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        <NamePerson>JEFFREY S HIGH</NamePerson>
        <Title>CONTROLLER</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
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        <OtherCompensation>9450</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK H DIFFENDERFER</NamePerson>
        <Title>DIRECTOR OF INFORMATION SERVICES</Title>
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      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
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        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>BENCHMARK CONSTRUCTION INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4121 OREGON PIKE</AddressLine1>
            <City>BROWNSTOWN</City>
            <State>PA</State>
            <ZIPCode>175080806</ZIPCode>
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        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION SERVICES</DescriptionOfServices>
        <Compensation>5865369</Compensation>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>SODEXO INC &amp; AFFILIATES</BusinessNameLine1>
          </NameBusiness>
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        <AddressOfContractor>
          <AddressUS>
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            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60674</ZIPCode>
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        </AddressOfContractor>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>GENESIS REHABILITATION SERVICES</BusinessNameLine1>
          </NameBusiness>
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          <AddressUS>
            <AddressLine1>PO BOX 7247-6524</AddressLine1>
            <City>PHILADELPHIA</City>
            <State>PA</State>
            <ZIPCode>19170</ZIPCode>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>FLAGSHIP REHABILITATION</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
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          <AddressUS>
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            <City>CUMBERLAND</City>
            <State>MD</State>
            <ZIPCode>21502</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>THERAPY REHAB SERVICES</DescriptionOfServices>
        <Compensation>496880</Compensation>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>PREMIER SOLUTIONS GROUP LLC</BusinessNameLine1>
          </NameBusiness>
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          <AddressUS>
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            <State>PA</State>
            <ZIPCode>17603</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ADVANCED TECHNOLOGY COMMUNICATIONS</DescriptionOfServices>
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      </ContractorCompensation>
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      <TotalContributions>3565356</TotalContributions>
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        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>36640140</TotalRevenueColumn>
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      <ProgramServiceRevenue>
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      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>NH ASSESSMENT REVENUE</Description>
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        <RelatedOrExemptFunctionIncome>712324</RelatedOrExemptFunctionIncome>
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      <NetGainOrLossInvestments>
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        <ExclusionAmount>432603</ExclusionAmount>
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      <NetIncomeFromFundraisingEvents>
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        <ExclusionAmount>-6887</ExclusionAmount>
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        <ExclusionAmount>22000</ExclusionAmount>
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      <OtherRevenueMisc>
        <Description>OTHER INCOME</Description>
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      <OtherRevenueMisc>
        <Description>TRUST INCOME</Description>
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        <TotalRevenueColumn>88338</TotalRevenueColumn>
        <ExclusionAmount>88338</ExclusionAmount>
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      <MiscellaneousRevenue>
        <TotalRevenueColumn>140286</TotalRevenueColumn>
        <ExclusionAmount>140286</ExclusionAmount>
      </MiscellaneousRevenue>
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      <TotalRevenue>
        <TotalRevenueColumn>44604654</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>39079970</RelatedOrExemptFunctionIncome>
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      <GrantsToDomesticOrgs>
        <Total>19199</Total>
        <ProgramServices>19199</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>425329</Total>
        <ManagementAndGeneral>425329</ManagementAndGeneral>
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      <OtherSalariesAndWages>
        <Total>16808403</Total>
        <ProgramServices>14803182</ProgramServices>
        <ManagementAndGeneral>1906512</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>557244</Total>
        <ProgramServices>480668</ProgramServices>
        <ManagementAndGeneral>74161</ManagementAndGeneral>
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        <ProgramServices>1652355</ProgramServices>
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      <FeesForServicesLegal>
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        <ProgramServices>5297</ProgramServices>
        <ManagementAndGeneral>51619</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ProgramServices>19266</ProgramServices>
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      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>2205</Total>
        <ManagementAndGeneral>2205</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesInvstMgmntFees>
        <Total>20</Total>
        <ManagementAndGeneral>20</ManagementAndGeneral>
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      <FeesForServicesOther>
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      <Advertising>
        <Total>215316</Total>
