﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2011v1.5">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2013-05-13T14:48:54-05:00</Timestamp>
    <TaxPeriodEndDate>2012-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <EIN>232932984</EIN>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>PARENTEBEARD LLC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>20 STANWIX STREET SUITE 800</AddressLine1>
        <City>PITTSBURGH</City>
        <State>PA</State>
        <ZIPCode>15222</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>251729925</EIN>
      <Name>
        <BusinessNameLine1>REDSTONE PRESBYTERIAN SENIORCARE</BusinessNameLine1>
      </Name>
      <NameControl>REDS</NameControl>
      <Phone>7248328400</Phone>
      <USAddress>
        <AddressLine1>6 GARDEN CENTER DRIVE</AddressLine1>
        <City>GREENSBURG</City>
        <State>PA</State>
        <ZIPCode>15601</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>MARK CELIGOI</Name>
      <Title>VP FINANCE &amp; CFO</Title>
      <Phone>7248328400</Phone>
      <DateSigned>2013-05-09</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>BRIAN R LENART EA</Name>
      <PTIN>P00289136</PTIN>
      <Phone>4126976400</Phone>
    </Preparer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="9">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>MARK CELIGOI</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>6 GARDEN CENTER DRIVE</AddressLine1>
        <City>GREENSBURG</City>
        <State>PA</State>
        <ZIPCode>15601</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>27629424</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.REDSTONEHIGHLANDS.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1980</YearFormation>
      <StateLegalDomicile>PA</StateLegalDomicile>
      <ActivityOrMissionDescription>TO PROVIDE LIVING ALTERNATIVES &amp; HIGH QUALITY SERVICES TO MEET THE CHANGING NEEDS OF THE COMMUNITY.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>17</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>16</NbrIndependentVotingMembers>
      <TotalNbrEmployees>536</TotalNbrEmployees>
      <TotalNbrVolunteers>241</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>266979</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>296403</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>24477499</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>24959353</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>989439</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>769451</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>-499459</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>-10201</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>25234458</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>26015006</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>13560556</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>13211292</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>10885</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>206961</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>12994547</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>14066947</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>26565988</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>27278239</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-1331530</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-1263233</RevenuesLessExpensesCY>
      <TotalAssetsBOY>73776592</TotalAssetsBOY>
      <TotalAssetsEOY>69822930</TotalAssetsEOY>
      <TotalLiabilitiesBOY>78986840</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>76469846</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>-5210248</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>-6646916</NetAssetsOrFundBalancesEOY>
      <MissionDescription>REDSTONE PRESBYTERIAN SENIORCARE IS A CHRISTIAN, NON-PROFIT ORGANIZATION OPEN TO ALL FAITHS, THAT IS DEDICATED TO PROVIDING LIVING ALTERNATIVES AND HIGH QUALITY SERVICES THAT HELP TO MEET THE CHANGING NEEDS OF THE COMMUNITY.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>22653232</Expense>
      <Grants>0</Grants>
      <Revenue>24959353</Revenue>
      <Description>HOUSING AND NURSING CARE FOR THE ELDERLY ON THREE CAMPUSES LOCATED IN GREENSBURG, NORTH HUNTINGDON, AND MURRYSVILLE IN WESTMORELAND COUNTY, PENNSYLVANIA. THE FACILITY INCLUDES 77 SKILLED NURSING BEDS, 133 PERSONAL CARE BEDS, 260 INDEPENDENT LIVING APARTMENTS, AND 10 INDEPENDENT LIVING VILLAS.</Description>
      <TotalProgramServiceExpense>22653232</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <SubjectToProxyTax>0</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">1</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">1</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">0</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">1</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>1</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="RetDoc1053100001">1</TaxExemptBonds>
      <InvestTaxExemptBonds>0</InvestTaxExemptBonds>
      <EscrowAccount>1</EscrowAccount>
      <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity>1</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">0</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>31</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>536</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>1</QuidProQuoContributions>
      <QuidProQuoDisclosure>1</QuidProQuoDisclosure>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>17</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>16</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>PA</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>MARK CELIGOI VP FINANCE CFO</NamePerson>
        <TelephoneNumber>7248328400</TelephoneNumber>
        <AddressUS>
          <AddressLine1>6 GARDEN CENTER DRIVE</AddressLine1>
          <City>GREENSBURG</City>
          <State>PA</State>
          <ZIPCode>15601</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>JOHN R DICKSON IV</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>193613</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>42500</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANNELIESE PAULY</NamePerson>
