﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2012v2.1">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2013-11-14T14:37:50-06:00</Timestamp>
    <TaxPeriodEndDate>2012-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <EIN>410746749</EIN>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>CLIFTONLARSONALLEN LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>101 N TRYON STREET SUITE 1000</AddressLine1>
        <City>CHARLOTTE</City>
        <State>NC</State>
        <ZIPCode>28246</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>560547462</EIN>
      <Name>
        <BusinessNameLine1>ALDERSGATE UNITED METHODIST RETIREMENT</BusinessNameLine1>
        <BusinessNameLine2>COMMUNITY INC</BusinessNameLine2>
      </Name>
      <NameControl>ALDE</NameControl>
      <Phone>7045325211</Phone>
      <USAddress>
        <AddressLine1>3800 SHAMROCK DRIVE</AddressLine1>
        <City>CHARLOTTE</City>
        <State>NC</State>
        <ZIPCode>28215</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>KENNIE M STILL</Name>
      <Title>CHIEF FINANCIAL OFFICER</Title>
      <Phone>7045325211</Phone>
      <DateSigned>2013-11-14</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>JOHN NORMAN</Name>
      <PTIN>P01506766</PTIN>
      <Phone>7049985200</Phone>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>SUZANNE H PUGH</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>3800 SHAMROCK DRIVE</AddressLine1>
        <City>CHARLOTTE</City>
        <State>NC</State>
        <ZIPCode>28215</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>28497313</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.ALDERSGATECCRC.COM</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1945</YearFormation>
      <StateLegalDomicile>NC</StateLegalDomicile>
      <ActivityOrMissionDescription>PROVISION OF EXCELLENT CONTINUING CARE SERVICES FOR OLDER ADULTS.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>16</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>16</NbrIndependentVotingMembers>
      <TotalNbrEmployees>466</TotalNbrEmployees>
      <TotalNbrVolunteers>84</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>535249</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>319385</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>26356325</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>27194452</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>1609285</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>983476</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>0</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>0</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>28500859</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>28497313</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>12072950</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>14501642</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>130815</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>15891206</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>13833675</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>27964156</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>28335317</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>536703</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>161996</RevenuesLessExpensesCY>
      <TotalAssetsBOY>77435410</TotalAssetsBOY>
      <TotalAssetsEOY>77654610</TotalAssetsEOY>
      <TotalLiabilitiesBOY>76418629</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>74464365</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>1016781</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>3190245</NetAssetsOrFundBalancesEOY>
      <MissionDescription>ALDERSGATE IS A MINISTRY OF THE WESTERN NORTH CAROLINA CONFERENCE OF THE UNITED METHODIST CHURCH AND OFFERS EXCEPTIONAL QUALITY OF LIFE OPPORTUNITIES FOR OLDER ADULTS ACROSS A CONTINUUM OF HOUSING AND HEALTH CARE OPTIONS.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>24781207</Expense>
      <Revenue>27194452</Revenue>
      <Description>ALDERSGATE PROVIDES AFFORDABLE HOUSING, MEALS, SECURITY, ASSISTANCE WITH ESSENTIAL ACTIVITIES OF DAILY LIVING, SKILLED NURSING CARE, AND RELATED SERVICES DESIGNED SPECIFICALLY FOR SENIOR ADULTS WHILE OFFERING RELIGIOUS, CULTURAL, RECREATIONAL AND OTHER ACTIVITIES INCLUDING OPPORTUNITIES FOR COMMUNITY VOLUNTEERING AND TRANSPORTATION TO EVENTS AND APPOINTMENTS. SERVICES ARE PROVIDED 24 HOURS PER DAY. ALDERSGATE MAKES EVERY EFFORT TO CONTINUE PROVIDING SERVICES TO RESIDENTS WHO NEED SUPPLEMENTAL FINANCIAL ASSISTANCE.</Description>
      <Activity2>
        <Description>IN 2011, ALDERSGATE PROVIDED LAND AND/OR BUILDINGS AT NO COST TO THREE 501(C)(3) CHARITABLE ORGANIZATIONS AND ONE LOCAL GOVERNMENT AGENCY. THE ESTIMATED MARKET VALUE OF THE RENT CONCESSIONS PROVIDED IS $675,749.</Description>
      </Activity2>
      <TotalProgramServiceExpense>24781207</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <SubjectToProxyTax>0</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">1</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">1</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">0</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">1</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="RetDoc1053100001">1</TaxExemptBonds>
      <InvestTaxExemptBonds>0</InvestTaxExemptBonds>
      <EscrowAccount>0</EscrowAccount>
      <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity>0</DisregardedEntity>
      <RelatedEntity>0</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg>0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>64</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <NumberOfEmployees>466</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>16</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>16</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>0</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>LUTHER SHORT CHIEF FINANCIAL OFFICER</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>7045327000</TelephoneNumber>
