﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2012v2.1">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2013-11-15T12:42:12-06:00</Timestamp>
    <TaxPeriodEndDate>2012-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>Howard Wershbale &amp; Co</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>23240 Chagrin Blvd Suite 700</AddressLine1>
        <City>Cleveland</City>
        <State>OH</State>
        <ZIPCode>441225450</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>340726068</EIN>
      <Name>
        <BusinessNameLine1>West Side Deutscher Frauen Verein</BusinessNameLine1>
      </Name>
      <InCareOfName>% PAUL PSOTA CEO</InCareOfName>
      <NameControl>WEST</NameControl>
      <Phone>4402383361</Phone>
      <USAddress>
        <AddressLine1>18627 Shurmer Road</AddressLine1>
        <AddressLine2>Suite</AddressLine2>
        <City>Strongsville</City>
        <State>OH</State>
        <ZIPCode>441366150</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>PAUL PSOTA</Name>
      <Title>CEO</Title>
      <Phone>4402383361</Phone>
      <DateSigned>2013-11-14</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>Brandon R Miller CPA</Name>
      <Phone>2168311200</Phone>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2016-03-07 17:11:31Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="8">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <NameOfPrincipalOfficerPerson>Jeff Warnkin</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>18627 SHURMER ROAD</AddressLine1>
        <City>STRONGSVILLE</City>
        <State>OH</State>
        <ZIPCode>441366150</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>16606388</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.ALTENHEIM.COM</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1887</YearFormation>
      <StateLegalDomicile>OH</StateLegalDomicile>
      <ActivityOrMissionDescription>OPERATE A NURSING HOME, RESIDENTIAL CARE FACILITY, AND OTHERWISE, IN A MANNER DESIGNED TO SATISFY THE PRIMARY NEEDS OF AGED PERSONS INCLUDING THE NEEDS FOR HOUSING, HEALTH CARE, AND FINANCIAL SECURITY.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>13</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>13</NbrIndependentVotingMembers>
      <TotalNbrEmployees>386</TotalNbrEmployees>
      <TotalNbrVolunteers>125</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>46248</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>49032</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>15412507</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>15283720</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>133360</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>166536</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>51216</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>2331</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>15643331</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>15501619</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>8342199</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>8133116</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>4709303</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>4540287</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>13051502</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>12673403</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>2591829</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>2828216</RevenuesLessExpensesCY>
      <TotalAssetsBOY>12700641</TotalAssetsBOY>
      <TotalAssetsEOY>15573864</TotalAssetsEOY>
      <TotalLiabilitiesBOY>1509531</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>1437100</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>11191110</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>14136764</NetAssetsOrFundBalancesEOY>
      <MissionDescription>TO ACHIEVE THE OPTIMAL LEVEL OF MENTAL, PHYSICAL, AND SPIRITUAL WELL-BEING OF INDIVIDUALS, FAMILIES AND COMMUNITY BEING SERVED THROUGH THE PROVISION OF HIGH QUALITY RESIDENTIAL LIVING, SKILLED NURSING CARE, AND SPECIALIZED SERVICES OFFERED IN A FAMILY-LIKE ATMOSPHERE.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>10253132</Expense>
      <Revenue>12528747</Revenue>
      <Description>PROVIDED NURSING CARE TO AGED PATIENTS &amp; OTHERS WHO REQUIRE SUCH SERVICES. 53,112 DAYS OF NURSING CARE WERE PROVIDED IN 2012.</Description>
      <Activity2>
        <Expense>1071295</Expense>
        <Revenue>2759031</Revenue>
        <Description>PROVIDED RESIDENTIAL CARE TO AGED PATIENTS &amp; OTHERS WHO REQUIRE SUCH SERVICES.</Description>
      </Activity2>
      <TotalProgramServiceExpense>11324427</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="IRS990ScheduleD">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="IRS990ScheduleD">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="IRS990ScheduleD">true</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction referenceDocumentId="IRS990ScheduleL">false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="IRS990ScheduleL">false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="IRS990ScheduleL">false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="IRS990ScheduleL">false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="IRS990ScheduleL">false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="IRS990ScheduleL">false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="IRS990ScheduleL">true</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="IRS990ScheduleR">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>true</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="IRS990ScheduleR">true</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="IRS990ScheduleR">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>40</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>386</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>13</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>13</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>true</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>true</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>true</MembersOrStockholders>
