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        <ManagementAndGeneral>34181</ManagementAndGeneral>
        <Fundraising>844</Fundraising>
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        <ProgramServices>57013</ProgramServices>
        <ManagementAndGeneral>168883</ManagementAndGeneral>
        <Fundraising>75346</Fundraising>
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      <InformationTechnology>
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        <ProgramServices>12588</ProgramServices>
        <ManagementAndGeneral>23436</ManagementAndGeneral>
        <Fundraising>7214</Fundraising>
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      <Royalties>
        <Total>0</Total>
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      <Occupancy>
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        <ProgramServices>1215</ProgramServices>
        <ManagementAndGeneral>93717</ManagementAndGeneral>
        <Fundraising>5229</Fundraising>
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      <Travel>
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        <ManagementAndGeneral>6507</ManagementAndGeneral>
        <Fundraising>1169</Fundraising>
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      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
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      <ConferencesMeetings>
        <Total>49056</Total>
        <ProgramServices>27237</ProgramServices>
        <ManagementAndGeneral>18261</ManagementAndGeneral>
        <Fundraising>3558</Fundraising>
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      <Interest>
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        <ManagementAndGeneral>40501</ManagementAndGeneral>
        <Fundraising>40625</Fundraising>
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      <PaymentsToAffiliates>
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      <DepreciationDepletion>
        <Total>249574</Total>
        <ProgramServices>224617</ProgramServices>
        <Fundraising>24957</Fundraising>
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      <Insurance>
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        <ProgramServices>66190</ProgramServices>
        <ManagementAndGeneral>51538</ManagementAndGeneral>
        <Fundraising>5127</Fundraising>
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      <OtherExpenses>
        <Description>SKILLED NURSING FACILITY ROOM</Description>
        <Total>473658</Total>
        <ProgramServices>473658</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
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        <ProgramServices>8473</ProgramServices>
        <ManagementAndGeneral>78170</ManagementAndGeneral>
        <Fundraising>6597</Fundraising>
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      <OtherExpenses>
        <Description>MAINTENANCE &amp; REPAIRS</Description>
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        <ProgramServices>7757</ProgramServices>
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      <OtherExpenses>
        <Description>DUES, LICENSES, SUBSCRIPTIONS</Description>
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        <Fundraising>19661</Fundraising>
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      <OtherExpenses>
        <Description>DIRECT PATIENT CARE</Description>
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        <ProgramServices>764974</ProgramServices>
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      <AllOtherExpenses>
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        <ProgramServices>19892</ProgramServices>
        <ManagementAndGeneral>4936</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <Fundraising>669244</Fundraising>
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      <CashNonInterestBearing>
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      <ReceivablesFromOfficersEtc>
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      <ReceivablesFromDisqualPersons>
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      <OtherNotesLoansReceivableNet>
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      <InventoriesForSaleOrUse>
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      <LandBuildingsEquipmentBasis>8334794</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1677358</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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      <InvestmentsPubTradedSecurities>
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      <InvestmentsOtherSecurities>
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      <InvestmentsProgramRelated>
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      <IntangibleAssets>
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      <AccountsPayableAccruedExpenses>
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      <TaxExemptBondLiabilities>
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      <TotalLiabilities>
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      <FollowSFAS117>X</FollowSFAS117>
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      <TemporarilyRestrictedNetAssets>
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        <EOY>20000</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>3846913</EOY>
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      <TotalLiabNetAssetsFundBalances>
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      <ReconcilationRevenueExpenses>788197</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
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    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="11000144" softwareVersion="2011v1.2">
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      <GrossReceiptsFromAdmissions>
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      <GrossReceiptsFromNonUBI>
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      <TaxRevLeviedForOrgBenefit509>
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      <ValueOfSvcsFcltsFurnishdByGovt>
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      <AmtsRecdFromDisqualPersons>
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      <AmtsFromSubstContributors>
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      <Post1975UBTI>
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      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
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      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>1000</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i</Identifier>
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        <Explanation>$1,000 PAID TO AN ADVOCACY GROUP TO CONDUCT LOBBYING ACTIVITIES AGAINST PROPOSED LEGISLATION TO ELIMINATE ALL STATE SUPPORT FOR ADULT DAY CARE PROGRAMS IN CALIFORNIA.</Explanation>
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        <FinalAllocationMade>true</FinalAllocationMade>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
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        <Explanation>DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS REVIEWS AVAILABLE MARKET DATA FOR COMPENSATION AND APPROVES THE COMPENSATION OF THE CEO, TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED ON A REGULAR BASIS WITH ALL MEMBERS OF THE ORGANIZATION (INCLUDING, BUT NOT LIMITED TO, AN EMPLOYEE HANDBOOK, STAFF MEETINGS AND ANNUAL QUESTIONNAIRES TO BOARD MEMBERS).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS A COPY OF THE 990 BEFORE IT IS FILED. THE AMOUNTS ARE COMPARED TO AUDITED FINANCIAL STATEMENTS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>