        <AddressUS>
          <AddressLine1>3800 SHAMROCK DRIVE</AddressLine1>
          <City>CHARLOTTE</City>
          <State>NC</State>
          <ZIPCode>28215</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>ROY H WIGGINS</NamePerson>
        <Title>CHAIR</Title>
        <AverageHoursPerWeek>10.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLAM K SPRINGS</NamePerson>
        <Title>VICE-CHAIR</Title>
        <AverageHoursPerWeek>10.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REVEREND PATIENCE BRUMLEY</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RAYMOND CATHEY</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK B EDWARDS</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARGARET FISHER</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BETTY JO HARDY</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REVEREND WILLIAM T JEFFRIES</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SUSAN S KEEVER</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOSEPH A LIPE</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT LOWRANCE</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PETROLIA G NORMAN</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARIE PEARCE</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REVEREND F OSCAR SMITH</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>T MARK WHITE</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BASIL WILLAIMS</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>F CROWDER FALLS</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>J CARROLL THOMAS</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REVEREND JAMES TROLLINGER</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SUZANNE HODGE PUGH</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>70.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>171904</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5201</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL HOLTZCLAW</NamePerson>
        <Title>DIRECTOR OF MARKETING</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>140484</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EMILY NUNN</NamePerson>
        <Title>CHIEF OPERATING OFFICER</Title>
        <AverageHoursPerWeek>60.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>106816</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>YVETTE PORTERFIELD</NamePerson>
        <Title>DIRECTOR OF NURSING</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>102346</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15031</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>521550</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>20232</TotalOtherCompensation>
      <NumberIndividualsGT100K>5</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>GENESIS ELDERCARE REHAB SERVICES</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 7247-6524</AddressLine1>
            <City>PHILADELPHIA</City>
            <State>PA</State>
            <ZIPCode>19170</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICAL THERAPY</DescriptionOfServices>
        <Compensation>2128741</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>OMNI CARE INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 715218</AddressLine1>
            <City>COLUMBUS</City>
            <State>OH</State>
            <ZIPCode>43271</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHARMACY SERVICES</DescriptionOfServices>
        <Compensation>900008</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>SODEXHO &amp; AFFILIATES INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 536972</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30355</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>FOOD AND ENVIRONMENTAL</DescriptionOfServices>
        <Compensation>439474</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>PIKE'S PHARMACY</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2133 SHAMROCK DRIVE</AddressLine1>
            <City>CHARLOTTE</City>
            <State>NC</State>
            <ZIPCode>28205</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHARMACY SERVICES</DescriptionOfServices>
        <Compensation>182482</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>LANKFORD FLOORING &amp; CONTRACTING</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2117 NORTH DAVIDSON STREET</AddressLine1>
            <City>CHARLOTTE</City>
            <State>NC</State>
            <ZIPCode>28205</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION SERVICES</DescriptionOfServices>
        <Compensation>140349</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>6</NumberOfContractorsGT100K>
      <AllOtherContributions>319385</AllOtherContributions>
      <TotalContributions>319385</TotalContributions>
      <ProgramServiceRevenue>
        <Description>RESIDENT REVENUE</Description>
        <BusinessCode>623311</BusinessCode>
        <TotalRevenueColumn>25463358</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>25463358</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>ENTRANCE FEES EARNED</Description>
        <BusinessCode>623311</BusinessCode>
        <TotalRevenueColumn>1523757</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1523757</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>207337</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>207337</RelatedOrExemptFunctionIncome>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>27194452</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>570676</TotalRevenueColumn>