      <ElectionOfBoardMembers>true</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>true</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>false</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>OH</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>PAUL PSOTA CEO</NamePerson>
        <TelephoneNumber>4402383361</TelephoneNumber>
        <AddressUS>
          <AddressLine1>18627 SHURMER ROAD</AddressLine1>
          <City>STRONGSVILLE</City>
          <State>OH</State>
          <ZIPCode>441366150</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT IVANCIC</NamePerson>
        <Title>FIRST VICE PRESIDENT</Title>
        <AverageHoursPerWeek>0.5</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN KEDZIOR</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>0.5</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WOLFGANG KEICH</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>0.3</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.5</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JEFF WARNKIN</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>0.5</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RAY HASELEY</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.4</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RALPH FRIEDMANN</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID KNOWLES</NamePerson>
        <Title>SECOND VICE PRESIDENT</Title>
        <AverageHoursPerWeek>0.6</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.8</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEVE SARTSCHEV</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FRANK PLATZER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>0.3</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.4</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GAIL KOVACS</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>0.6</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.8</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KAREN DETHLOFF</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>0.6</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.8</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NORBERT MANZ</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>0.3</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RENATE SZELTNER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>0.3</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL PSOTA</NamePerson>
        <Title>ceo</Title>
        <AverageHoursPerWeek>36.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>4.0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>140958</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>30519</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LEE HEINBAUGH</NamePerson>
        <Title>CHIEF FINANCIAL OFFICER</Title>
        <AverageHoursPerWeek>32.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>4.0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>110162</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8434</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DOROTHEA KOSTOLICH</NamePerson>
        <Title>DIR of clinical OPERATIONS</Title>
        <AverageHoursPerWeek>36.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>111045</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8383</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>362165</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>47336</TotalOtherCompensation>
      <NumberIndividualsGT100K>3</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>THERAPY IN MOTION</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4710 STATE ROAD</AddressLine1>
            <City>CLEVELAND</City>
            <State>OH</State>
            <ZIPCode>44109</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>THERAPY SERVICES</DescriptionOfServices>
        <Compensation>792470</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>CORNERSTONE PHARMACY</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>34099 MELINZ PARKWAY</AddressLine1>
            <City>EASTLAKE</City>
            <State>OH</State>
            <ZIPCode>44095</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHARMACY SERVICES</DescriptionOfServices>
        <Compensation>177856</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>ARMORED EXTERIORS LLC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>FREDERICK ST APT A</AddressLine1>
            <City>RITTMAN</City>
            <State>OH</State>
            <ZIPCode>44270</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONTRACTOR</DescriptionOfServices>
        <Compensation>143094</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>WEGMAN HESSLER VANDERBURG</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>6055 ROCKSIDE WOODS BLVD N</AddressLine1>
            <City>CLEVELAND</City>
            <State>OH</State>
            <ZIPCode>44131</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ATTORNEY</DescriptionOfServices>
        <Compensation>104502</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>4</NumberOfContractorsGT100K>
      <MembershipDues>1805</MembershipDues>
      <FundraisingEvents>1888</FundraisingEvents>
      <AllOtherContributions>45339</AllOtherContributions>
