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        <ProgramServices>1234569</ProgramServices>
        <ManagementAndGeneral>3012</ManagementAndGeneral>
        <Fundraising>423</Fundraising>
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      <AllOtherExpenses>
        <Total>2055731</Total>
        <ProgramServices>2031285</ProgramServices>
        <ManagementAndGeneral>24446</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ProgramServices>18706513</ProgramServices>
        <ManagementAndGeneral>2181884</ManagementAndGeneral>
        <Fundraising>6379</Fundraising>
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        <EOY>402270</EOY>
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        <EOY>17442801</EOY>
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        <EOY>16211696</EOY>
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      <OtherAssetsTotal>
        <BOY>2005426</BOY>
        <EOY>2054364</EOY>
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      <TotalAssets>
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        <EOY>40709238</EOY>
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      <AccountsPayableAccruedExpenses>
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        <EOY>2380304</EOY>
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      <DeferredRevenue>
        <BOY>1671903</BOY>
        <EOY>2183402</EOY>
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      <TaxExemptBondLiabilities>
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        <EOY>8280000</EOY>
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      <MortNotesPyblSecuredInvestProp>
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        <EOY>3597</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>4667031</BOY>
        <EOY>5142222</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>17104986</BOY>
        <EOY>17989525</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>15774057</BOY>
        <EOY>18282806</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>355979</BOY>
        <EOY>376426</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>1917323</BOY>
        <EOY>4060481</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>18047359</BOY>
        <EOY>22719713</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>35152345</BOY>
        <EOY>40709238</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>5104936</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-432582</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="11000218" softwareVersion="2011.0.0">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <PublicSupportTotal170>0</PublicSupportTotal170>
      <PublicSupportPertcentage170>0.00000</PublicSupportPertcentage170>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>571839</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>175332</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>254090</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1182950</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2149259</CurrentTaxYear>
        <Total>4333470</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>21317400</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>21637553</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>20770727</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>21374625</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>23526806</CurrentTaxYear>
        <Total>108627111</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>21889239</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>21812885</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>21024817</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>22557575</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>25676065</CurrentTaxYear>
        <Total>112960581</Total>
      </Total509>
      <PublicSupportTotal509>112960581</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>566294</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>-185259</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>214364</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>69150</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>151234</CurrentTaxYear>
        <Total>815783</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <Total>0</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>566294</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>-185259</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>214364</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>69150</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>151234</CurrentTaxYear>
        <Total>815783</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <Total>0</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>263895</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>175934</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>168001</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>182060</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>172413</CurrentTaxYear>
        <Total>962303</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>22719428</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>21803560</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>21407182</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>22808785</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>25999712</CurrentTaxYear>
        <Total>114738667</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98450</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98270</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00710</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01010</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <FactsAndCircumstancesTest>Part III Line 12 2007 - contracted services 112,500 gross rents 48,185 miscellaneous 103,210 Part III Line 12 2008 - gross rents 59,808 miscellaneous 116,126 Part III Line 12 2009 - net rents 32,890 miscellaneous 135,111 Part III Line 12 2010 - net rents 27,626 miscellaneous 154,434 Part III Line 12 2011 - gross rents 74,641 miscellaneous 97,772</FactsAndCircumstancesTest>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B" softwareId="11000218" softwareVersion="2011.0.0">
      <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="990D" softwareId="11000218" softwareVersion="2011.0.0">
      <IncludedOnFS>false</IncludedOnFS>
      <CurrentYear>
        <BeginningOfYearBalance>1000000</BeginningOfYearBalance>
        <Contributions>2058672</Contributions>
        <InvestmentEarningsOrLosses>72630</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>5734</AdministrativeExpenses>
        <EndOfYearBalance>3125568</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <Contributions>1000000</Contributions>
