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      <NetGainOrLossInvestments>
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        <ExclusionAmount>2574</ExclusionAmount>
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        <ExclusionAmount>171547</ExclusionAmount>
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      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <CompCurrentOfficersDirectors>
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        <ManagementAndGeneral>180995</ManagementAndGeneral>
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        <Total>7905244</Total>
        <ProgramServices>6961197</ProgramServices>
        <ManagementAndGeneral>944047</ManagementAndGeneral>
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        <Total>26054</Total>
        <ProgramServices>22429</ProgramServices>
        <ManagementAndGeneral>3625</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
        <Total>1600562</Total>
        <ProgramServices>1377875</ProgramServices>
        <ManagementAndGeneral>222687</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>773571</Total>
        <ProgramServices>665944</ProgramServices>
        <ManagementAndGeneral>107627</ManagementAndGeneral>
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      <FeesForServicesManagement>
        <Total>979329</Total>
        <ProgramServices>843075</ProgramServices>
        <ManagementAndGeneral>136254</ManagementAndGeneral>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>28205</ManagementAndGeneral>
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      <FeesForServicesAccounting>
        <Total>13967</Total>
        <ProgramServices>12024</ProgramServices>
        <ManagementAndGeneral>1943</ManagementAndGeneral>
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        <ManagementAndGeneral>441749</ManagementAndGeneral>
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      <Advertising>
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        <ManagementAndGeneral>3453</ManagementAndGeneral>
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      <InformationTechnology>
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        <ProgramServices>130366</ProgramServices>
        <ManagementAndGeneral>21069</ManagementAndGeneral>
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      <Occupancy>
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        <ProgramServices>502499</ProgramServices>
        <ManagementAndGeneral>81212</ManagementAndGeneral>
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      <Interest>
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        <ProgramServices>11396</ProgramServices>
        <ManagementAndGeneral>1842</ManagementAndGeneral>
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        <Total>514247</Total>
        <ProgramServices>442700</ProgramServices>
        <ManagementAndGeneral>71547</ManagementAndGeneral>
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        <ProgramServices>141789</ProgramServices>
        <ManagementAndGeneral>22915</ManagementAndGeneral>
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        <Description>SUPPLIES</Description>
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      <OtherExpenses>
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        <EOY>2007800</EOY>
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        <EOY>1165967</EOY>
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        <EOY>13184831</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>15192631</EOY>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
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      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
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        <CurrentTaxYearMinus2Years>343700</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>314459</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>302796</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>18705357</CurrentTaxYearMinus1Year>
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      </AmtsRecdFromDisqualPersons>
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        <Total>0</Total>
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      <SupportFromDQPsEtc>
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      <GrossInvestmentIncome509>
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      <PublicSupportPercentage509>0.96920</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.96190</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01940</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.02590</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME: GAIN/LOSS SALE OF NON CAPITAL ASSETS</GeneralExplanation>
    </IRS990ScheduleA>
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      <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="RetDoc1040000001">
      <Land>
        <InvestmentCostOrOtherBasis>1600000</InvestmentCostOrOtherBasis>
        <BookValue>1600000</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>9440269</InvestmentCostOrOtherBasis>
        <Depreciation>7705870</Depreciation>
        <BookValue>1734399</BookValue>
      </Buildings>
      <Equipment>
        <InvestmentCostOrOtherBasis>7480857</InvestmentCostOrOtherBasis>
        <Depreciation>6682203</Depreciation>
        <BookValue>798654</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>482830</InvestmentCostOrOtherBasis>
        <Depreciation>303587</Depreciation>
        <BookValue>179243</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>4312296</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>OTHER CURRENT ASSETS</Description>
        <BookValue>100119</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>BENEFICIAL INTEREST IN PERPETUAL TRUSTS</Description>
        <BookValue>1165967</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM RELATED PARTY</Description>
