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        <ManagementAndGeneral>107477</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>92604</Total>
        <ManagementAndGeneral>92604</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>25800</Total>
        <ManagementAndGeneral>25800</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>828</Total>
        <ManagementAndGeneral>828</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesOther>
        <Total>3661855</Total>
        <ProgramServices>3661855</ProgramServices>
      </FeesForServicesOther>
      <Advertising>
        <Total>94426</Total>
        <ManagementAndGeneral>94426</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>321551</Total>
        <ProgramServices>225207</ProgramServices>
        <ManagementAndGeneral>96344</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>79910</Total>
        <ManagementAndGeneral>79910</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>851100</Total>
        <ProgramServices>851100</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>29178</Total>
        <ProgramServices>22831</ProgramServices>
        <ManagementAndGeneral>6347</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>6906</Total>
        <ManagementAndGeneral>6906</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>349417</Total>
        <ProgramServices>349417</ProgramServices>
      </Interest>
      <DepreciationDepletion>
        <Total>1042664</Total>
        <ProgramServices>1042664</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>85068</Total>
        <ProgramServices>85068</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>436856</Total>
        <ProgramServices>436856</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PA NURSING HOME ASSESSM</Description>
        <Total>180674</Total>
        <ProgramServices>180674</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS</Description>
        <Total>165257</Total>
        <ProgramServices>165257</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LICENSES AND FEES</Description>
        <Total>97457</Total>
        <ProgramServices>11451</ProgramServices>
        <ManagementAndGeneral>86006</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>121134</Total>
        <ProgramServices>89788</ProgramServices>
        <ManagementAndGeneral>31346</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>13312775</Total>
        <ProgramServices>11743295</ProgramServices>
        <ManagementAndGeneral>1569480</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>300</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>291604</BOY>
        <EOY>1447116</EOY>
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      <PledgesAndGrantsReceivable>
        <BOY>918</BOY>
        <EOY>918</EOY>
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        <EOY>1170186</EOY>
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      <InventoriesForSaleOrUse>
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        <EOY>20431</EOY>
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        <BOY>109770</BOY>
        <EOY>133854</EOY>
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      <LandBuildingsEquipmentBasis>33116985</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>10630814</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>22537978</BOY>
        <EOY>22486171</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>1303243</BOY>
        <EOY>1878329</EOY>
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      <OtherAssetsTotal>
        <BOY>76759</BOY>
        <EOY>64670</EOY>
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      <TotalAssets>
        <BOY>25594602</BOY>
        <EOY>27201975</EOY>
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        <BOY>843531</BOY>
        <EOY>993045</EOY>
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      <DeferredRevenue>
        <BOY>135429</BOY>
        <EOY>247517</EOY>
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      <TaxExemptBondLiabilities>
        <BOY>10903547</BOY>
        <EOY>10220563</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>401997</BOY>
        <EOY>0</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>9903813</BOY>
        <EOY>10107836</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>22188317</BOY>
        <EOY>21568961</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>3406285</BOY>
        <EOY>5633014</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3406285</BOY>
        <EOY>5633014</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>25594602</BOY>
        <EOY>27201975</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>2195656</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>31073</ReconciliationUnrealizedInvest>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
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        <CurrentTaxYearMinus3Years>42556</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>94401</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>43456</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>52634</CurrentTaxYear>
        <Total>267195</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>11935566</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>12881059</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13022546</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>13785663</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>15205268</CurrentTaxYear>
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      <Total509>
        <CurrentTaxYearMinus4Years>11969714</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>12923615</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13116947</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>13829119</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>15257902</CurrentTaxYear>
        <Total>67097297</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <CurrentTaxYearMinus2Years>850</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>750</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>600</CurrentTaxYear>
        <Total>2200</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
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        <CurrentTaxYearMinus1Year>750</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>600</CurrentTaxYear>
        <Total>2200</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>67095097</PublicSupportTotal509>
      <GrossInvestmentIncome509>
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        <CurrentTaxYearMinus3Years>80072</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>108724</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>87232</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>143738</CurrentTaxYear>
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      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>80072</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>108724</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>87232</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>143738</CurrentTaxYear>
        <Total>500196</Total>
      </InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>20173</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>50350</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>59992</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>128668</CurrentTaxYear>