        <Title>VICE CHAIR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REBECCA DAVIDSON</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TIMOTHY M HENRY</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JO ANN LIGHTCAP</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DR JOHN S PARKER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NICHOLAS T MARQUIS JR</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DENNIS DIFFENDERFER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT BROOKS</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES P GALLAGHER</NamePerson>
        <Title>CHAIR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REV J CHARLES MACPHERSON III</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GARY HAYDEN</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINDA STUMPF PHD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DR CAREY VINSON</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHARLES WEST</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MIKE PASSALINQUA</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARY ANN PETRILLO</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RANDY E THORNTON</NamePerson>
        <Title>VP FINANCE &amp; CFO ENDED 4/17/12</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>35156</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5000</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK CELIGOI</NamePerson>
        <Title>VP FINANCE &amp; CFO BEGAN 4/23/12</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>86371</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>4500</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES HODGE</NamePerson>
        <Title>VP HUMAN RESOURCES</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>107274</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>33600</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FRANCIS KING</NamePerson>
        <Title>VP CORPORATE SERVICES</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>106470</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>33100</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>VICKI LOUCKS</NamePerson>
        <Title>VP QUALITY</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>108652</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20849</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>637536</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>139549</TotalOtherCompensation>
      <NumberIndividualsGT100K>4</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>US FOOD SERVICE</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1114 GARDEN STREET</AddressLine1>
            <City>GREENSBURG</City>
            <State>PA</State>
            <ZIPCode>15601</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>FOOD</DescriptionOfServices>
        <Compensation>814272</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ALLIANCE REHAB</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1520 KENSINGTON ROAD</AddressLine1>
            <City>OAK BROOK</City>
            <State>IL</State>
            <ZIPCode>60523</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>REHABILITATION</DescriptionOfServices>
        <Compensation>533970</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MELLOTT CONSTRUCTION</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>3010 STATE ROUTE 5</AddressLine1>
            <City>CORTLAND</City>
            <State>OH</State>
            <ZIPCode>44410</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION</DescriptionOfServices>
        <Compensation>318954</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>OWENS &amp; MINOR INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>134 INDUSTRIAL PARK ROAD SUITE 100</AddressLine1>
            <City>GREENSBURG</City>
            <State>PA</State>
            <ZIPCode>15601</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SUPPLIER</DescriptionOfServices>
        <Compensation>174304</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>LAWN SENSE INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>450 DAVIDSON ROAD</AddressLine1>
            <City>PITTSBURGH</City>
            <State>PA</State>
            <ZIPCode>15239</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LANDSCAPING</DescriptionOfServices>
        <Compensation>167022</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>7</NumberOfContractorsGT100K>
      <FundraisingEvents>44865</FundraisingEvents>
      <GovernmentGrants>19997</GovernmentGrants>
      <AllOtherContributions>231541</AllOtherContributions>
      <NoncashContributions>13225</NoncashContributions>
      <TotalContributions>296403</TotalContributions>
      <ProgramServiceRevenue>
        <Description>RESIDENT SERVICE REVEN</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>24583116</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>24583116</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>ANCILLARY SERVICES</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>376237</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>376237</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>24959353</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>569347</TotalRevenueColumn>
        <ExclusionAmount>569347</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>4725</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>0</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>4725</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>4725</TotalRevenueColumn>
        <ExclusionAmount>4725</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>1757850</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>1557746</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>200104</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>200104</TotalRevenueColumn>
        <ExclusionAmount>200104</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>41746</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>44865</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>56672</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-14926</TotalRevenueColumn>
        <ExclusionAmount>-14926</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <TotalRevenue>
        <TotalRevenueColumn>26015006</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>24959353</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>759250</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>367140</Total>
        <ManagementAndGeneral>367140</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>10469596</Total>
        <ProgramServices>9006725</ProgramServices>
