﻿<?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>2013-05-14T15:06:23-05:00</Timestamp>
    <TaxPeriodEndDate>2012-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <EIN>410746749</EIN>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>CLIFTONLARSONALLEN LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>610 WEST GERMANTOWN PIKE SUITE 400</AddressLine1>
        <City>PLYMOUTH MEETING</City>
        <State>PA</State>
        <ZIPCode>19462</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>521533715</EIN>
      <Name>
        <BusinessNameLine1>COLUMBIA VANTAGE HOUSE CORPORATION</BusinessNameLine1>
      </Name>
      <NameControl>COLU</NameControl>
      <Phone>4109645454</Phone>
      <USAddress>
        <AddressLine1>5400 VANTAGE POINT ROAD</AddressLine1>
        <City>COLUMBIA</City>
        <State>MD</State>
        <ZIPCode>21044</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>MERIANN RITACCO</Name>
      <Title>EXECUTIVE DIRECTOR</Title>
      <Phone>4109645454</Phone>
      <DateSigned>2013-05-14</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>BERNADETTE O'TOOLE CPA</Name>
      <PTIN>P00229258</PTIN>
      <Phone>2156433900</Phone>
    </Preparer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="8">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>MERIANN RITACCO</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>5400 VANTAGE POINT ROAD</AddressLine1>
        <City>COLUMBIA</City>
        <State>MD</State>
        <ZIPCode>21044</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>24453041</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.VANTAGEHOUSE.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1987</YearFormation>
      <StateLegalDomicile>MD</StateLegalDomicile>
      <ActivityOrMissionDescription>TO SPONSOR, OPERATE AND MAINTAIN A LONG-TERM RESIDENTIAL, "CONTINUING CARE" COMMUNITY FOR THE AGED.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>18</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>18</NbrIndependentVotingMembers>
      <TotalNbrEmployees>237</TotalNbrEmployees>
      <TotalNbrVolunteers>121</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>6814</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>0</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>13998725</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>14707426</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>268294</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>176961</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>39226</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>35543</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>14313059</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>14919930</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>5965090</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>6395728</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>9181727</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>8896020</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>15146817</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>15291748</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-833758</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-371818</RevenuesLessExpensesCY>
      <TotalAssetsBOY>49877706</TotalAssetsBOY>
      <TotalAssetsEOY>47978300</TotalAssetsEOY>
      <TotalLiabilitiesBOY>60632396</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>59074072</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>-10754690</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>-11095772</NetAssetsOrFundBalancesEOY>
      <MissionDescription>THE MISSION OF VANTAGE HOUSE IS TO ESTABLISH, SPONSOR, MANAGE, AND MAINTAIN A LONG-TERM CARE RESIDENTIAL COMMUNITY FOR THE AGED WITH ON-SITE NURSING AND OTHER HEALTH CARE, AND TO CARRY OUT THE CARE, TREATMENT, AND HABITATION OF THE ELDERLY AND INFIRM.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>10057600</Expense>
      <Revenue>11091895</Revenue>
      <Description>RESIDENTIAL &amp; WELLNESS CARE:SUPPORTED INDEPENDENT LIVING WITH DINING AND RECREATION AND SOCIAL SUPPORT PROGRAMS</Description>
      <Activity2>
        <Expense>2931402</Expense>
        <Revenue>3615531</Revenue>
        <Description>HEALTH CARE:24 HOUR NURSING AND HEALTH CARE SPANNING THREE LEVELS OF CARE WITH ALL SUPPORTING PROGRAMS</Description>
      </Activity2>
      <TotalProgramServiceExpense>12989002</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired>0</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">0</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</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>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">0</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="RetDoc1053100001">1</TaxExemptBonds>
      <InvestTaxExemptBonds>0</InvestTaxExemptBonds>
      <EscrowAccount>0</EscrowAccount>
      <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      <ExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="RetDoc1042800001">0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="RetDoc1042800001">1</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="RetDoc1042800001">0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="RetDoc1042800001">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>0</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">0</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>50</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>237</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>18</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>18</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>1</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>1</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>MD</StatesWhereCopyOfReturnIsFiled>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>MERIANN RITACCO</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>4109645454</TelephoneNumber>