        <ExclusionAmount>570676</ExclusionAmount>
      </InvestmentIncome>
      <GrossAmountSalesAssets>
        <Securities>412175</Securities>
        <Other>625</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>0</Securities>
        <Other>0</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>412175</Securities>
        <Other>625</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>412800</TotalRevenueColumn>
        <ExclusionAmount>412800</ExclusionAmount>
      </NetGainOrLossInvestments>
      <TotalRevenue>
        <TotalRevenueColumn>28497313</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>27194452</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>983476</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>403811</Total>
        <ManagementAndGeneral>403811</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>12222213</Total>
        <ProgramServices>11341751</ProgramServices>
        <ManagementAndGeneral>811506</ManagementAndGeneral>
        <Fundraising>68956</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>32669</Total>
        <ProgramServices>27467</ProgramServices>
        <ManagementAndGeneral>5202</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1052632</Total>
        <ProgramServices>779731</ProgramServices>
        <ManagementAndGeneral>272901</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>790317</Total>
        <ProgramServices>710612</ProgramServices>
        <ManagementAndGeneral>74499</ManagementAndGeneral>
        <Fundraising>5206</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>45830</Total>
        <ManagementAndGeneral>45830</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>57825</Total>
        <ManagementAndGeneral>57825</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>2828270</Total>
        <ProgramServices>2079168</ProgramServices>
        <ManagementAndGeneral>733285</ManagementAndGeneral>
        <Fundraising>15817</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>238007</Total>
        <ManagementAndGeneral>235565</ManagementAndGeneral>
        <Fundraising>2442</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>102045</Total>
        <ProgramServices>22733</ProgramServices>
        <ManagementAndGeneral>48419</ManagementAndGeneral>
        <Fundraising>30893</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>111573</Total>
        <ManagementAndGeneral>111573</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>57202</Total>
        <ProgramServices>20663</ProgramServices>
        <ManagementAndGeneral>36539</ManagementAndGeneral>
      </Royalties>
      <Occupancy>
        <Total>1407437</Total>
        <ProgramServices>1371438</ProgramServices>
        <ManagementAndGeneral>35999</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>30770</Total>
        <ProgramServices>7721</ProgramServices>
        <ManagementAndGeneral>16555</ManagementAndGeneral>
        <Fundraising>6494</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>46045</Total>
        <ProgramServices>8014</ProgramServices>
        <ManagementAndGeneral>37024</ManagementAndGeneral>
        <Fundraising>1007</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>1644550</Total>
        <ProgramServices>1619037</ProgramServices>
        <ManagementAndGeneral>25513</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>3933785</Total>
        <ProgramServices>3635081</ProgramServices>
        <ManagementAndGeneral>298704</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>308367</Total>
        <ProgramServices>135822</ProgramServices>
        <ManagementAndGeneral>172545</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>MEDICAL RX, SUPPLIES</Description>
        <Total>3021969</Total>
        <ProgramServices>3021969</ProgramServices>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>28335317</Total>
        <ProgramServices>24781207</ProgramServices>
        <ManagementAndGeneral>3423295</ManagementAndGeneral>
        <Fundraising>130815</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1800</BOY>
        <EOY>1800</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>479043</BOY>
        <EOY>970659</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>964275</BOY>
        <EOY>1366172</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>88395</BOY>
        <EOY>91553</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>189932</BOY>
        <EOY>288554</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>97264565</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>45785030</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>54087570</BOY>
        <EOY>51479535</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
        <BOY>19688144</BOY>
        <EOY>21663702</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>1936251</BOY>
        <EOY>1792635</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>77435410</BOY>
        <EOY>77654610</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2124470</BOY>
        <EOY>1681840</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>5232661</BOY>
        <EOY>5225144</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>34605556</BOY>
        <EOY>33802065</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>34455942</BOY>
        <EOY>33755316</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>76418629</BOY>
        <EOY>74464365</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-1783916</BOY>
        <EOY>516612</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>2198033</BOY>
        <EOY>2067812</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>602664</BOY>
        <EOY>605821</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>1016781</BOY>
        <EOY>3190245</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>77435410</BOY>
