA</State>
        <ZIPCode>175129715</ZIPCode>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MARY TURNBAUGH</PersonNm>
      <PersonTitleTxt>PRESIDENT</PersonTitleTxt>
      <PhoneNum>7172855443</PhoneNum>
      <SignatureDt>2015-02-06</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>ALLYSON HORNBAKER</PreparerPersonNm>
      <PTIN>P00539212</PTIN>
      <PhoneNum>7177909333</PhoneNum>
      <PreparationDt>2015-02-06</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2013</TaxYr>
    <BuildTS>2016-02-25 16:41:14Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="11">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc10">
      <PrincipalOfficerNm>MARY TURNBAUGH</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1>3952 COLUMBIA AVENUE</AddressLine1>
        <City>COLUMBIA</City>
        <State>PA</State>
        <ZIPCode>175129715</ZIPCode>
      </USAddress>
      <GrossReceiptsAmt>16768149</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.STANNESRETIREMENTCOMMUNITY.COM</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1977</FormationYr>
      <LegalDomicileStateCd>PA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>SAINT ANNE'S RETIREMENT COMMUNITY, SPONSORED BY THE ADORERS OF THE BLOOD OF CHRIST, IS DEDICATED TO CONTINUING THE HEALING MINISTRY OF JESUS IN THE SPIRIT OF SAINT MARIA DEMATTIAS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>15</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>11</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>344</TotalEmployeeCnt>
      <TotalVolunteersCnt>102</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>435126</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>1200745</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>14559315</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>14917342</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>780605</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>531225</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>66033</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>56898</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>15841079</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>16706210</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>10101013</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>10060612</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>130624</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>5523165</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>5666498</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>15624178</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>15727110</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>216901</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>979100</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>34869389</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>36179875</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>25006539</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>24495565</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>9862850</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>11684310</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>SAINT ANNE'S RETIREMENT COMMUNITY, SPONSORED BY THE ADORERS OF THE BLOOD OF CHRIST, IS DEDICATED TO CONTINUING THE HEALING MINISTRY OF JESUS IN THE SPIRIT OF SAINT MARIA DEMATTIAS.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>13914685</ExpenseAmt>
      <Desc>PATIENT ROOM &amp; BOARD FEES: NURSING FACILITY - 119 BEDS (37,304 RESIDENT DAYS), PERSONAL CARE UNIT - 53 UNITS (17,312 RESIDENT DAYS), INDEPENDENT LIVING COTTAGES - 37 UNITS (12,542 RESIDENT DAYS), APARTMENTS - 34 UNITS (11,249 RESIDENT DAYS)</Desc>
      <TotalProgramServiceExpensesAmt>13914685</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc3">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc4">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc4">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc4">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc4">true</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc4">true</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc4">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc4">true</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc4">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc4">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc4">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc4">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc4">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc4">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc5">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc5">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc5">true</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc6">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc7">true</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>false</InvestTaxExemptBondsInd>
      <EscrowAccountInd>false</EscrowAccountInd>
      <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc8">false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc8">false</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc8">false</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc8">false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc8">false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc8">false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd referenceDocumentId="RetDoc8">true</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc9">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc9">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc11">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc11">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc11">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc11">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>20</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>344</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>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>true</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>15</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>11</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>true</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>false</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>ST ANNES RETIREMENT COMMUNITY INC</PersonNm>
        <PhoneNum>7172855443</PhoneNum>
        <USAddress>
          <AddressLine1>3952 COLUMBIA AVENUE</AddressLine1>
          <City>COLUMBIA</City>
          <State>PA</State>