        <AddressUS>
          <AddressLine1>5400 VANTAGE POINT ROAD</AddressLine1>
          <City>COLUMBIA</City>
          <State>MD</State>
          <ZIPCode>21044</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>MARSHA ANSEL</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROY APPLETREE</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PENNY L BOUGHN</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SUSAN CASTELLAN</NamePerson>
        <Title>CHAIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>IRMA CHAPIN</NamePerson>
        <Title>CHAIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROSEMARY DAVIS</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LIN EAGAN</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BARBARA FAGAN</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CAROLINE FITZGERALD</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JO ELLEN IMRE</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CLAIRE C LEA</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROCCO RICCI</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DOROTHY L RODBELL</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHARLES STARK</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>OWEN WILLIAMS</NamePerson>
        <Title>CHAIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANN MECH</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>VIRGINIA M THOMAS</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GAIL T YOUNG</NamePerson>
        <Title>VICE-PRESIDENT, TREASURER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MERIANN P RITACCO</NamePerson>
        <Title>EXECUTIVE DIRECTOR, COO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KENNETH LECOMPTE</NamePerson>
        <Title>DIRECTOR OF BUILDING SERVICES</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>100514</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>14876</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NILE SARA</NamePerson>
        <Title>DIRECTOR OF DINING SERVICE</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>103746</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9687</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KATHRYN TRAVERS</NamePerson>
        <Title>DIRECTOR OF MARKETING</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>118448</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9507</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BARBARA D'ANNA</NamePerson>
        <Title>DIRECTOR OF HEALTH SERVICES</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>102532</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7876</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>425240</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>41946</TotalOtherCompensation>
      <NumberIndividualsGT100K>4</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>0</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>LIFE CARE SERVICES LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>CAPITAL SQUARE 400 LOCUST ST</AddressLine1>
            <City>DES MOINES</City>
            <State>IA</State>
            <ZIPCode>50309</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MANAGEMENT SERVICES</DescriptionOfServices>
        <Compensation>714782</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>REHABCARE GROUP INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 503534</AddressLine1>
            <City>ST LOUIS</City>
            <State>MO</State>
            <ZIPCode>63150</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>THERAPY SERVICES</DescriptionOfServices>
        <Compensation>331081</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>2</NumberOfContractorsGT100K>
      <ProgramServiceRevenue>
        <Description>INDEPENDENT LIVING</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>9024083</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>9024083</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>HEALTH CARE SERVICES</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>3615531</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3615531</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>ENTRANCE FEES</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>2067812</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2067812</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>14707426</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>133389</TotalRevenueColumn>
        <ExclusionAmount>133389</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>38845</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>3302</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>35543</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>35543</TotalRevenueColumn>
        <ExclusionAmount>35543</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>9569114</Securities>
        <Other>4267</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>9529809</Securities>
        <Other>0</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>39305</Securities>
        <Other>4267</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>43572</TotalRevenueColumn>
        <ExclusionAmount>43572</ExclusionAmount>
      </NetGainOrLossInvestments>
      <TotalRevenue>
        <TotalRevenueColumn>14919930</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>14707426</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>212504</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>470411</Total>