        <EOY>77654610</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>161996</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>1706877</ReconciliationUnrealizedInvest>
      <ReconcilationOtherChanges>304591</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>741100</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>614204</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>550375</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>535249</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>319385</CurrentTaxYear>
        <Total>2760313</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>19153973</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>23172597</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>25058029</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>26356325</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>27194452</CurrentTaxYear>
        <Total>120935376</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>19895073</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>23786801</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>25608404</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>26891574</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>27513837</CurrentTaxYear>
        <Total>123695689</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <CurrentTaxYearMinus4Years>6875</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>8430</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7242</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3281</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>7470</CurrentTaxYear>
        <Total>33298</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <CurrentTaxYearMinus4Years>1754809</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>291656</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>241139</CurrentTaxYearMinus2Years>
        <CurrentTaxYear>60455</CurrentTaxYear>
        <Total>2348059</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>1761684</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>300086</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>248381</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3281</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>67925</CurrentTaxYear>
        <Total>2381357</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>121314332</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>165196</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>908045</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1557028</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>703999</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>570676</CurrentTaxYear>
        <Total>3904944</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>165196</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>908045</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1557028</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>703999</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>570676</CurrentTaxYear>
        <Total>3904944</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus3Years>-478965</CurrentTaxYearMinus3Years>
        <Total>-478965</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>20060269</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>24215881</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>27165432</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>27595573</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>28084513</CurrentTaxYear>
        <Total>127121668</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.95430</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.93030</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.03070</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.03920</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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">
      <CurrentYear>
        <BeginningOfYearBalance>1434667</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>73843</InvestmentEarningsOrLosses>
        <EndOfYearBalance>1508510</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>1403264</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>31403</InvestmentEarningsOrLosses>
        <EndOfYearBalance>1434667</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>1016977</BeginningOfYearBalance>
        <Contributions>728285</Contributions>
        <InvestmentEarningsOrLosses>109707</InvestmentEarningsOrLosses>
        <OtherExpenditures>451705</OtherExpenditures>
        <EndOfYearBalance>1403264</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>854598</BeginningOfYearBalance>
        <Contributions>162379</Contributions>
        <EndOfYearBalance>1016977</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <CurrentYearMinus4Years>
        <BeginningOfYearBalance>854598</BeginningOfYearBalance>
        <EndOfYearBalance>854598</EndOfYearBalance>
      </CurrentYearMinus4Years>
      <BoardDesignatedEOYBalance>0.46150</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.40160</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.13690</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>93672</OtherCostOrOtherBasis>
        <BookValue>93672</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>80325486</OtherCostOrOtherBasis>
        <Depreciation>35500766</Depreciation>
        <BookValue>44824720</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>9985054</OtherCostOrOtherBasis>
        <Depreciation>7826837</Depreciation>
        <BookValue>2158217</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>6860353</OtherCostOrOtherBasis>
        <Depreciation>2457427</Depreciation>
        <BookValue>4402926</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>51479535</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>MUTUAL FUNDS</Description>