          <ZIPCode>175129715</ZIPCode>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN M KRAFT SR</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SR JOAN HORNICK ASC</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SR FRAN SCHUMER ASC</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES KENDIG</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JON FARRELL</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD NIKOLAUS</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT ROSCHELMD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SR MARIE POLAND ASC</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID ABEL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL T FRITSCH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GERALD GANSE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY ELLEN GLAH GENOESE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUDGE JEFFREY REICH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SR JAN RENZ ASC</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN RILEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY TURNBAUGH</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>160064</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7621</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELE J BARD</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>93475</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13212</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>253539</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>20833</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CURA HOSPITALITY</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 827276</AddressLine1>
            <City>PHILADELPHIA</City>
            <State>PA</State>
            <ZIPCode>191827276</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIETARY CONSULT</ServicesDesc>
        <CompensationAmt>305208</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ELA GROUP INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>743 SOUTH BROAD STREET</AddressLine1>
            <City>LITITZ</City>
            <State>PA</State>
            <ZIPCode>17543</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ENGINEERING</ServicesDesc>
        <CompensationAmt>109463</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>18969</FundraisingAmt>
      <AllOtherContributionsAmt>1181776</AllOtherContributionsAmt>
      <NoncashContributionsAmt>313709</NoncashContributionsAmt>
      <TotalContributionsAmt>1200745</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT ROOM &amp; BOARD REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>13176847</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13176847</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RENTAL INCOME</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>586429</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>586429</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OCCUPANCY FEES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>557728</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>557728</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>THERAPY REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>169446</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>169446</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ENTRANCE FEES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>165317</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>165317</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>261575</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>261575</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>14917342</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>244659</TotalRevenueColumnAmt>
        <ExclusionAmt>244659</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>286566</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>286566</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>286566</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>286566</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>93837</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>18969</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>47439</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>46398</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>25000</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>14500</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>10500</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10500</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeFromGamingGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>16706210</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15214408</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>244659</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>302617</TotalAmt>
        <ManagementAndGeneralAmt>302617</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7570099</TotalAmt>
        <ProgramServicesAmt>6960747</ProgramServicesAmt>
        <ManagementAndGeneralAmt>537672</ManagementAndGeneralAmt>
        <FundraisingAmt>71680</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>166212</TotalAmt>
        <ProgramServicesAmt>162288</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1507</ManagementAndGeneralAmt>
        <FundraisingAmt>2417</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1407525</TotalAmt>
        <ProgramServicesAmt>1164193</ProgramServicesAmt>
        <ManagementAndGeneralAmt>243332</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>614159</TotalAmt>
        <ProgramServicesAmt>511173</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97504</ManagementAndGeneralAmt>
        <FundraisingAmt>5482</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>20135</TotalAmt>
        <ManagementAndGeneralAmt>20135</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>32115</TotalAmt>
        <ManagementAndGeneralAmt>32115</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>43138</TotalAmt>
        <ManagementAndGeneralAmt>43138</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>517209</TotalAmt>
        <ProgramServicesAmt>500570</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16639</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>43712</TotalAmt>
        <ProgramServicesAmt>7550</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35582</ManagementAndGeneralAmt>
        <FundraisingAmt>580</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>673943</TotalAmt>
        <ProgramServicesAmt>602491</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66100</ManagementAndGeneralAmt>
        <FundraisingAmt>5352</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>22621</TotalAmt>
        <ProgramServicesAmt>10028</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12284</ManagementAndGeneralAmt>
        <FundraisingAmt>309</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1690404</TotalAmt>
        <ProgramServicesAmt>1690404</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>19463</TotalAmt>
        <ProgramServicesAmt>16211</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3152</ManagementAndGeneralAmt>
        <FundraisingAmt>100</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>15565</TotalAmt>
        <ProgramServicesAmt>11689</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3876</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>10057</TotalAmt>
        <ManagementAndGeneralAmt>10057</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>973416</TotalAmt>
        <ProgramServicesAmt>973416</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>142315</TotalAmt>
        <ManagementAndGeneralAmt>142315</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD EXPENSE</Desc>
        <TotalAmt>509497</TotalAmt>
        <ProgramServicesAmt>497849</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10111</ManagementAndGeneralAmt>