        <ManagementAndGeneral>1330934</ManagementAndGeneral>
        <Fundraising>131937</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>195113</Total>
        <ProgramServices>171023</ProgramServices>
        <ManagementAndGeneral>21585</ManagementAndGeneral>
        <Fundraising>2505</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1342465</Total>
        <ProgramServices>944454</ProgramServices>
        <ManagementAndGeneral>364725</ManagementAndGeneral>
        <Fundraising>33286</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>836978</Total>
        <ProgramServices>698991</ProgramServices>
        <ManagementAndGeneral>127748</ManagementAndGeneral>
        <Fundraising>10239</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>108038</Total>
        <ManagementAndGeneral>108038</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>43450</Total>
        <ManagementAndGeneral>43450</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>1699410</Total>
        <ProgramServices>977346</ProgramServices>
        <ManagementAndGeneral>712504</ManagementAndGeneral>
        <Fundraising>9560</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>203131</Total>
        <ManagementAndGeneral>202876</ManagementAndGeneral>
        <Fundraising>255</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>396992</Total>
        <ProgramServices>59970</ProgramServices>
        <ManagementAndGeneral>323239</ManagementAndGeneral>
        <Fundraising>13783</Fundraising>
      </OfficeExpenses>
      <Occupancy>
        <Total>1409179</Total>
        <ProgramServices>1409179</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>79552</Total>
        <ProgramServices>37932</ProgramServices>
        <ManagementAndGeneral>39173</ManagementAndGeneral>
        <Fundraising>2447</Fundraising>
      </Travel>
      <Interest>
        <Total>2657053</Total>
        <ProgramServices>2405262</ProgramServices>
        <ManagementAndGeneral>251791</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>2942612</Total>
        <ProgramServices>2816411</ProgramServices>
        <ManagementAndGeneral>126201</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>160618</Total>
        <ProgramServices>20626</ProgramServices>
        <ManagementAndGeneral>139992</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>RESIDENT</Description>
        <Total>2959168</Total>
        <ProgramServices>2879648</ProgramServices>
        <ManagementAndGeneral>79520</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MAINTENANCE &amp; EQUIPMENT</Description>
        <Total>661284</Total>
        <ProgramServices>639099</ProgramServices>
        <ManagementAndGeneral>22185</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>434267</Total>
        <ProgramServices>434267</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>NURSING FACILITY ASSESS</Description>
        <Total>124966</Total>
        <ProgramServices>124966</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>187227</Total>
        <ProgramServices>27333</ProgramServices>
        <ManagementAndGeneral>156945</ManagementAndGeneral>
        <Fundraising>2949</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>27278239</Total>
        <ProgramServices>22653232</ProgramServices>
        <ManagementAndGeneral>4418046</ManagementAndGeneral>
        <Fundraising>206961</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1956</BOY>
        <EOY>8458</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1378488</BOY>
        <EOY>1266445</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>3103982</BOY>
        <EOY>2857225</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>25992</BOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>111119</BOY>
        <EOY>89142</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>76048535</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>32406826</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>44994167</BOY>
        <EOY>43641709</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>10643336</BOY>
        <EOY>8755701</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>11407085</BOY>
        <EOY>10978198</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>2110467</BOY>
        <EOY>2226052</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>73776592</BOY>
        <EOY>69822930</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2036787</BOY>
        <EOY>1897184</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>68710587</BOY>
        <EOY>67361933</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>8239466</BOY>
        <EOY>7210729</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>78986840</BOY>
        <EOY>76469846</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-6484780</BOY>
        <EOY>-7966677</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>85880</BOY>
        <EOY>97947</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>1188652</BOY>
        <EOY>1221814</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-5210248</BOY>
        <EOY>-6646916</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>73776592</BOY>
        <EOY>69822930</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-1263233</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-173435</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>1510873</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>451815</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>599624</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>266979</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>296403</CurrentTaxYear>
        <Total>3125694</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>21646039</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>22906889</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>23718206</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>24477499</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>24959353</CurrentTaxYear>
        <Total>117707986</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>23156912</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>23358704</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>24317830</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>24744478</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>25255756</CurrentTaxYear>
