﻿<?xml version="1.0" encoding="utf-8"?>
<Return returnVersion="2011v1.2" xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2013-05-03T15:19:12-07:00</Timestamp>
    <TaxPeriodEndDate>2012-06-30</TaxPeriodEndDate>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>232310085</EIN>
      <Name>
        <BusinessNameLine1>GERMANTOWN HOME</BusinessNameLine1>
      </Name>
      <NameControl>GERM</NameControl>
      <Phone>2159514289</Phone>
      <USAddress>
        <AddressLine1>6970 Germantown Avenue</AddressLine1>
        <City>Philadelphia</City>
        <State>PA</State>
        <ZIPCode>19119</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Donald Levesque</Name>
      <Title>Treasurer</Title>
      <Phone>2159514390</Phone>
      <DateSigned>2013-04-30</DateSigned>
    </Officer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-25 16:41:14Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="6">
    <IRS990 documentId="R000001" referenceDocumentId="R000005" softwareId="11000129" softwareVersion="v1.00">
      <NameOfPrincipalOfficerPerson>Donald Levesque</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>6970 Germantown Ave</AddressLine1>
        <City>Philadelphia</City>
        <State>PA</State>
        <ZIPCode>19119</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>18684007</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>2000</YearFormation>
      <StateLegalDomicile>PA</StateLegalDomicile>
      <ActivityOrMissionDescription>Skilled Nursing Home for the Elderly</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>6</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>6</NbrIndependentVotingMembers>
      <TotalNbrEmployees>332</TotalNbrEmployees>
      <TotalNbrVolunteers>0</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>696084</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>20000</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>16394388</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>15657397</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>929891</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>42</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>-438697</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>3006568</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>17581666</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>18684007</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>10752482</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>10937540</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>6099255</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>8314048</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>16851737</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>19251588</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>729929</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-567581</RevenuesLessExpensesCY>
      <TotalAssetsBOY>27062822</TotalAssetsBOY>
      <TotalAssetsEOY>25131259</TotalAssetsEOY>
      <TotalLiabilitiesBOY>30794604</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>28832819</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>-3731782</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>-3701560</NetAssetsOrFundBalancesEOY>
      <MissionDescription>Skilled Nursing Home for the Elderly</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>18969588</Expense>
      <Revenue>18594989</Revenue>
      <Description>Senior Nursing Facility</Description>
      <Activity2>
        <Expense>10053</Expense>
        <Revenue>9482</Revenue>
        <Description>Transitional care for the elderly - NewCourtland Square Apartments</Description>
      </Activity2>
      <Activity3>
        <Expense>271947</Expense>
        <Revenue>79536</Revenue>
        <Description>Domiciliary Care for the Elderly - NewCourtland Domiciliary Care</Description>
      </Activity3>
      <TotalOfOtherProgramServiceExp>0</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceGrnt>0</TotalOfOtherProgramServiceGrnt>
      <TotalOfOtherProgramServiceRev>0</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>19251588</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="R000002">1</DescribedIn501C3>
      <ScheduleBRequired>0</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <SubjectToProxyTax>0</SubjectToProxyTax>
      <DonorAdvisedFunds>0</DonorAdvisedFunds>
      <ConservationEasements>0</ConservationEasements>
      <CollectionsOfArt>0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="R000003">1</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="R000003">1</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="R000003">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities>0</ReportInvestOthSecurities>
      <ReportProgRelInvest>0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="R000003">1</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="R000003">1</ReportOtherLiabilities>
      <ReportFin48Footnote>0</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="R000003">1</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="R000003">1</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="R000004">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <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 referenceDocumentId="R000006">1</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>0</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>17</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>0</ComplianceWithBackupWitholding>
      <NumberOfEmployees>332</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>
      <Form8899Filed>0</Form8899Filed>
      <Form1098CFiled>0</Form1098CFiled>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>6</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>6</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>0</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>0</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>PA</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>NewCourtland Elder Services Inc</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>2159514289</TelephoneNumber>
        <AddressUS>
          <AddressLine1>6970 Germantown Avenue</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19119</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Freda Lee</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Andrew Seibert</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mary Naylor</NamePerson>
        <Title>President</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>David Auten</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gail Kass</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Donald Levesque</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Collin Tierney</NamePerson>
        <Title>Director of Nursing</Title>
        <AverageHoursPerWeek>40</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>197776</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>197776</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>0</TotalOtherCompensation>
      <NumberIndividualsGT100K>1</NumberIndividualsGT100K>
      <FormersListed>1</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Select Rehabilitation</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>35338 Eagle Way</AddressLine1>
            <City>Chicago</City>
            <State>IL</State>
            <ZIPCode>60678</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Eldercare Therapists</DescriptionOfServices>
        <Compensation>962635</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Millenium Pharmacy</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>100 EAST KENSINGER DRIVE</AddressLine1>
            <AddressLine2>Suite 500</AddressLine2>
            <City>Philadelphia</City>
            <State>PA</State>
            <ZIPCode>16066</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Pharmacy supplies</DescriptionOfServices>
        <Compensation>400848</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>J&amp;P Contracting Co</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>31 EAST FRONT STREET</AddressLine1>
            <City>Media</City>
            <State>PA</State>
            <ZIPCode>19063</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Facaility repairs and maintenance</DescriptionOfServices>
        <Compensation>187120</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Allegheny West Foundation</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2330 ALLEGHANY AVE</AddressLine1>