        <FundraisingAmt>1537</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PATIENT MEDICATIONS</Desc>
        <TotalAmt>353034</TotalAmt>
        <ProgramServicesAmt>353034</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SERVICE CONTRACTS</Desc>
        <TotalAmt>211010</TotalAmt>
        <ProgramServicesAmt>200696</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10314</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ANCILLARY SERVICES</Desc>
        <TotalAmt>116768</TotalAmt>
        <ProgramServicesAmt>116768</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>272096</TotalAmt>
        <ProgramServicesAmt>135578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93351</ManagementAndGeneralAmt>
        <FundraisingAmt>43167</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>15727110</TotalAmt>
        <ProgramServicesAmt>13914685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1681801</ManagementAndGeneralAmt>
        <FundraisingAmt>130624</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>8991</BOYAmt>
        <EOYAmt>21093</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1099975</BOYAmt>
        <EOYAmt>1231641</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1080481</BOYAmt>
        <EOYAmt>1271292</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>17041</BOYAmt>
        <EOYAmt>19055</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>308704</BOYAmt>
        <EOYAmt>392895</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>34430405</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>16705346</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>17475342</BOYAmt>
        <EOYAmt>17725059</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>14588580</BOYAmt>
        <EOYAmt>15242188</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>290275</BOYAmt>
        <EOYAmt>276652</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>34869389</BOYAmt>
        <EOYAmt>36179875</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1316075</BOYAmt>
        <EOYAmt>1544430</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>3405127</BOYAmt>
        <EOYAmt>3333209</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>20230597</BOYAmt>
        <EOYAmt>19576124</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>45581</BOYAmt>
        <EOYAmt>34543</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>9159</BOYAmt>
        <EOYAmt>7259</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>25006539</BOYAmt>
        <EOYAmt>24495565</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>8881523</BOYAmt>
        <EOYAmt>10301631</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>348839</BOYAmt>
        <EOYAmt>703194</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>632488</BOYAmt>
        <EOYAmt>679485</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>9862850</BOYAmt>
        <EOYAmt>11684310</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>34869389</BOYAmt>
        <EOYAmt>36179875</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>979100</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>842360</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc3">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>223798</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>500874</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>521126</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>435126</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1200745</CurrentTaxYearAmt>
        <TotalAmt>2881669</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>13690859</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15003284</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15136170</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14559315</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15036179</CurrentTaxYearAmt>
        <TotalAmt>73425807</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>13914657</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15504158</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15657296</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14994441</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16236924</CurrentTaxYearAmt>
        <TotalAmt>76307476</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>10734</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7405</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13938</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearAmt>559740</CurrentTaxYearAmt>
        <TotalAmt>591817</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>10734</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7405</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13938</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearAmt>559740</CurrentTaxYearAmt>
        <TotalAmt>591817</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>75715659</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>153582</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>267098</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>216189</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>214823</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>244659</CurrentTaxYearAmt>
        <TotalAmt>1096351</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>153582</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>267098</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>216189</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>214823</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>244659</CurrentTaxYearAmt>
        <TotalAmt>1096351</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>14068239</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15771256</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15873485</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15209264</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16481583</CurrentTaxYearAmt>
        <TotalAmt>77403827</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.97820</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98270</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01000</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="RetDoc4">
      <AgentTrusteeEtcInd>false</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>true</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>981327</BeginningYearBalanceAmt>
        <ContributionsAmt>1012424</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>47024</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>658096</OtherExpendituresAmt>
        <EndYearBalanceAmt>1382679</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>954196</BeginningYearBalanceAmt>
        <ContributionsAmt>103750</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>22163</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>98782</OtherExpendituresAmt>
        <EndYearBalanceAmt>981327</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>999149</BeginningYearBalanceAmt>
        <ContributionsAmt>78895</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-46076</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>77772</OtherExpendituresAmt>