      <TotalContributions>49032</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NURSING CARE</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>12524689</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>12524689</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>RESIDENTIAL CARE</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>2759031</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2759031</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>15283720</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>130008</TotalRevenueColumn>
        <ExclusionAmount>130008</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <RentalIncomeOrLoss>
        <Real>0</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>1136754</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>1100226</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>36528</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>36528</TotalRevenueColumn>
        <ExclusionAmount>36528</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>2816</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>1888</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>4543</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-1727</TotalRevenueColumn>
        <ExclusionAmount>-1727</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>4058</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4058</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>4058</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>15501619</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>15287778</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>164809</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>251119</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>251119</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>6386402</Total>
        <ProgramServices>5747762</ProgramServices>
        <ManagementAndGeneral>638640</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>107947</Total>
        <ProgramServices>97152</ProgramServices>
        <ManagementAndGeneral>10795</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>665898</Total>
        <ProgramServices>599308</ProgramServices>
        <ManagementAndGeneral>66590</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>721750</Total>
        <ProgramServices>649575</ProgramServices>
        <ManagementAndGeneral>72175</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>8100</Total>
        <ProgramServices>8100</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>78660</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>78660</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>13381</Total>
        <ProgramServices>13381</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>126827</Total>
        <ProgramServices>31159</ProgramServices>
        <ManagementAndGeneral>95668</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>72827</Total>
        <ProgramServices>72099</ProgramServices>
        <ManagementAndGeneral>728</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>210496</Total>
        <ProgramServices>206471</ProgramServices>
        <ManagementAndGeneral>4025</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>461939</Total>
        <ProgramServices>424036</ProgramServices>
        <ManagementAndGeneral>37903</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>35751</Total>
        <ProgramServices>35751</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>155039</Total>
        <ProgramServices>147287</ProgramServices>
        <ManagementAndGeneral>7752</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>161676</Total>
        <ProgramServices>145508</ProgramServices>
        <ManagementAndGeneral>16168</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>1043646</Total>
        <ProgramServices>1033208</ProgramServices>
        <ManagementAndGeneral>10438</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SERVICES</Description>
        <Total>916620</Total>
        <ProgramServices>916620</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>STATE FRANCHISE FEES</Description>
        <Total>638244</Total>
        <ProgramServices>638244</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS AND MAINTENANCE</Description>
        <Total>171220</Total>
        <ProgramServices>137908</ProgramServices>
        <ManagementAndGeneral>33312</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>445861</Total>
        <ProgramServices>420858</ProgramServices>
        <ManagementAndGeneral>25003</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>12673403</Total>
        <ProgramServices>11324427</ProgramServices>
        <ManagementAndGeneral>1348976</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>2221250</BOY>
        <EOY>3233679</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1720356</BOY>
        <EOY>1545314</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>82912</BOY>
        <EOY>102294</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>91194</BOY>
        <EOY>82967</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>1588793</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>893940</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>698143</BOY>
        <EOY>694853</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>2683350</BOY>
        <EOY>2953906</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>213369</BOY>
        <EOY>213369</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>4990067</BOY>
        <EOY>6747482</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>12700641</BOY>
        <EOY>15573864</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1367053</BOY>