        <ManagementAndGeneral>470411</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>4748505</Total>
        <ProgramServices>4320303</ProgramServices>
        <ManagementAndGeneral>428202</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>42034</Total>
        <ProgramServices>31207</ProgramServices>
        <ManagementAndGeneral>10827</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>755853</Total>
        <ProgramServices>621237</ProgramServices>
        <ManagementAndGeneral>134616</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>378925</Total>
        <ProgramServices>326724</ProgramServices>
        <ManagementAndGeneral>52201</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>319730</Total>
        <ManagementAndGeneral>319730</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>65735</Total>
        <ManagementAndGeneral>65735</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>51713</Total>
        <ManagementAndGeneral>51713</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>47636</Total>
        <ProgramServices>31130</ProgramServices>
        <ManagementAndGeneral>16506</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>393452</Total>
        <ManagementAndGeneral>393452</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>440383</Total>
        <ProgramServices>272478</ProgramServices>
        <ManagementAndGeneral>167905</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>75375</Total>
        <ManagementAndGeneral>75375</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>1223341</Total>
        <ProgramServices>1215637</ProgramServices>
        <ManagementAndGeneral>7704</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>18687</Total>
        <ProgramServices>9004</ProgramServices>
        <ManagementAndGeneral>9683</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>1882696</Total>
        <ProgramServices>1878319</ProgramServices>
        <ManagementAndGeneral>4377</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>2560732</Total>
        <ProgramServices>2560732</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>179736</Total>
        <ProgramServices>179736</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>DIETARY EXPENSE</Description>
        <Total>777719</Total>
        <ProgramServices>777719</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>NURSING EXPENSE</Description>
        <Total>295485</Total>
        <ProgramServices>295485</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT AND RENTAL MA</Description>
        <Total>204879</Total>
        <ProgramServices>201586</ProgramServices>
        <ManagementAndGeneral>3293</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LICENSES, DUES AND SUBS</Description>
        <Total>98466</Total>
        <ProgramServices>10482</ProgramServices>
        <ManagementAndGeneral>87984</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>260255</Total>
        <ProgramServices>257223</ProgramServices>
        <ManagementAndGeneral>3032</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>15291748</Total>
        <ProgramServices>12989002</ProgramServices>
        <ManagementAndGeneral>2302746</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1610540</BOY>
        <EOY>1940979</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>4543492</BOY>
        <EOY>3873177</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>491076</BOY>
        <EOY>366809</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>106103</BOY>
        <EOY>183610</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>126857</BOY>
        <EOY>99045</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>28137</BOY>
        <EOY>49816</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>62502165</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>27030782</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>37030323</BOY>
        <EOY>35471383</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>5186040</BOY>
        <EOY>5267019</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>755138</BOY>
        <EOY>726462</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>49877706</BOY>
        <EOY>47978300</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1247344</BOY>
        <EOY>1162813</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>21177298</BOY>
        <EOY>20030675</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>36944913</BOY>
        <EOY>36218776</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>1262841</BOY>
        <EOY>1661808</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>60632396</BOY>
        <EOY>59074072</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-10754690</BOY>
        <EOY>-11095772</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-10754690</BOY>
        <EOY>-11095772</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>49877706</BOY>
        <EOY>47978300</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-371818</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>30736</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>30056</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>6259</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>21678</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6814</CurrentTaxYearMinus1Year>
        <Total>64807</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>13363278</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13470099</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13715319</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>13998725</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>14707426</CurrentTaxYear>