        <EndYearBalanceAmt>954196</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>883917</BeginningYearBalanceAmt>
        <ContributionsAmt>66458</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>86063</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>37289</OtherExpendituresAmt>
        <EndYearBalanceAmt>999149</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>774845</BeginningYearBalanceAmt>
        <ContributionsAmt>92300</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>60413</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>43641</OtherExpendituresAmt>
        <EndYearBalanceAmt>883917</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.49140</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.50860</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>true</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>2599168</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2599168</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>24761455</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>11610883</DepreciationAmt>
        <BookValueAmt>13150572</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>6141118</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5094463</DepreciationAmt>
        <BookValueAmt>1046655</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>928664</OtherCostOrOtherBasisAmt>
        <BookValueAmt>928664</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>17725059</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>BOND CASH - DSF 1035415</Desc>
        <BookValueAmt>4673521</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENTS-A.S.C.</Desc>
        <BookValueAmt>3542244</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENTS-A.S.C.</Desc>
        <BookValueAmt>2677735</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>BOND CASH - DSF 1035417</Desc>
        <BookValueAmt>1923531</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>ALLOW UNREALIZED GAIN/LO</Desc>
        <BookValueAmt>686973</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENTS-ALICE RUSS T</Desc>
        <BookValueAmt>679485</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>ENDOWMENT FUND - HERITAGE</Desc>
        <BookValueAmt>412558</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>ALLOW UNREALIZED GAIN/LO</Desc>
        <BookValueAmt>399741</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>BOND CASH - DSF 1035413</Desc>
        <BookValueAmt>107024</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>ALLOW UNREALIZED GAIN/LO</Desc>
        <BookValueAmt>53229</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>ALLOW UNREALIZED GAIN/LO</Desc>
        <BookValueAmt>48794</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>INSURANCE CAPITALIZATION</Desc>
        <BookValueAmt>33184</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>BOND CASH - DSF 1035414</Desc>
        <BookValueAmt>4169</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>15242188</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEPOSITS - WAITING LIST</Desc>
        <Amt>5000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEPOSITS - APARTMENTS</Desc>
        <Amt>2259</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>7259</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>17445999</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>842360</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-192565</OtherRevenueAmt>
      <RevenueNotReportedAmt>649795</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>16796204</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-89994</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-89994</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>16706210</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15624539</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>89994</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>89994</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>15534545</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>192565</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>192565</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>15727110</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART IV, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS CUSTODIAN FOR RESIDENT TRUST FUNDS FOR CERTAIN RESIDENTS OF THE RETIREMENT COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT FUNDS ARE USED FOR VARIOUS OPERATIONAL AND RESIDENT RELATED EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>INCOME TAXES - SAINT ANNE'S RETIREMENT COMMUNITY, INCORPORATED IS A NON- PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE CORPORATION IS ALSO REGISTERED WITH THE COMMONWEALTH OF PENNSYLVANIA AS A NON-PROFIT RELIGIOUS CORPORATION. THE IRS FORM 990 FOR THE YEARS ENDED JUNE 30, 2013, 2012 AND 2011 REMAIN OPEN FOR AN EXAMINATION OR COMPLIANCE CHECK BY THE IRS. THE CORPORATION HAS REVIEWED THE IMPACT OF ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (FASC 740-10-05) ON THE FINANCIAL STATEMENTS AND HAS DETERMINED THERE IS NO MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AND THERE IS NO MATERIAL IMPACT ON THE STATEMENTS OF FINANCIAL POSITION, OPERATIONS AND CHANGES IN NET ASSETS OR, CASH FLOWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>FUND DEVELOPMENT EXPENSES (DEPT. 69) -192,563 ROUNDING -2</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>MAJOR EVENT EXPENSE -61,939 BAD DEBT EXPENSE -28,055</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>MAJOR EVENT EXPENSE 61,939 BAD DEBT EXPENSE 28,055</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>FUND DEVELOPMENT EXPENSES (DEPT. 69) 192,563 ROUNDING 2</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc5">
      <FundraisingEventInformationGrp>
        <NameOfEvent1Amt>FALL FLING</NameOfEvent1Amt>
        <GrossReceiptsEvent1Amt>73847</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>16694</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>57153</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>2948</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>1885</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>10279</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>602</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>13896</OtherDirectExpensesEvent1Amt>
        <NameOfEvent2Amt>GOLF OUTING</NameOfEvent2Amt>
        <GrossReceiptsEvent2Amt>38959</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>2275</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>36684</GrossRevenueEvent2Amt>
        <CashPrizesEvent2Amt>2500</CashPrizesEvent2Amt>
        <NonCashPrizesEvent2Amt>2238</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>8831</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>1330</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>25</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>2905</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>112806</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>18969</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>93837</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>2500</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>5186</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>10716</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>11609</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>627</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>16801</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>47439</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>46398</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <GamingInformationGrp>