        <EOY>1272700</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>0</BOY>
        <EOY>0</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>142478</BOY>
        <EOY>164400</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1509531</BOY>
        <EOY>1437100</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>11191110</BOY>
        <EOY>14136764</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>11191110</BOY>
        <EOY>14136764</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>12700641</BOY>
        <EOY>15573864</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>2828216</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>117438</ReconciliationUnrealizedInvest>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>153055</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1600</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1805</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>46248</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>49032</CurrentTaxYear>
        <Total>251740</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>14284463</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>14632361</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>15250241</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>15412507</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>15283720</CurrentTaxYear>
        <Total>74863292</Total>
      </GrossReceiptsFromAdmissions>
      <GrossReceiptsFromNonUBI>
        <Total>0</Total>
      </GrossReceiptsFromNonUBI>
      <TaxRevLeviedForOrgBenefit509>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit509>
      <ValueOfSvcsFcltsFurnishdByGovt>
        <Total>0</Total>
      </ValueOfSvcsFcltsFurnishdByGovt>
      <Total509>
        <CurrentTaxYearMinus4Years>14437518</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>14633961</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>15252046</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>15458755</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>15332752</CurrentTaxYear>
        <Total>75115032</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>75115032</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>31700</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>39798</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>66335</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>114987</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>130008</CurrentTaxYear>
        <Total>382828</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <Total>0</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>31700</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>39798</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>66335</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>114987</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>130008</CurrentTaxYear>
        <Total>382828</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <Total>0</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <CurrentTaxYearMinus3Years>2567</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>303424</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>52529</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4058</CurrentTaxYear>
        <Total>362578</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>14469218</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>14676326</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>15621805</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>15626271</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>15466818</CurrentTaxYear>
        <Total>75860438</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99017</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98946</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00505</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00574</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <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">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYearMinus3Years />
      <CurrentYearMinus4Years />
      <Land />
      <Buildings />
      <LeaseholdImprovements />
      <Equipment>
        <OtherCostOrOtherBasis>135160</OtherCostOrOtherBasis>
        <Depreciation>83544</Depreciation>
        <BookValue>51616</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1453633</OtherCostOrOtherBasis>
        <Depreciation>810396</Depreciation>
        <BookValue>643237</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>694853</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>EST SETTLEMENT - THIRD PARTY</Description>
        <BookValue>75543</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>RELATED PARTY RECEIVABLE</Description>
        <BookValue>6633985</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>PATIENT FUNDS</Description>
        <BookValue>12919</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ASSETS LIMITED TO USE</Description>
        <BookValue>25035</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>6747482</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DEPOSITS</Description>
        <Amount>164400</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>164400</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>PAUL PSOTA</NamePerson>
        <Title>ceo</Title>
        <BaseCompensationFilingOrg>140958</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>14124</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16395</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>171477</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>participate in, receive payment from, supplemental nonqualified retirement</Identifier>
