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      <Advertising>
        <Total>21648</Total>
        <ManagementAndGeneral>21648</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>51741</Total>
        <ManagementAndGeneral>51741</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>371596</Total>
        <ProgramServices>371596</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>1701</Total>
        <ProgramServices>1701</ProgramServices>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>20109</Total>
        <ProgramServices>20109</ProgramServices>
      </ConferencesMeetings>
      <Interest>
        <Total>166447</Total>
        <ManagementAndGeneral>166447</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>443567</Total>
        <ProgramServices>441355</ProgramServices>
        <ManagementAndGeneral>2212</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>130510</Total>
        <ProgramServices>130510</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>Pa. nursing facility assessmen</Description>
        <Total>340039</Total>
        <ProgramServices>340039</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Laundry services</Description>
        <Total>393565</Total>
        <ProgramServices>393565</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Therapies</Description>
        <Total>431449</Total>
        <ProgramServices>431449</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Food costs</Description>
        <Total>872535</Total>
        <ProgramServices>872535</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>870993</Total>
        <ProgramServices>790446</ProgramServices>
        <ManagementAndGeneral>80547</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>12510836</Total>
        <ProgramServices>11594582</ProgramServices>
        <ManagementAndGeneral>916254</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
        <BOY>1800</BOY>
        <EOY>1800</EOY>
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      <SavingsAndTempCashInvestments>
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        <EOY>567857</EOY>
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      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1289591</BOY>
        <EOY>1399505</EOY>
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      <ReceivablesFromOfficersEtc>
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      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
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      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>16820</BOY>
        <EOY>16820</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>122789</BOY>
        <EOY>76090</EOY>
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      <LandBuildingsEquipmentBasis>15490620</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>9141411</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>6594147</BOY>
        <EOY>6349209</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>118965</BOY>
        <EOY>128134</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>8913005</BOY>
        <EOY>8539415</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>808954</BOY>
        <EOY>860520</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>688215</BOY>
        <EOY>528680</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>3428853</BOY>
        <EOY>3277205</EOY>
      </TaxExemptBondLiabilities>
      <UnsecuredNotesLoansPayable>
        <BOY>191329</BOY>
        <EOY>392379</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>140432</BOY>
        <EOY>164752</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>5257783</BOY>
        <EOY>5223536</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>3348241</BOY>
        <EOY>3008898</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>306981</BOY>
        <EOY>306981</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3655222</BOY>
        <EOY>3315879</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>8913005</BOY>
        <EOY>8539415</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-339343</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="12000229" softwareVersion="2012v2.0">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>130144</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>115802</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>176464</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>201407</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>178516</CurrentTaxYear>
        <Total>802333</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>11212472</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>11476855</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>11869694</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12296263</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11982251</CurrentTaxYear>
        <Total>58837535</Total>
      </GrossReceiptsFromAdmissions>
      <GrossReceiptsFromNonUBI>
        <Total>0</Total>
      </GrossReceiptsFromNonUBI>
      <TaxRevLeviedForOrgBenefit509>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit509>
      <ValueOfSvcsFcltsFurnishdByGovt>
        <Total>0</Total>
      </ValueOfSvcsFcltsFurnishdByGovt>
      <Total509>
        <CurrentTaxYearMinus4Years>11342616</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>11592657</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>12046158</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12497670</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12160767</CurrentTaxYear>
        <Total>59639868</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <PublicSupportTotal509>59639868</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>474</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>21032</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>21837</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12368</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10736</CurrentTaxYear>
        <Total>66447</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <Total>0</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>474</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>21032</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>21837</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12368</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10736</CurrentTaxYear>
        <Total>66447</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <Total>0</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <Total>0</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>11343090</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>11613689</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>12067995</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12510038</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12171503</CurrentTaxYear>
        <Total>59706315</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99890</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99870</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00110</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00130</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="12000229" softwareVersion="2012v2.0">
      <ContributorInfo>
        <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>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000229" softwareVersion="2012v2.0">
      <Land>
        <OtherCostOrOtherBasis>287104</OtherCostOrOtherBasis>
        <BookValue>287104</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>11516044</OtherCostOrOtherBasis>
        <Depreciation>6383126</Depreciation>
        <BookValue>5132918</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>881473</OtherCostOrOtherBasis>
        <Depreciation>539557</Depreciation>
        <BookValue>341916</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2805999</OtherCostOrOtherBasis>
        <Depreciation>2218728</Depreciation>
        <BookValue>587271</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>6349209</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Security deposits</Description>
        <Amount>65144</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Resident deposits</Description>
        <Amount>99608</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>164752</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>12159339</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>12159339</RevenueSubtotal>
      <OtherRevenuesNotIncluded>12154</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>12154</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>12171493</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>12498682</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>12498682</ExpensesSubtotal>
      <OtherExpensesNotIncluded>12154</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>12154</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>12510836</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XII, Line 4b</Identifier>
        <ReturnReference>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</ReturnReference>
        <Explanation>Reclassify bad debt $12154</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XI, Line 4b</Identifier>
        <ReturnReference>Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S</ReturnReference>
        <Explanation>Reclassify bad debts $12154</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>New residents receive a package that includes the resident's agreement, financial information, and the Home's rules and regulations. Existing resident's are informed that this information is available upon request and thay may obtain a copy from the business office.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>New board members are required to sign off on a conflict of interest statement when they become a member. All board members are asked to resign the statement every two years. Employees are notified of policy when hired and periodically with a notice in their paychecks.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>Review with CEO</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>