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      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>520016</Total>
        <ProgramServices>447687</ProgramServices>
        <ManagementAndGeneral>72329</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>35469</Total>
        <ManagementAndGeneral>35469</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>96808</Total>
        <ManagementAndGeneral>96808</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>1512059</Total>
        <ProgramServices>1446389</ProgramServices>
        <ManagementAndGeneral>65670</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>5680</Total>
        <ManagementAndGeneral>5680</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>55000</Total>
        <ProgramServices>2554</ProgramServices>
        <ManagementAndGeneral>52446</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>103945</Total>
        <ManagementAndGeneral>103945</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>311966</Total>
        <ProgramServices>292338</ProgramServices>
        <ManagementAndGeneral>19628</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>5149</Total>
        <ProgramServices>3249</ProgramServices>
        <ManagementAndGeneral>1900</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>9141</Total>
        <ProgramServices>800</ProgramServices>
        <ManagementAndGeneral>8341</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>136057</Total>
        <ProgramServices>124146</ProgramServices>
        <ManagementAndGeneral>11911</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>190576</Total>
        <ProgramServices>190576</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>185560</Total>
        <ProgramServices>33477</ProgramServices>
        <ManagementAndGeneral>152083</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Dietary Supplies</Description>
        <Total>553451</Total>
        <ProgramServices>553451</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Pharmacy Supplies</Description>
        <Total>406637</Total>
        <ProgramServices>406637</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Nursing Supplies</Description>
        <Total>396484</Total>
        <ProgramServices>396484</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bad debt expense</Description>
        <Total>177382</Total>
        <ProgramServices>177382</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Laundry and Housekeepin</Description>
        <Total>108473</Total>
        <ProgramServices>108473</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>261282</Total>
        <ProgramServices>170211</ProgramServices>
        <ManagementAndGeneral>91071</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>12597091</Total>
        <ProgramServices>11092072</ProgramServices>
        <ManagementAndGeneral>1505019</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>298452</BOY>
        <EOY>922828</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1202441</BOY>
        <EOY>1160350</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>1690084</BOY>
        <EOY>2359043</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>74719</BOY>
        <EOY>69100</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>7430873</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>5224350</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2234880</BOY>
        <EOY>2206523</EOY>
      </LandBuildingsEquipmentBasisNet>
      <TotalAssets>
        <BOY>5500576</BOY>
        <EOY>6717844</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1385568</BOY>
        <EOY>1215817</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>2362620</BOY>
        <EOY>2331422</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>3748188</BOY>
        <EOY>3547239</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1752388</BOY>
        <EOY>3170605</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>1752388</BOY>
        <EOY>3170605</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>5500576</BOY>
        <EOY>6717844</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>1418217</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus3Years>42965</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>200</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>50</CurrentTaxYearMinus1Year>
        <Total>43215</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>9410897</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>10541560</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>10965465</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12442448</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>13715203</CurrentTaxYear>
        <Total>57075573</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>9410897</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>10584525</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>10965665</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12442498</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>13715203</CurrentTaxYear>
        <Total>57118788</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>57118788</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>180449</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>158750</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>96595</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>48748</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>33147</CurrentTaxYear>
        <Total>517689</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>180449</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>158750</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>96595</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>48748</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>33147</CurrentTaxYear>
        <Total>517689</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>17673</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>20675</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>24314</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>32605</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>285898</CurrentTaxYear>
        <Total>381165</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>9609019</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>10763950</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>11086574</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12523851</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>14034248</CurrentTaxYear>
        <Total>58017642</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98450</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98480</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00890</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01340</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <InvestmentCostOrOtherBasis>50000</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>185999</OtherCostOrOtherBasis>
        <BookValue>235999</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>194000</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>4544053</OtherCostOrOtherBasis>
        <Depreciation>3250409</Depreciation>
        <BookValue>1487644</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>23916</OtherCostOrOtherBasis>
        <Depreciation>11698</Depreciation>
        <BookValue>12218</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2432905</OtherCostOrOtherBasis>
        <Depreciation>1962243</Depreciation>
        <BookValue>470662</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>2206523</TotalOfBookValueLandBuildings>
      <TotalRevenue>14015308</TotalRevenue>
      <TotalExpenses>12597091</TotalExpenses>
      <ExcessOrDeficitForYear>1418217</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>1418217</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>14034249</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>18941</OtherRevenues>
      <RevenueNotRptdF990>18941</RevenueNotRptdF990>
      <RevenueSubtotal>14015308</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>14015308</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>12616032</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>18941</OtherExpensesIncluded>
      <ExpensesNotRptdF990>18941</ExpensesNotRptdF990>
      <ExpensesSubtotal>12597091</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>12597091</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X:</ReturnReference>
        <Explanation>It is the Corporation's policy to account for any uncertainties in income tax law in accordance with FASB ASC 740-10 "Accounting for Uncertainty in Income Taxes." ASC 740-10 clarifies the accounting for uncertain tax positions and requires that the Corporation recognize the impact of such a tax position in its financial statements if, upon ultimate settlement, that position is more likely than not to be sustained. Management has evaluated the Corporation's tax positions and concluded that the Corporation had maintained its tax-exempt status and had taken no uncertain tax positions that require adjustment to the financial statements.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>Management reviews the Form 990 prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The Board is cognizant of any potential conflicts of interest and questions Trustees annually, or more frequently if needed, about any potential conflicts.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The Administrator/Executive Director's salary is set by the Board of Directors and is reviewed annually, based on performance. The Executive Director is considered to be the top management official carrying out the Board's policies.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 18</ReturnReference>
        <Explanation>The Corporation's Form 990 is made available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Corporation's governing documents, conflict of interest policy and audited financial statements are made available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of Audited Financial Statements</Identifier>
        <ReturnReference>Form 990, Part XI, Line 2c</ReturnReference>
        <Explanation>There were no changes to the process for 2011.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>