            <City>Philadelphia</City>
            <State>PA</State>
            <ZIPCode>19132</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Redevelopment Foundation</DescriptionOfServices>
        <Compensation>310037</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>S&amp;K Home improvements</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>704 COUNTRY LANE</AddressLine1>
            <City>Morgantown</City>
            <State>PA</State>
            <ZIPCode>19543</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Facility repair and maintenance</DescriptionOfServices>
        <Compensation>188598</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>9</NumberOfContractorsGT100K>
      <FederatedCampaigns>0</FederatedCampaigns>
      <MembershipDues>0</MembershipDues>
      <FundraisingEvents>0</FundraisingEvents>
      <RelatedOrganizations>0</RelatedOrganizations>
      <GovernmentGrants>0</GovernmentGrants>
      <AllOtherContributions>20000</AllOtherContributions>
      <NoncashContributions>0</NoncashContributions>
      <TotalContributions>20000</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Medicare</Description>
        <BusinessCode>623110</BusinessCode>
        <TotalRevenueColumn>1919944</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1919944</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Medicaid</Description>
        <BusinessCode>623110</BusinessCode>
        <TotalRevenueColumn>10390014</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>10390014</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Life Program</Description>
        <BusinessCode>623110</BusinessCode>
        <TotalRevenueColumn>2157600</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2157600</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Direct Resident/Patient Revenue</Description>
        <BusinessCode>623110</BusinessCode>
        <TotalRevenueColumn>193070</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>193070</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Other Resident Program</Description>
        <BusinessCode>623110</BusinessCode>
        <TotalRevenueColumn>300996</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>300996</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>695773</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>695773</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>15657397</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>42</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>42</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>89018</Real>
        <Personal>0</Personal>
      </GrossRents>
      <LessRentalExpenses>
        <Real>0</Real>
        <Personal>0</Personal>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>89018</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>89018</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>89018</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GainOrLoss>
        <Securities>0</Securities>
        <Other>0</Other>
      </GainOrLoss>
      <CntrbtnsRprtdFundraisingEvents>0</CntrbtnsRprtdFundraisingEvents>
      <OtherRevenueMisc>
        <Description>Third Party</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>924121</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>924121</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>1993429</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1993429</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>2917550</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>18684007</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>18664007</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>8500280</Total>
        <ProgramServices>8500280</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1522729</Total>
        <ProgramServices>1522729</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>914531</Total>
        <ProgramServices>914531</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>873594</Total>
        <ProgramServices>873594</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>38213</Total>
        <ProgramServices>38213</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>27007</Total>
        <ProgramServices>27007</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
        <Fundraising>0</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1453314</Total>
        <ProgramServices>1453314</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>39242</Total>
        <ProgramServices>39242</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>236123</Total>
        <ProgramServices>236123</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>90684</Total>
        <ProgramServices>90684</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>44929</Total>
        <ProgramServices>44929</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>12223</Total>
        <ProgramServices>12223</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>1904756</Total>
        <ProgramServices>1904756</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>236192</Total>
        <ProgramServices>236192</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>Bad Debt</Description>
        <Total>348404</Total>
        <ProgramServices>348404</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LOC Fees</Description>
        <Total>163747</Total>
        <ProgramServices>163747</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Medical Supplies</Description>
        <Total>551714</Total>
        <ProgramServices>551714</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>2293906</Total>
        <ProgramServices>2293906</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>19251588</Total>
        <ProgramServices>19251588</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>-99419</BOY>
        <EOY>-617163</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1792392</BOY>
        <EOY>1812994</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>67351</BOY>
        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>375311</BOY>
        <EOY>238195</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>16889952</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>0</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>17078605</BOY>
        <EOY>16889952</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>7848582</BOY>
        <EOY>6807281</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>27062822</BOY>
        <EOY>25131259</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2185423</BOY>
        <EOY>1453258</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </GrantsPayable>
      <DeferredRevenue>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
        <BOY>403855</BOY>
        <EOY>375054</EOY>
      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>28205326</BOY>
        <EOY>27004507</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>30794604</BOY>
        <EOY>28832819</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-3731782</BOY>
        <EOY>-3701560</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-3731782</BOY>
        <EOY>-3701560</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>27062822</BOY>
        <EOY>25131259</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-567581</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>597803</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="R000002" softwareId="11000129" softwareVersion="v1.00">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>773608</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>778268</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>738077</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>532470</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>56000</CurrentTaxYear>
        <Total>2878423</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>15328116</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>16448873</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>15320941</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>16546051</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>18428156</CurrentTaxYear>
        <Total>82072137</Total>
      </GrossReceiptsFromAdmissions>
      <GrossReceiptsFromNonUBI>
        <CurrentTaxYearMinus4Years>992819</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>31894</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>1024713</Total>