        <Total>120833680</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>120833680</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>1292039</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>429386</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>488757</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>559161</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>574072</CurrentTaxYear>
        <Total>3343415</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>1292039</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>429386</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>488757</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>559161</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>574072</CurrentTaxYear>
        <Total>3343415</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus3Years>41894</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>43450</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>61615</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>41746</CurrentTaxYear>
        <Total>188705</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>24448951</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>23829984</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>24850037</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>25365254</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>25871574</CurrentTaxYear>
        <Total>124365800</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.97160</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.97040</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.02690</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.02810</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>1184742</BeginningOfYearBalance>
        <Contributions>33346</Contributions>
        <InvestmentEarningsOrLosses>55692</InvestmentEarningsOrLosses>
        <OtherExpenditures>55692</OtherExpenditures>
        <EndOfYearBalance>1218088</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>1121971</BeginningOfYearBalance>
        <Contributions>62771</Contributions>
        <InvestmentEarningsOrLosses>50665</InvestmentEarningsOrLosses>
        <OtherExpenditures>50665</OtherExpenditures>
        <EndOfYearBalance>1184742</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>1042726</BeginningOfYearBalance>
        <Contributions>79245</Contributions>
        <InvestmentEarningsOrLosses>16617</InvestmentEarningsOrLosses>
        <OtherExpenditures>16617</OtherExpenditures>
        <EndOfYearBalance>1121971</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>1028584</BeginningOfYearBalance>
        <Contributions>14142</Contributions>
        <InvestmentEarningsOrLosses>44398</InvestmentEarningsOrLosses>
        <OtherExpenditures>44398</OtherExpenditures>
        <EndOfYearBalance>1042726</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <InvestmentCostOrOtherBasis>1199200</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>2710220</OtherCostOrOtherBasis>
        <BookValue>3909420</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>36409086</OtherCostOrOtherBasis>
        <Depreciation>14138373</Depreciation>
        <BookValue>22270713</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>5649146</OtherCostOrOtherBasis>
        <Depreciation>2702215</Depreciation>
        <BookValue>2946931</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>28358340</OtherCostOrOtherBasis>
        <Depreciation>15566238</Depreciation>
        <BookValue>12792102</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1722543</OtherCostOrOtherBasis>
        <BookValue>1722543</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>43641709</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>DEBT SERVICE RESERVE FUNDS</Description>
        <BookValue>6138586</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>ACT 82 RESERVES</Description>
        <BookValue>2333591</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>BENEVOLENT CARE ENDOWMENT</Description>
        <BookValue>1218088</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>BOARD DESIGNATED FUNDS</Description>
        <BookValue>1173476</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>DONOR RESTRICTED FUNDS</Description>
        <BookValue>91571</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>RESIDENT FUNDS</Description>
        <BookValue>22886</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>10978198</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>SECURITY DEPOSITS</Description>
        <Amount>526307</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED RESIDENCY DEPOSITS</Description>
        <Amount>6684422</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>7210729</TotalOfAmounts>
      <TotalRevenue>26015006</TotalRevenue>
      <TotalExpenses>27278239</TotalExpenses>
      <ExcessOrDeficitForYear>-1263233</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-486868</NetUnrealizedGLOnInvestments>
      <PriorPeriodAdjustments>473281</PriorPeriodAdjustments>
      <OtherAmount>-159848</OtherAmount>
      <TotalAdjustments>-173435</TotalAdjustments>
      <ExcessOrDeficitPerFS>-1436668</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>25424962</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-486868</NetUnrealizedGainsInvestments>
      <OtherRevenues>-159848</OtherRevenues>
      <RevenueNotRptdF990>-646716</RevenueNotRptdF990>
      <RevenueSubtotal>26071678</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-56672</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-56672</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>26015006</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>26861630</TotExpensesEtcAuditedFinclStmt>
      <PriorYearAdjustments>-473281</PriorYearAdjustments>
      <OtherExpensesIncluded>56672</OtherExpensesIncluded>
      <ExpensesNotRptdF990>-416609</ExpensesNotRptdF990>
