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      <ConferencesMeetings>
        <Total>21138</Total>
        <ProgramServices>21138</ProgramServices>
      </ConferencesMeetings>
      <Interest>
        <Total>169388</Total>
        <ManagementAndGeneral>169388</ManagementAndGeneral>
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      <PaymentsToAffiliates>
        <Total>0</Total>
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      <DepreciationDepletion>
        <Total>455114</Total>
        <ProgramServices>452902</ProgramServices>
        <ManagementAndGeneral>2212</ManagementAndGeneral>
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      <Insurance>
        <Total>118089</Total>
        <ProgramServices>118089</ProgramServices>
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        <Description>Pa. nursing facility assessmen</Description>
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        <ProgramServices>312229</ProgramServices>
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      <OtherExpenses>
        <Description>Laundry services</Description>
        <Total>400425</Total>
        <ProgramServices>400425</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Therapies</Description>
        <Total>477731</Total>
        <ProgramServices>477731</ProgramServices>
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      <OtherExpenses>
        <Description>Food costs</Description>
        <Total>843505</Total>
        <ProgramServices>843505</ProgramServices>
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      <AllOtherExpenses>
        <Total>932689</Total>
        <ProgramServices>857151</ProgramServices>
        <ManagementAndGeneral>75538</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>12642503</Total>
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        <ManagementAndGeneral>949071</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <EOY>1800</EOY>
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      <PledgesAndGrantsReceivable>
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      <ReceivablesFromOfficersEtc>
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      <ReceivablesFromDisqualPersons>
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      <OtherNotesLoansReceivableNet>
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      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>16820</BOY>
        <EOY>16820</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>109964</BOY>
        <EOY>122789</EOY>
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      <LandBuildingsEquipmentBasis>15321546</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>8727399</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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        <EOY>6594147</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
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        <EOY>118965</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
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      <OtherAssetsTotal>
        <EOY>0</EOY>
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      <TotalAssets>
        <BOY>9302541</BOY>
        <EOY>8913005</EOY>
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      <AccountsPayableAccruedExpenses>
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      <DeferredRevenue>
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        <EOY>688215</EOY>
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      <TaxExemptBondLiabilities>
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        <EOY>3428853</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
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      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>234959</BOY>
        <EOY>191329</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>149443</BOY>
        <EOY>140432</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>5514854</BOY>
        <EOY>5257783</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>3787687</BOY>
        <EOY>3348241</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <EOY>306981</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3787687</BOY>
        <EOY>3655222</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>9302541</BOY>
        <EOY>8913005</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-132465</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="11000144" softwareVersion="2011v1.5">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>145808</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>130144</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>115802</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>176464</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>201407</CurrentTaxYear>
        <Total>769625</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>11212472</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>11476855</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>11869694</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12296263</CurrentTaxYear>
        <Total>57980995</Total>
      </GrossReceiptsFromAdmissions>
      <GrossReceiptsFromNonUBI>
        <Total>0</Total>
      </GrossReceiptsFromNonUBI>
      <TaxRevLeviedForOrgBenefit509>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit509>
      <ValueOfSvcsFcltsFurnishdByGovt>
        <Total>0</Total>
      </ValueOfSvcsFcltsFurnishdByGovt>
      <Total509>
        <CurrentTaxYearMinus4Years>11271519</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>11342616</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>11592657</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12046158</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12497670</CurrentTaxYear>
        <Total>58750620</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <PublicSupportTotal509>58750620</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>20430</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>474</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>21032</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>21837</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12368</CurrentTaxYear>
        <Total>76141</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <Total>0</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>474</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>21032</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>21837</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12368</CurrentTaxYear>
        <Total>76141</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <Total>0</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <Total>0</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>11291949</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>11343090</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>11613689</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12067995</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12510038</CurrentTaxYear>
        <Total>58826761</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99870</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99840</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00130</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00160</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="11000144" softwareVersion="2011v1.5">
      <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="11000144" softwareVersion="2011v1.5">
      <Land>
        <OtherCostOrOtherBasis>287104</OtherCostOrOtherBasis>
        <BookValue>287104</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>11392177</OtherCostOrOtherBasis>
        <Depreciation>6068088</Depreciation>
        <BookValue>5324089</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>881473</OtherCostOrOtherBasis>
        <Depreciation>498901</Depreciation>
        <BookValue>382572</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2760792</OtherCostOrOtherBasis>
        <Depreciation>2160410</Depreciation>
        <BookValue>600382</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>6594147</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Security deposits</Description>
        <Amount>67682</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Resident deposits</Description>
        <Amount>72750</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>140432</TotalOfAmounts>
      <TotalRevenue>12510038</TotalRevenue>
      <TotalExpenses>12642503</TotalExpenses>
      <ExcessOrDeficitForYear>-132465</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>-132465</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>12472914</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>12472914</RevenueSubtotal>
      <OtherRevenuesNotIncluded>37124</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>37124</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>12510038</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>12605379</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>12605379</ExpensesSubtotal>
      <OtherExpensesNotIncluded>37124</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>37124</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>12642503</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 4b</Identifier>
        <ReturnReference>Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S</ReturnReference>
        <Explanation>Reclassify bad debt $37124</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <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 debts $37124</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.5">
      <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 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>Review with CEO</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>