      </GrossReceiptsFromNonUBI>
      <TaxRevLeviedForOrgBenefit509>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit509>
      <ValueOfSvcsFcltsFurnishdByGovt>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </ValueOfSvcsFcltsFurnishdByGovt>
      <Total509>
        <CurrentTaxYearMinus4Years>17094543</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>17259035</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>16059018</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17078521</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>18484156</CurrentTaxYear>
        <Total>85975273</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>85975273</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>545233</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>740385</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2088957</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1093505</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>199851</CurrentTaxYear>
        <Total>4667931</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>545233</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>740385</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2088957</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1093505</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>199851</CurrentTaxYear>
        <Total>4667931</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>17639776</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>17999420</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>18147975</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>18172026</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>18684007</CurrentTaxYear>
        <Total>90643204</Total>
      </TotalSupportTotal>
      <First5Years509>X</First5Years509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="R000003" softwareId="11000129" softwareVersion="v1.00">
      <AgentTrusteeEtc>0</AgentTrusteeEtc>
      <IncludedOnFS>1</IncludedOnFS>
      <CurrentYear>
        <BeginningOfYearBalance>5197909</BeginningOfYearBalance>
        <Contributions>0</Contributions>
        <InvestmentEarningsOrLosses>-515</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>0</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>5197394</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>4042942</BeginningOfYearBalance>
        <Contributions>0</Contributions>
        <InvestmentEarningsOrLosses>1154967</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>0</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>5197909</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>5086222</BeginningOfYearBalance>
        <Contributions>0</Contributions>
        <InvestmentEarningsOrLosses>-1043280</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>0</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>4042942</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>5086222</BeginningOfYearBalance>
        <Contributions>0</Contributions>
        <InvestmentEarningsOrLosses>-1256782</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>-213502</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>4042942</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <BoardDesignatedEOYBalance>1</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <BookValue>0</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>0</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>0</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>0</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>16889952</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>16889952</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>16889952</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>investments and restricted funds</Description>
        <BookValue>6807281</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>6807281</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>long term debt</Description>
        <Amount>18253942</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>due to affiliates</Description>
        <Amount>8438986</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>current liabilities</Description>
        <Amount>311579</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>27004507</TotalOfAmounts>
      <TotalRevenue>18684007</TotalRevenue>
      <TotalExpenses>19251588</TotalExpenses>
      <ExcessOrDeficitForYear>-567581</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>0</NetUnrealizedGLOnInvestments>
      <DonatedServicesAndFacilities>0</DonatedServicesAndFacilities>
      <InvestmentExpenses>0</InvestmentExpenses>
      <PriorPeriodAdjustments>0</PriorPeriodAdjustments>
      <OtherAmount>0</OtherAmount>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>-567581</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>18684007</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>0</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>0</DonatedSrvcAndUseOfFacilities>
      <RecoveriesOfPriorYearGrants>0</RecoveriesOfPriorYearGrants>
      <OtherRevenues>0</OtherRevenues>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>18684007</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>0</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>0</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>18684007</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>19251588</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>0</DonatedServicesUseOfFacilities>
      <PriorYearAdjustments>0</PriorYearAdjustments>
      <LossesReported>0</LossesReported>
      <OtherExpensesIncluded>0</OtherExpensesIncluded>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>19251588</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>0</InvestmentExpensesNotIncluded2>
      <OtherExpensesNotIncluded>0</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>19251588</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P04_S00_L02b</Identifier>
        <ReturnReference>Schedule D, Part IV, Line 2b</ReturnReference>
        <Explanation>Resident Funds</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P05_S00_L04</Identifier>
        <ReturnReference>Schedule D, Part V, Line 4</ReturnReference>
        <Explanation>endowments are used for facility projects or as the endowment terms require</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="R000004" softwareId="11000129" softwareVersion="v1.00">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <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>Collin Tierney</NamePerson>
        <BaseCompensationFilingOrg>197776</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</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>197776</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>130588</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="R000005" softwareId="11000129" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L08b</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 8b</ReturnReference>
        <Explanation>There is no committee authorized to act on behalf of the governing body</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>Member of governing body reviews file before the 990 is submitted</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>governing body reviews and discuss any changes or concerns to the policy</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>Historical salary information is gathered based on region and years of experience</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Conflict of Interest is inlcuded in employee manual and copy of 990 is available upon request</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P11_S00_L05</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>change in fund assests</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="R000006" softwareId="11000129" softwareVersion="v1.00">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NewCourtland Elder Services</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6970 Germantown Avenue</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19119</ZIPCode>
        </AddressUS>
        <EIN>232734102</EIN>
        <PrimaryActivities>Support to affiliates of the Presbyterian Foundation</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NewCourtland Elder Services</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>1</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>