        <BookValue>15205615</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>ALETNATIVE INVESTMENTS</Description>
        <BookValue>1151795</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>EQUITIES</Description>
        <BookValue>5128833</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>CASH AND EQUIVALENTS</Description>
        <BookValue>177459</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>21663702</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>ENTRANCE FEE DEPOSITS</Description>
        <Amount>4094</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>REFUNDABLE ENTRANCE FEES</Description>
        <Amount>30921545</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>FAIR VALUE OF SWAP</Description>
        <Amount>2643023</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ARO LIABILITY</Description>
        <Amount>156654</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LT LIABILITIES</Description>
        <Amount>30000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>33755316</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>28671497</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>404021</OtherRevenues>
      <RevenueNotRptdF990>404021</RevenueNotRptdF990>
      <RevenueSubtotal>28267476</RevenueSubtotal>
      <OtherRevenuesNotIncluded>229837</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>229837</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>28497313</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>28335135</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>28335135</ExpensesSubtotal>
      <OtherExpensesNotIncluded>182</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>182</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>28335317</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>THE ORGANIZATION USES ENDOWMENT FUNDS TOWARDS VARIOUS DONOR DESIGNATED PURPOSES INCLUDING FINANCIAL ASSISTANCE TO RESIDENTS UNABLE TO PAY AND EMPLOYEE TRAINING.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>SHOULD THE TAX-EXEMPT STATUS OF THE ORGANIZATION BE CHALLENGED IN THE FUTURE, THE 2009, 2010, AND 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE ORGANIZATION ADOPTED ACCOUNTING GUIDANCE REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION HAS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RELEASES OF RESTRICTED NET ASSETS USED FOR SERVICES 404,021.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RESTRICTED CONTRIBUTIONS 163,693. RESTRICTED INVESTMENT INCOME 65,962. OTHER 182.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>OTHER 182.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SubstantiationRequired>1</SubstantiationRequired>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <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>SUZANNE HODGE PUGH</NamePerson>
        <Title>PRESIDENT</Title>
        <BaseCompensationFilingOrg>171904</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5201</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>177105</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>NORTH CAROLINA MEDICAL CARE COMMISSION</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <DateIssued>2009-12-30</DateIssued>
        <IssuePrice>29995000</IssuePrice>
        <DescriptionOfPurpose>TO REFUND 2001 BONDS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>NORTH CAROLINA MEDICAL CARE COMMISSION</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309402</IssuerEIN>
        <DateIssued>2010-04-13</DateIssued>
        <IssuePrice>8605000</IssuePrice>
        <DescriptionOfPurpose>TO REFUND 2001 BONDS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountInReserveFund>29995000</AmountInReserveFund>
        <RefundingEscrow>320000</RefundingEscrow>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceeds>8605000</TotalProceeds>
        <IssuanceCostsFromProceeds>104836</IssuanceCostsFromProceeds>
        <CapitalExpenditures>4261768</CapitalExpenditures>
        <AmountUnspent>677316</AmountUnspent>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>0</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>0</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>0</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>1</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS FORM 990 AFTER FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ALL MEMBERS OF THE BOARD OF DIRECTORS ARE COVERED AND SIGN THE CONFLICT OF INTEREST POLICY. ITEMS THAT REPRESENT MAJOR EXPENDITURES ARE SUBJECT TO A BID PROCESS WHERE THE LOWEST COST PROVIDER OF THE DESIRED SERVICE IS GENERALLY SELECTED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>ALL POSITIONS INCLUDING KEY EMPLOYEES IN THE COMPANY ARE COMPARED PERIODICALLY (GENERALLY ANNUALLY) TO WAGE DATA THAT IS DEVELOPED INDEPENDENTLY THROUGH A LOCAL EMPLOYERS ASSOCIATION. THE WAGES ARE REVIEWED TO SEE THAT THEY ARE COMPETITIVE IN THE LOCAL MARKET. COMPENSATION OF THE TOP MANAGEMENT OFFICIAL IS APPROVED BY THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>AUDITED FINANCIAL STATEMENTS ARE FILED ANNUALLY WITH THE NORTH CAROLINA DEPARTMENT OF INSURANCE AND PUBLISHED ON ITS WEBSITE. THEY ARE ALSO PRINTED ANNUALLY IN STATUTORILY REQUIRED DISCLOSURE STATEMENTS WHICH ARE AVAILABLE TO THE PUBLIC. ARTICLES OF INCORPORATION ARE AVAILABLE ONLINE AT THE NORTH CAROLINA SECRETARY OF STATE WEBSITE. THE CONFLICTS OF INTEREST POLICY IS AVAILABLE FOR EXAMINATION UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9:</ReturnReference>
        <Explanation>CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 304,591.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS HAS ESTABLISHED ITS AUDIT COMMITTEE TO ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>