        <Total>69254847</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>13393334</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13476358</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13736997</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>14005539</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>14707426</CurrentTaxYear>
        <Total>69319654</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>69319654</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>591926</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>291623</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>193259</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>349250</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>172234</CurrentTaxYear>
        <Total>1598292</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>591926</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>291623</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>193259</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>349250</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>172234</CurrentTaxYear>
        <Total>1598292</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>13985260</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13767981</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13930256</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>14354789</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>14879660</CurrentTaxYear>
        <Total>70917946</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.97750</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.96960</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.02250</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.03040</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>4738600</OtherCostOrOtherBasis>
        <BookValue>4738600</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>53843855</OtherCostOrOtherBasis>
        <Depreciation>24384231</Depreciation>
        <BookValue>29459624</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>3329325</OtherCostOrOtherBasis>
        <Depreciation>2587202</Depreciation>
        <BookValue>742123</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>590385</OtherCostOrOtherBasis>
        <Depreciation>59349</Depreciation>
        <BookValue>531036</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>35471383</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>ESCROW PAYABLE</Description>
        <Amount>138155</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>REFUNDABLE ENTRANCE FEES</Description>
        <Amount>1523653</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1661808</TotalOfAmounts>
      <TotalRevenue>14919930</TotalRevenue>
      <TotalExpenses>15291748</TotalExpenses>
      <ExcessOrDeficitForYear>-371818</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>30736</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>30736</TotalAdjustments>
      <ExcessOrDeficitPerFS>-341082</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>14950666</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>30736</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>30736</RevenueNotRptdF990>
      <RevenueSubtotal>14919930</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>14919930</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>15291748</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>15291748</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>15291748</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A)OF THE INTERNAL REVENUE CODE. THE CORPORATION FOLLOWS THE PROVISIONS OF THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE CORPORATIONS FINANCIAL STATEMENTS. THE CORPORATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE TAX RETURNS FOR THE YEARS 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE CORPORATION HAS IMPLEMENTED PROCESSES TO ENSURE CORPORATE COMPLIANCE WITH THE INTERNAL REVENUE SERVICE INTERMEDIATE SANCTIONS PROVISION. THESE PROCESSES INCLUDE ANNUAL REVIEW BY THE EXECUTIVE COMMITTEE OF EXECUTIVE TEAM COMPENSATION, AND ANNUAL REVIEW BY THE BOARD OF DIRECTORS OF THE PERFORMANCE AND COMPENSATION OF THE CORPORATION'S EXECUTIVE DIRECTOR. THE BOARD ENGAGES IN ANNUAL CORPORATE COMPLIANCE EDUCATION, HAS ADOPTED AND REVIEWS AT LEAST ANNUALLY A WRITTEN CORPORATE COMPLIANCE PROGRAM AND CODE OF CONDUCT, AND HAS A DETAILED CONFLICT OF INTEREST POLICY.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HOWARD COUNTY MD</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>526000965</IssuerEIN>
        <CUSIPNumber>442593AU3</CUSIPNumber>
        <DateIssued>2007-04-12</DateIssued>
        <IssuePrice>39487021</IssuePrice>
        <DescriptionOfPurpose>FINANCE CAPITAL IMPROVEMENTS, TO ADVANCE REFUND, AND TO ESTABLISH RESERVES</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>4021955</AmountRetired>
        <TotalProceeds>39487021</TotalProceeds>
        <AmountInReserveFund>85952</AmountInReserveFund>
        <RefundingEscrow>35638953</RefundingEscrow>
        <IssuanceCostsFromProceeds>789740</IssuanceCostsFromProceeds>
        <CapitalExpenditures>2963264</CapitalExpenditures>
        <AmountUnspent>9112</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <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>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MERIANN RITACCO</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>EXECUTIVE DIRECTOR</Relationship>
        <DescriptionOfTransaction>MANAGEMENT</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>SCHEDULE L, PART IV</Identifier>
        <ReturnReference>BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS</ReturnReference>