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      </OtherAssets>
      <OtherAssets>
        <Description>ESTIMATED THIRD PARTY SETTLEMENTS</Description>
        <BookValue>114033</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>1958728</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>RESIDENT FUND LIABILITY</Description>
        <Amount>49479</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>49479</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>30693506</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>195261</NetUnrealizedGainsInvestments>
      <OtherRevenues>10834403</OtherRevenues>
      <RevenueNotRptdF990>11029664</RevenueNotRptdF990>
      <RevenueSubtotal>19663842</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>19663842</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>29208467</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>10782913</OtherExpensesIncluded>
      <ExpensesNotRptdF990>10782913</ExpensesNotRptdF990>
      <ExpensesSubtotal>18425554</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>18425554</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>THE ORGANIZATION IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INERNAL REVENUE CODE OF 1986, AS AMENDED, AND STATE INCOME TAXES UNDER THE NOT-FOR-PROFIT CORPORATION LAWS OF THE COMMONWEALTH OF PENNSYLVANIA. ACCORDINGLY, NO PROVISION FOR INCOME TAXES FOR THE ORGANIZATION HAS BEEN PROVIDED. THE ORGANIZATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD APPLIED TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZD TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES ASSESSED, IF ANY, ARE ACCRUED AS INCOME TAX EXPENSE. THE ORGANIZATION HAS IDENTIFIED ITS TAX STATUS, AS A TAX-EXEMPT ENTITY, AS A TAX POSITION. THE ORGANIZATION HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 2010.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>REVENUE ITEMS EARNED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATION FOR FINANCIAL STATEMENT PURPOSES 12,337,154. LESS: ELIMINATING ENTRIES INCLUDED IN FINANCIAL STATEMENTS -1,502,751.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>EXPENSE ITEMS INCURRED BY OTHER ORGANIZATIONS COMBINED WITH THE ORGANIZATIO FOR FINANCIAL STATEMENT PURPOSES 12,285,664. LESS: ELIMINATING ENTRIES INCLUDED IN FINANCIAL STATEMENTS -1,502,751.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>KEVIN ROSS</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
        <BaseCompensationFilingOrg>152313</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>125498</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>152313</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>125498</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN LANETTI</NamePerson>
        <Title>CFO</Title>
        <BaseCompensationFilingOrg>65000</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>130044</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>13525</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>65000</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>143569</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <ReturnReference>PART I, LINE 3</ReturnReference>
        <Explanation>THE ORGANIZATION USED CONVERGE, AN INDEPENDENT CONTRACTOR, TO CONDUCT A REVIEW OF THE CEO COMPENSATION PACKAGE WITH ASSISTANCE FROM COMPENSATION CONSULTING ALTERNATIVES, INC. THE COMPILED AND ANALYZED THE DATA FROM SEVERAL HEALTHCARE SURVEY SOURCES. THIS DATA WAS PROVIDED TO THE BOARD CHAIR WHO REVIEWED IT, ASED QUESTIONS, MADE A DECISION AND REVIEWED THAT DECISION WITH THE BOARD MEMBERS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 IS DISTRIBUTED AND REVIEWED BY ALL BOARD MEMBERS PRIOR TO FILING THE RETURN WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY EACH BOARD MEMBER. THE BOARD MEMBERS ARE EXPECTED TO IDENTIFY ANY CONFLICTS OR POTENTIAL CONFLICTS AND MUST SIGN THE CONFLICT OF INTEREST DOCUMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>THE ORGANIZATION USED CONVERGE, AN INDEPENDENT CONTRACTOR, TO CONDUCT A REVIEW OF THE CEO COMPENSATION PACKAGE WITH ASSISTANCE FROM COMPENSATION CONSULTATING ALTERNATIVES, INC. THEY COMPILED AND ANALYZED THE DATA FROM SEVERAL HEALTHCARE SURVEY SOURCES. THIS DATA WAS PROVIDED TO THE BOARD CHAIR WHO REVIEWED IT, MADE A DECISION AND REVIEWED THE DECISION WITH THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION WILL PROVIDE, UPON IN-PERSON, VERBAL OR WRITTEN REQUEST, DOCUMENTS RELATING TO THE GOVERNANCE, CONFLICTS OF INTEREST AND FINANCIAL STATEMENTS TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 2,733,324. MANAGEMENT AND GENERAL EXPENSES 441,749. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,175,073.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9:</ReturnReference>
        <Explanation>GAIN IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 43,014.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BRYN MAWR TERRACE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>773 E HAVERFORD ROAD</AddressLine1>
          <City>BRYN MAWR</City>
          <State>PA</State>
          <ZIPCode>19010</ZIPCode>
        </AddressUS>
        <EIN>208411287</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MAIN LINE SENIOR CARE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MAIN LINE SENIOR CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 LANCASTER AVENUE</AddressLine1>
          <City>WYNNEWOOD</City>
          <State>PA</State>
          <ZIPCode>19096</ZIPCode>
        </AddressUS>
        <EIN>455110022</EIN>
        <PrimaryActivities>MANAGEMENT SERVICES</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BRYN MAWR TERRACE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>578609</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MAIN LINE SENIOR CARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>M</TransactionType>
        <AmountInvolved>979329</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>