        <ReturnReference>schedule j, part i, #4b</ReturnReference>
        <Explanation>Current CEO is a participant in the organization's nonqualified deferred compensation plan. Contribution amounted to $8,334.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>john kedzior</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>board director</Relationship>
        <AmountOfTransaction>69555</AmountOfTransaction>
        <DescriptionOfTransaction>legal services</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>david knowles</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>board director</Relationship>
        <AmountOfTransaction>69555</AmountOfTransaction>
        <DescriptionOfTransaction>legal services</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JEFF WARNKIN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD DIRECTOR</Relationship>
        <AmountOfTransaction>13381</AmountOfTransaction>
        <DescriptionOfTransaction>INVESTMENT SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>MEMBER CLASSES</Identifier>
        <ReturnReference>PAGE 6, PART VI, SECTION A, #6</ReturnReference>
        <Explanation>THE ORGANIZATION HAS ONE CLASS OF VOTING MEMBERS. THE BOARD OF DIRECTORS, IN ITS DISCRETION MAY, FROM TIME TO TIME, DETERMINE THE QUALIFICATION OF THE MEMBERS IN ACCORDANCE WITH THE CODE OF REGULATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS WHO MAY ELECT MEMEBERS</Identifier>
        <ReturnReference>PAGE 6, PART VI, SECTION A, #7A</ReturnReference>
        <Explanation>THE ORGANIZATION HAS ONE CLASS OF VOTING MEMBERS. THEY HAVE THE RIGHT TO VOTE TO ELECT THE GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING BODY DECISION APPROVAL</Identifier>
        <ReturnReference>PAGE 6, PART VI, SECTION A, #7B</ReturnReference>
        <Explanation>THE VOTING MEMBERS HAVE APPROVAL RIGHTS OVER ANY AMENDMENT MADE TO THE ORGANIZATION'S GOVERNING DOCUMENTS AND CHANGING OF THE INDEPENDENT AUDITOR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>PAGE 6, PART VI, SECTION B, #11B</ReturnReference>
        <Explanation>A COMMITTEE OF THE BOARD HAS BEEN ESTABLISHED TO REVIEW THE FINANCIAL RECORDS AND FORM 990. The results of these reviews are then reported to the full board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>PAGE 6, PART VI, SECTION B, #12C</ReturnReference>
        <Explanation>THE BOARD DISCUSSES THE MATTER WHEN A POTENTIAL CONFLICT ARISES. THE INDIVIDUAL WITH THE CONFLICT IS NOT PERMITTED TO PARTICIPATE IN THE DISCUSSION OR APPROVAL OF THE TRANSACTION. THE DECISION OF ENGAGING IN THE TRANSACTION IS MADE BY BOARD MEMBERS WHO ARE INDEPENDENT OF THE INDIVIDUAL WITH THE CONFLICT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR DETERMINING COMPENSATION</Identifier>
        <ReturnReference>PAGE 6, PART VI, SECTION B, #15A &amp; 15B</ReturnReference>
        <Explanation>THE EXECUTIVE COMMITTEE OF THE ALTENHEIM BOARD OF DIRECTORS CONDUCTS AN ANNUAL REVIEW OF THE CEO'S PERFORMANCE AND COMPENSATION AND makes A REPORT, INCLUDING A COMPENSATION RECOMMENDATION, TO THE FULL BOARD. THE FULL BOARD THEN VOTES TO APPROVE THE COMMITTEE'S RECOMMENDATION. A PART OF THE EXECUTIVE COMMITTEE'S PROCESS IS THE REVIEW OF INDUSTRY SALARY AND BENEFITS BENCHMARKING REPORTS FOR THE CEO POSITION. THE CEO CONDUCTS AN ANNUAL PERFORMANCE AND COMPENSATION REVIEW OF THE ALTENHEIM CFO AND OTHER ALTENHEIM EMPLOYEES AND SETS THEIR COMPENSATION WITH THE ADVICE AND COUNSEL OF THE BOARD'S EXECUTIVE COMMITTEE. ALL COMPENSATION DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FAMILY OR BUSINESS RELATIONSHIP</Identifier>
        <ReturnReference>PAGE 6, PART VI, SECTION A, #2</ReturnReference>
        <Explanation>JOHN KEDZIOR AND DAVE KNOWLES HAVE A BUSINESS RELATIONSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DOCUMENTS AVAILABLE TO PUBLIC</Identifier>
        <ReturnReference>PAGE 6, PART VI, SECTION C, #19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AFTER THE APPROVAL OF THE GOVERNING MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES TO GOVERNING DOCUMENTS</Identifier>
        <ReturnReference>PART VI, PAGE 6 SECTION A #4</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS AMENDED THE CODE OF REGULATIONS IN APRIL, 2012 TO ABOLOISH TERM LIMITS AND ALLOW DIRECTORS TO BE REELECTED TO SUCCESSIVE TERMS WITHOUT ANY TERM LIMITATIONS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALTENHEIM PROPERTIES inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>18627 SHURMER ROAD</AddressLine1>
          <City>STRONGSVILLE</City>
          <State>OH</State>
          <ZIPCode>44136</ZIPCode>
        </AddressUS>
        <EIN>341968851</EIN>
        <PrimaryActivities>PROPERTY MGMT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A-TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>WSDFV</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE ALTENHEIM FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>18627 SHURMER ROAD</AddressLine1>
          <City>STRONGSVILLE</City>
          <State>OH</State>
          <ZIPCode>44136</ZIPCode>
        </AddressUS>
        <EIN>341647102</EIN>
        <PrimaryActivities>SUPPORT SVCS</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A-TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>WSDFV</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>altenheim properties inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>10000000</AmountInvolved>
        <MethodOfAmtDetermination>fmv</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>altenheim properties inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>6633985</AmountInvolved>
        <MethodOfAmtDetermination>fmv</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>