      <ExpensesSubtotal>27278239</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>27278239</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>INTEREST EARNED THROUGH ENDOWMENT FUNDS ARE USED FOR LONG TERM CARE FOR OUR RESIDENTS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>REDSTONE PRESBYTERIAN SENIORCARE ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2012 AND 2011. REDSTONE PRESBYTERIAN SENIORCARE'S FEDERAL INCOME TAX RETURNS ARE NO LONGER SUBJECT TO EXAMINATION BY FEDERAL TAXING AUTHORITIES FOR YEARS BEFORE 2009.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>VALUATION LOSS ON DERIVATIVE FINANCIAL INSTRUMENTS -154,149. VALUATION LOSS, BENEFICIAL INTEREST IN PERPETUAL TRUST -184. VALUATION LOSS, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS -5,515. TOTAL TO SCHEDULE D, PART XI, LINE 8: -159,848.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>VALUATION LOSS ON DERIVATIVE FINANCIAL INSTRUMENTS -154,149. VALUATION LOSS, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS -5,515. VALUATION LOSS, BENEFICIAL INTEREST IN PERPETUAL TRUST -184.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>SPECIAL EVENTS EXPENSE -56,672.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>SPECIAL EVENTS EXPENSE 56,672.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>SPIRIT OF GIVING GALA</NameOfEvent1>
        <GrossReceiptsEvent1>86611</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>44865</CharitableContributionsEvent1>
        <GrossRevenueEvent1>41746</GrossRevenueEvent1>
        <CashPrizesEvent1>1000</CashPrizesEvent1>
        <NonCashPrizesEvent1>23443</NonCashPrizesEvent1>
        <RentFacilityCostsEvent1>3452</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>15378</FoodAndBeverageEvent1>
        <EntertainmentEvent1>625</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>12774</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>86611</GrossReceiptsTotal>
        <CharitableContributionsTotal>44865</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>41746</GrossRevenueTotalEvents>
        <CashPrizesTotalEvents>1000</CashPrizesTotalEvents>
        <NonCashPrizesTotalEvents>23443</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>3452</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>15378</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>625</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>12774</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>56672</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-14926</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <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>JOHN R DICKSON IV</NamePerson>
        <BaseCompensationFilingOrg>193613</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>33000</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>236113</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>ROTARY CLUB DUES AND COUNTRY CLUB DUES ARE PAID BY THE ORGANIZATION FOR JOHN R. DICKSON, IV, PRESIDENT &amp; CEO.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>251433993</IssuerEIN>
        <CUSIPNumber>961008QB7</CUSIPNumber>
        <DateIssued>2005-11-15</DateIssued>
        <IssuePrice>52691683</IssuePrice>
        <DescriptionOfPurpose>SERIES 2005A/B BONDS - REFUND 2000B BONDS 12/6/00</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>251433993</IssuerEIN>
        <CUSIPNumber>961008QQ5</CUSIPNumber>
        <DateIssued>2005-11-15</DateIssued>
        <IssuePrice>20000000</IssuePrice>
        <DescriptionOfPurpose>SERIES 2005C BONDS - REFUND 1998A 7/9/98; REFUND 2000B AND 2000C 12/6/00</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>WESTMORELAND COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>251433993</IssuerEIN>
        <DateIssued>2010-11-01</DateIssued>
        <IssuePrice>30000000</IssuePrice>
        <DescriptionOfPurpose>2010: REF. 2005B 11/15/05; REF. 2005C 11/15/05</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>25760000</AmountRetired>
        <TotalProceeds>52691683</TotalProceeds>
        <AmountInReserveFund>2356906</AmountInReserveFund>
        <IssuanceCostsFromProceeds>1788544</IssuanceCostsFromProceeds>
        <CreditEnhancement>159228</CreditEnhancement>
        <OtherSpentProceeds>4636</OtherSpentProceeds>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>8895000</AmountRetired>
        <TotalProceeds>20000000</TotalProceeds>
        <AmountInReserveFund>1068018</AmountInReserveFund>
        <IssuanceCostsFromProceeds>400982</IssuanceCostsFromProceeds>
        <CreditEnhancement>244590</CreditEnhancement>
        <OtherSpentProceeds>497</OtherSpentProceeds>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>190000</AmountRetired>
        <TotalProceeds>30000000</TotalProceeds>
        <IssuanceCostsFromProceeds>962732</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>57427</WorkingCapitalExpenditures>
        <CapitalExpenditures>900000</CapitalExpenditures>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE 990 IS REVIEWED FIRST BY THE PRESIDENT/CEO AND VP OF FINANCE/CFO, THEN PRESENTED TO THE EXECUTIVE COMMITTEE AND THE BUDGET AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST CERTIFICATION ANNUALLY. IF A CONFLICT IS IDENTIFIED, THE MEMBER IS ASKED TO RESIGN FROM THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>FOR THE CEO, BENCHMARKING OF SIMILAR SIZE FACILITIES WAS USED TO INITIALLY DETERMINE COMPENSATION. THE BOARD'S EXECUTIVE COMMITTEE YEARLY AGREES ON THE LEVEL OF COMPENSATION. FOR OTHER OFFICERS OR KEY EMPLOYEES COMPENSATION IS AWARDED BASED ON THE RESULTS OF PERFORMANCE APPRAISALS. HISTORICALLY, THE BOARD OF DIRECTORS HAS APPROVED A 3% ANNUAL INCREASE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>POLICIES, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS MAY BE MADE AVAILABLE UPON REQUEST DEPENDING ON NEED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -486,868. PRIOR PERIOD ADJUSTMENTS: 473,281. VALUATION LOSS ON DERIVATIVE FINANCIAL INSTRUMENTS -154,149. VALUATION LOSS, BENEFICIAL INTEREST IN PERPETUAL TRUST -184. VALUATION LOSS, BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTS -5,515. TOTAL TO FORM 990, PART XI, LINE 5: -173,435.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XI, LINE 2C</ReturnReference>
        <Explanation>THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE ANNUAL AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANTS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HHH SENIOR SPECIALIST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6 GARDEN CENTER DRIVE</AddressLine1>
          <City>GREENSBURG</City>
          <State>PA</State>
          <ZIPCode>15601</ZIPCode>
        </AddressUS>
        <EIN>364693710</EIN>
        <PrimaryActivities>HOME HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>REDSTONE PRESBYTERIAN SENIORCARE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</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>