        <VolunteerLaborBingoInd>false</VolunteerLaborBingoInd>
        <VolunteerLaborPullTabsInd>false</VolunteerLaborPullTabsInd>
        <GrossRevenueOtherGamingAmt>25000</GrossRevenueOtherGamingAmt>
        <CashPrizesOtherGamingAmt>14500</CashPrizesOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>false</VolunteerLaborOtherGamingInd>
        <GrossRevenueTotalGamingAmt>25000</GrossRevenueTotalGamingAmt>
        <CashPrizesTotalGamingAmt>14500</CashPrizesTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>14500</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>10500</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>PA</StatesWhereGamingConductedCd>
      <LicensedInd>true</LicensedInd>
      <LicenseSuspendedEtcInd>false</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>false</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>false</MemberOfOtherEntityInd>
      <GamingOtherFacilityPct>1.00000</GamingOtherFacilityPct>
      <IndividualWithBooksNm>ST ANNES RETIREMENT COMMUNITY INC</IndividualWithBooksNm>
      <PersonsWithBooksUSAddress>
        <AddressLine1>3952 COLUMBIA AVENUE</AddressLine1>
        <City>COLUMBIA</City>
        <State>PA</State>
        <ZIPCode>175129715</ZIPCode>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>false</CntrctWith3rdPrtyForGameRevInd>
      <CharitableDistributionRqrInd>false</CharitableDistributionRqrInd>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc6">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <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>MARY TURNBAUGH</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>160064</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6166</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1455</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>167685</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc7">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>LANCASTER COUNTY HOSPITAL AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <BondIssuerEIN>236648018</BondIssuerEIN>
        <CUSIPNum>514045D34</CUSIPNum>
        <BondIssuedDt>2012-10-01</BondIssuedDt>
        <IssuePriceAmt>21278666</IssuePriceAmt>
        <PurposeDesc>PAY OFF 1999 BONDS AND EXPANSIONA AND RENOVATION OF FACILITY</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1360000</RetiredAmt>
        <TotalProceedsAmt>21278666</TotalProceedsAmt>
        <InReserveFundAmt>4507880</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>631679</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>366367</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>15772740</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>false</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc8">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>STEPHEN RILEY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>530000</TransactionAmt>
        <TransactionDesc>INSURANCE PREMIUMS</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc9">
      <CarsAndOtherVehiclesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>7000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>KELLY BLUE BOOK</MethodOfDeterminingRevenuesTxt>
      </CarsAndOtherVehiclesGrp>
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>305684</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>STOCK MARKET QUOTATIONS</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>1025</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST OF ITEMS</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc10">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE BOARD OF DIRECTORS DO NOT ELECT DIRECTORS, BUT RATHER APPOINT DIRECTORS ACCORDING TO THE BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN DECISIONS OF THE BOARD OF DIRECTORS ARE CONTINGENT ON THE APPROVAL OF THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE 990 PRIOR TO FILING. THE FINANCE COMMITTEE CHAIR DISCUSSES WITH THE ENTIRE BOARD AT THE NEXT QUARTERLY BOARD MEETING THAT THE FINANCE COMMITTEE REVIEWED THE 990 AND NO ISSUES WERE NOTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A DIRECTOR IS REQUIRED TO ANNUALLY, OR AT SUCH A TIME THAT A CONFLICT MAY ARISE, DISCLOSE THIS TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES LEADING AGE SALARY SURVEY DATA FOR CENTRAL PENNSYLVANIA, AS WELL AS APPROVAL FROM THE BOARD OF DIRECTORS IN DETERMINING COMPENSATION FOR THE PRESIDENT/ADMINISTATOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES LEADING AGE SALARY SURVEY DATA FOR CENTRAL PENNSYLVANIA, AS WELL AS APPROVAL FROM THE BOARD OF DIRECTORS IN DETERMINING COMPENSATION FOR OTHER OFFICERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>FUND DEVELOPMENT EXPENSES (DEPT. 69) -192,563 ROUNDING -2 MAJOR EVENT EXPENSE 61,939 BAD DEBT EXPENSE 28,055 MAJOR EVENT EXPENSE -61,939 BAD DEBT EXPENSE -28,055 FUND DEVELOPMENT EXPENSES (DEPT. 69) 192,563 ROUNDING 2</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc11">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>ADORERS OF THE BLOOD OF CHRIST</BusinessNameLine1>
          <BusinessNameLine2>UNITED STATES REGION</BusinessNameLine2>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>4233 SULPHUR AVENUE</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63109</ZIPCode>
        </USAddress>
        <EIN>371402562</EIN>
        <PrimaryActivitiesTxt>RELIGIOUS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>ASC HEALTH</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>4233 SULPHUR AVENUE</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63109</ZIPCode>
        </USAddress>
        <EIN>371186930</EIN>
        <PrimaryActivitiesTxt>OVERSIGHT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>ADORERS OF</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>VILLA MARIA</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>116 SOUTH CENTRAL AVENUE</AddressLine1>
          <City>MULVANE</City>
          <State>KS</State>
          <ZIPCode>67110</ZIPCode>
        </USAddress>
        <EIN>237422471</EIN>
        <PrimaryActivitiesTxt>LTC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>ASC HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>ST JOSEPH'S VILLA</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>927 SEVENTH STREET</AddressLine1>
          <City>DAVID CITY</City>
          <State>NE</State>
          <ZIPCode>68632</ZIPCode>
        </USAddress>
        <EIN>470490837</EIN>
        <PrimaryActivitiesTxt>LTC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>ASC HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>ADORERS OF THE BLOOD OF CHRIST</BusinessNameLine1>
          <BusinessNameLine2>UNITED STATES REGION</BusinessNameLine2>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>250000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL AMOUNT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>