        <EndOfYearBalance>1000000</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>1898125</OtherCostOrOtherBasis>
        <BookValue>1898125</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>25429557</OtherCostOrOtherBasis>
        <Depreciation>10732636</Depreciation>
        <BookValue>14696921</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>4089287</OtherCostOrOtherBasis>
        <Depreciation>3241532</Depreciation>
        <BookValue>847755</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>17442801</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>SPLIT INTEREST AGREEMENTS</Description>
        <BookValue>1311339</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CERTIFICATES OF INDEBTEDNESS</Description>
        <BookValue>44000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INVESTMENTS - MISCELLANEOUS</Description>
        <BookValue>2560</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CAPTIVE INSURANCE</Description>
        <BookValue>72507</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>BOND ISSUANCE COSTS</Description>
        <BookValue>278689</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM AFFILIATE - STONERIDGE FAMILY MEDICINE</Description>
        <BookValue>345269</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>2054364</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>GIFT ANNUITY AGREEMENTS</Description>
        <Amount>23978</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INTEREST RATE SWAP AGREEMENT</Description>
        <Amount>1830962</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>REFUNDABLE ADVANCE FEES</Description>
        <Amount>3200471</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATE - NEW DAWN CHRISTIAN COMMUNITY SERVICES</Description>
        <Amount>86811</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>5142222</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>V</Identifier>
        <ReturnReference>4</ReturnReference>
        <Explanation>Endowment funds are to be used for the sole benefit of the Physical and Occupationial Therpay and Rehabilitation Department to enrich the programs and services provided by that department to make those services available to persons who need such services.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>The Organization follows the provisions of accounting for uncertainty in income taxes which prescribes 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 has been met. The provisions also provide guidance on de-recognition, classification, interest and penalties, and disclosures. Management has determined that these provisions do not have a material impact</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>X</Identifier>
        <ReturnReference>2</ReturnReference>
        <Explanation>on the consolidated financial statements.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J" softwareId="11000218" softwareVersion="2011.0.0">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>STEVEN J REITER</NamePerson>
        <CompBasedOnRelatedOrgs>221220</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>42281</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>10540</OtherCompensationRelatedOrgs>
        <TotalCompensationRelatedOrgs>274041</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="990L" softwareId="11000218" softwareVersion="2011.0.0">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>New Dawn Christian Community Services Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Common Current Officer</Relationship>
        <AmountOfTransaction>1672875</AmountOfTransaction>
        <DescriptionOfTransaction>Management Services Fees</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="990O" softwareId="11000218" softwareVersion="2011.0.0">
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>3</ReturnReference>
        <Explanation>Management services were provided by New Dawn Christian Community Services 20-8424515</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>11a</ReturnReference>
        <Explanation>Completed form is posted to the Organizations website in a section for Trustee access and Trustees are informed that it is available for review.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>12c</ReturnReference>
        <Explanation>By-laws require an annual statement from Trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>15a 15b</ReturnReference>
        <Explanation>CEO is employed by and compensated by the management company noted in Line 3 item above.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part VI</Identifier>
        <ReturnReference>19</ReturnReference>
        <Explanation>No documents available to the public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part XI</Identifier>
        <ReturnReference>5</ReturnReference>
        <Explanation>unrealized loss on interest rate swap agreement change in value of gift annuities unrealized gains on investments changes in value of trust assets</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section A Line 3 Management services were provided by New Dawn Christian Community Services 20-8424515 Form 990 Part VI Section B Line 11a Completed form is posted to the Organizations website in a section for Trustee access and Trustees are informed that it is available for review. Form 990 Part VI Section B Line 12c By-laws require an annual statement from Trustees. Form 990 Part VI Section B Line 15a 15b CEO is employed by and compensated by the management company noted in Line 3 item above. Form 990 Part VI Section C Line 19 No documents available to the public. Form 990 Part XI Line 5 unrealized loss on interest rate swap agreement change in value of gift annuities unrealized gains on investments changes in value of trust assets</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R" softwareId="11000218" softwareVersion="2011.0.0">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>New Dawn Christian Community Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>440 East Lincoln Avenue</AddressLine1>
          <City>Myerstown</City>
          <State>PA</State>
          <ZIPCode>17067</ZIPCode>
        </AddressUS>
        <EIN>208424515</EIN>
        <PrimaryActivities>Mgmt Services</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>11 II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>StoneRidge Family Medicine</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>440 East Lincoln Avenue</AddressLine1>
          <City>Myerstown</City>
          <State>PA</State>
          <ZIPCode>17067</ZIPCode>
        </AddressUS>
        <EIN>208454605</EIN>
        <PrimaryActivities>Physician Practice</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>New Dawn Christian Community Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>