        <Explanation>(A) NAME OF PERSON: MERIANN RITACCO(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION:EXECUTIVE DIRECTOR - EMPLOYED BY LIFE CARE SERVICES(C) AMOUNT OF TRANSACTION $ 192618.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 1</ReturnReference>
        <Explanation>THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE CORPORATION AND OTHER TRUSTEES THAT MAY BE NAMED TO THE COMMITTEE BY THE CHAIR. THE EXECUTIVE COMMITTEE: (A) SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD OF TRUSTEES IN THE MANAGEMENT OF THE BUSINESS OF THE CORPORATION AND SHALL: (I) ACT AS AN ETHICS COMMITTEE WHEN NEEDED TO DEVELOP POLICIES AND GUIDELINES FOR HANDLING OF ETHICAL ISSUES AND REVIEW AND GIVE CONSULTATION INVOLVING ETHICAL DIFFICULTIES. (II) CONDUCT PERFORMANCE REVIEW OF PRESIDENT CHIEF EXECUTIVE OFFICER. (III) MONITOR EFFECTIVENESS AND APPROVE INCENTIVE COMPENSATION OF EMPLOYEES UNDER INCENTIVE COMPENSATION PROGRAMS. (IV) REVIEW AND RECOMMEND TO THE BOARD CHANGES TO THE HUMAN RESOURCES POLICY AND BENEFIT PLANS OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>THE COMPANY HAS A MANAGEMENT AGREEMENT WITH LIFE CARE SERVICES LLC OF DES MOINES IA (LCS). LCS PROVIDES SYSTEMS (CLINICAL, FINANCIAL), SUPPORT, COMPLIANCE, AND PLACES ON-SITE THE EXECUTIVE DIRECTOR (WHO ACTS AS THE CHIEF OPERATING OFFICER) AND THE ADMINISTRATOR (WHO IS REQUIRED TO BE A MARYLAND LICENSED NURSING HOME ADMINISTRATOR) AND PROVIDES REGULAR REPORTS TO THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE BOARD HAS THE ABILITY TO ELECT OR APPOINT OTHER MEMEBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>FINANCE COMMITTEE WILL REVIEW THE 990 PRIOR TO FILING AT A MEETING, THE 990 WILL BE DISTRIBUTED TO THE FULL BOARD PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>1.THE CONFLICT OF INTEREST POLICY APPLIES TO THE BOARD OF DIRECTORS, ALL MEMBERS OF STANDING AND ADVISORY COMMITTEES, ANY BOARD OR COMMITTEE MEMBER'S IMMEDIATE FAMILY OR ANY PERSON ACTING ON THE BOARD OR COMMITTEE MEMBER'S BEHALF. 2.AFTER DISCLOSURE OF A POTENTIAL CONFLICT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. 3.THE FOLLOWING SETS FORTH THE PROCEDURE FOR ADDRESSING A PERCEIVED CONFLICT: A.AN INTERESTED BOARD OR COMMITTEE MEMBER MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. B.IN THE CASE OF A FINANCIAL CONFLICT OF INTEREST, THE PRESIDENT OF THE BOARD OR CHAIR OF THE COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED BOARD OR COMMITTEE MEMBER TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C.AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER VANTAGE HOUSE CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A FINANCIAL CONFLICT OF INTEREST. D.IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A FINANCIAL CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED BOARD OR COMMITTEE MEMBERS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN VANTAGE HOUSES BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO VANTAGE HOUSE AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 4.IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A BOARD OR COMMITTEE MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE BOARD OR COMMITTEE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD SUCH BOARD OR COMMITTEE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. A.IF, AFTER HEARING THE RESPONSE OF THE BOARD OR COMMITTEE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE MEMBER DETERMINES THAT THE BOARD OR COMMITTEE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. 5.PERIODIC REVIEWS OF THE CONFLICT OF INTEREST POLICY AND ITS APPLICATION ARE CONDUCTED. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: A.WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND IS THE RESULT OF ARMS-LENGTH BARGAINING; B.WHETHER ACQUISITIONS OF SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT; C.WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH OTHER INDIVIDUALS OR ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENT FOR GOODS AND SERVICES, FURTHER VANTAGE HOUSES CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT; AND D.WHETHER AGREEMENTS WITH OTHER SERVICE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER VANTAGE HOUSES CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIAL, OTHER OFFICERS, AND KEY EMPLOYEES IS SET ANNUALLY DURING THE BUDGET PROCESS; DETERMINED BASED ON COMPARITIVE MARKET SURVEY AND PERFORMANCE. THIS PROCESS WAS LAST REVIEWED AND APPROVED ON JUNE 30, 2012.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>COLUMBIA VANTAGE HOUSE PROVIDES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 30,736.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VANTAGE HOUSE LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5400 VANTAGE POINT ROAD</AddressLine1>
          <City>COLUMBIA</City>
          <State>MD</State>
          <ZIPCode>21044</ZIPCode>
        </AddressUS>
        <EIN>521533715</EIN>
        <PrimaryActivities>REAL ESTATE HOLDING</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>COLUMBIA VANTAGE HOUSE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COLUMBIA VANTAGE HOUSE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5400 VANTAGE POINT ROAD</AddressLine1>
          <City>COLUMBIA</City>
          <State>MD</State>
          <ZIPCode>21044</ZIPCode>
        </AddressUS>
        <EIN>263248227</EIN>
        <PrimaryActivities>A SUPPORTING ORGANIZATION FOR COLUMBIA VANTAGE HOUSE CORPORATION.</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>COLUMBIA VANTAGE HOUSE COROPORATION</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>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>