        <Total>283368</Total>
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      <TotalSupportTotal>
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        <CurrentTaxYearMinus3Years>13023860</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13276021</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>13976343</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>15530308</CurrentTaxYear>
        <Total>67880861</Total>
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      <PublicSupportPercentage509>0.98840</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99040</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00740</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00700</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2008 AMOUNT: $ 24,185. 2009 AMOUNT: $ 20,173. 2010 AMOUNT: $ 4,934. 2011 AMOUNT: $ 5,146. 2012 AMOUNT: $ 7,451. GUEST QUARTERS MEALS - 2010 AMOUNT: $ 20,797. 2011 AMOUNT: $ 25,697. 2012 AMOUNT: $ 27,363. STORE INVENTORY - 2010 AMOUNT: $ 24,619. 2011 AMOUNT: $ 29,149. 2012 AMOUNT: $ 34,623. TELEPHONE REVENUE - 2012 AMOUNT: $ 20,113. BARBER AND BEAUTY SHOP - 2012 AMOUNT: $ 19,597. TRANSPORTATION REVENUE - 2012 AMOUNT: $ 10,599. LAUNDRY REVENUE - 2012 AMOUNT: $ 8,922.</GeneralExplanation>
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        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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      <TotalLobbyingExpendituresIIB>828</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
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        <Identifier>EXPLANATION OF LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1:</ReturnReference>
        <Explanation>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.</Explanation>
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        <BookValue>-174614</BookValue>
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      <TotalOfBookValueLandBuildings>22486171</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED REVENUE FROM ENTRANCE FEES</Description>
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      <FootnoteInPartXIII>X</FootnoteInPartXIII>
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      <ExpensesNotRptdOnFinStmt>46376</ExpensesNotRptdOnFinStmt>
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        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>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 2013 AND 2012. THE COMPANY'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS PRIOR TO 2010 ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.</Explanation>
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      <Form990ScheduleDPartXIII>
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      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
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      <InitialContractException>0</InitialContractException>
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        <Title>PRESIDENT/CEO</Title>
        <BaseCompensationFilingOrg>147508</BaseCompensationFilingOrg>
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        <BonusFilingOrg>9787</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>4160</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8977</DeferredCompFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <BonusFilingOrg>8887</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>7678</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8628</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>12732</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>156866</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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        <Explanation>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.</Explanation>
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        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
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      <Form990ScheduleKPartI>
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        </IssuerName>
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        <DateIssued>2007-03-21</DateIssued>
        <IssuePrice>4885000</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCTION AND REFINANCING</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
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        <CapitalExpenditures>1315000</CapitalExpenditures>
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        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
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        <AmountInReserveFund>200000</AmountInReserveFund>
        <OtherSpentProceeds>4685000</OtherSpentProceeds>
        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
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        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>1</EngageBondCounselContracts>
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        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>0</NonQualifiedBondRemedProcdrs>
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        <EngageBondCounselContracts>1</EngageBondCounselContracts>
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        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>1</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>1</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>0</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>0</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>SCHEDULE K, PART V</Identifier>
        <ReturnReference>PROCEDURES TO UNDERTAKE CORRECTIVE ACTION</ReturnReference>
        <Explanation>THE ORGANIZATION HAS ALWAYS PRUDENTLY AND WITH DUE CARE MONITORED THE PROCEEDS OF THEIR TAX EXEMPT BOND ISSUES. THEY RECOGNIZE THE IMPORTANCE OF HAVING WRITTEN POLICIES AND ARE IN THE PROCESS OF CONFERRING THEIR PRACTICES INTO A MORE FORMAL, WRITTEN PROEDURE.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>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 IT IS FILED WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>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 TURNS, DETERMINES COMPENSATION FOR OTHER KEY EMPLOYEES. ALL DECISIONS ARE DOCUMENTED, INCLUDING THE AWARDING OF INCENTIVE BONUSES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>MSD CONTRACT : PROGRAM SERVICE EXPENSES 2,357,874. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,357,874. OCCUPATIONAL THERAPY SERVICES : PROGRAM SERVICE EXPENSES 321,914. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 321,914. PHYSICAL THERAPY SERVICES : PROGRAM SERVICE EXPENSES 349,422. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 349,422. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 632,645. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 632,645.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DOCUMENT RETENTION AND DESCTRUCTION POLICY:</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 14</ReturnReference>
        <Explanation>THE ORGANIZATION IS IN THE PROCESS OF ESTABLISHING SUCH A POLICY AND ANTICIPATES RECEIVING BOARD APPROVAL WITHIN THE NEXT FISCAL YEAR. ONCE BOARD APPROVAL HAS BEEN RECEIVED, THE POLICY WILL BE IMPLEMENTED.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>