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        <ProgramServices>3354296</ProgramServices>
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      <InformationTechnology>
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        <ManagementAndGeneral>32192</ManagementAndGeneral>
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      <Occupancy>
        <Total>5172815</Total>
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        <ManagementAndGeneral>39141</ManagementAndGeneral>
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        <ProgramServices>62711</ProgramServices>
        <ManagementAndGeneral>10455</ManagementAndGeneral>
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      <ConferencesMeetings>
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        <Fundraising>20441</Fundraising>
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      <OtherExpenses>
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        <ProgramServices>388622</ProgramServices>
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      <OtherExpenses>
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      <OtherExpenses>
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      <TotalAssets>
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      <TotalLiabNetAssetsFundBalances>
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        <Explanation>LUTHERCARE OCCASIONALLY SENDS OUT MAILINGS TO LEGISLATORS AND OUR CONSTITUENTS REGARDING ISSUES THAT AFFECT OUR COMMUNITY AND ITS RESIDENTS. LUTHERCARE WILL ALSO REACH OUT TO STATE LEGISLATORS ON ISSUES SURROUNDING SENIOR HEALTH CARE AND CHILD CARE. LUTHERCARE PAYS DUES TO THE ORGANIZATIONS LEADINGAGE AND LEADINGAGE PA. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCABLE TO LOBBYING EXPENSES. THE TOTAL AMOUNT OF DUES PAID BY LUTHERCARE THAT IS ALLOCABLE TO LOBBYING IS $2,005.</Explanation>
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        <BookValue>1680113</BookValue>
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        <BookValue>49975780</BookValue>
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        <BookValue>1569708</BookValue>
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        <Description>UNEARNED INCOME</Description>
        <Amount>26965</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEPOSITS HELD</Description>
        <Amount>712</Amount>
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      <OtherLiabilities>
        <Description>INTEREST RATE SWAP AGREEMENT</Description>
        <Amount>6469837</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>GIFT CERTIFICATES PAYABLE</Description>
        <Amount>4484</Amount>
      </OtherLiabilities>
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      <TotalExpenses>42875037</TotalExpenses>
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      <TotalAdjustments>-4424755</TotalAdjustments>
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      <NetUnrealizedGainsInvestments>363875</NetUnrealizedGainsInvestments>
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      <RevenueNotRptdF990>-1628038</RevenueNotRptdF990>
      <RevenueSubtotal>44676272</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>20</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>-71638</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-71618</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>44604654</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>45743372</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>2868355</OtherExpensesIncluded>
      <ExpensesNotRptdF990>2868355</ExpensesNotRptdF990>
      <ExpensesSubtotal>42875017</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>20</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>20</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>42875037</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <ReturnReference>PART IV, LINE 2B:</ReturnReference>
        <Explanation>THE ORGANIZATION HANDLES THE FINANCES OF CERTAIN RESIDENTS. IN HANDLING THE FINANCES, THE ORGANIZATION COLLECTS FUNDS FROM RESIDENTS AND DEPOSITS THEM INTO A SEPARATE ACCOUNT BY FACILITY. THE FUNDS FOR HANDLING THE FINANCES ARE CONTAINED IN THE RESIDENT FUND ACCOUNTS, WHICH ARE REPORTED ON LINE 21 OF THE FORM 990 BALANCE SHEET. TYPICALLY, THE ORGANIZATION DEPOSITS CHECKS RELATED TO SOCIAL SECURITY AND PENSION PAYMENTS FOR THE RESIDENTS. AS THE RESIDENTS HAVE EXPENSES THAT ARE DUE, THE ORGANIZATION PAYS FOR THE EXPENSES OUT OF THE ORGANIZATION'S OPERATING CHECKING ACCOUNT. THE ORGANIZATION THEN TRANSFERS THE TOTAL AMOUNT OF EXPENSES FROM THE RESIDENT BANK ACCOUNT BY FACILITY TO THE OPERATING ACCOUNT TO REIMBURSE THOSE FUNDS. INTEREST IS EARNED AND CREDITED TO EACH ACCOUNT. AT ANY GIVEN TIME THE ORGANIZATION KNOWS HOW MUCH OF THE RESIDENT FUNDS ARE HELD. IN ADDITION, WHEN POTENTIAL RESIDENTS PUT DOWN A DEPOSIT TO HOLD A SPACE IN THE FACILITY PART OF THIS DEPOSIT IS REFUNDABLE. THESE FUNDS ARE HELD IN ESROW BY LUTHERCARE ON BEHALF OF THE RESIDENTS UNTIL THE DEPOSIT IS REFUNDED, IF NECESSARY, BASED ON THE TERMS OF THEIR CONTRACT.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>THE ENDOWMENTS, AS FUNDED BY THE ORGANIZATION AND ITS DONORS, HAVE BEEN ESTABLISHED FOR A VARIETY OF REASONS RELATED TO THE EXEMPT PURPOSE OF THE ORGANIZATION AND ITS NEEDS AS IT RELATES TO ITS RESIDENTS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THIS RECOGNITION THRESHOLD IN 2011 AND 2010. THE ORGANIZATION'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2008, 2009 AND 2010 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>UNREALIZED DEPRECIATION ON INTEREST RATE SWAP AGREEMENT -2,796,717. CHANGE IN VALUE OF DEFERRED GIFTS -140,376. IMPAIRMENT LOSS -1,851,537. TOTAL TO SCHEDULE D, PART XI, LINE 8: -4,788,630.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CHANGE IN VALUE OF DEFERRED GIFTS -140,376. IMPAIRMENT LOSS -1,851,537.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSES -31,345. STORE EXPENSE -22,481. FUNDRAISING EVENTS DIRECT EXPENSES -17,812.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING EVENTS DIRECT EXPENSES 17,812. UNREALIZED DEPRECIATION ON INTEREST RATE SWAP AGREEMENT 2,796,717. STORE EXPENSE 22,481. RENTAL EXPENSES 31,345.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>ANNUAL GOLF TOURNAMENT</NameOfEvent1>
        <GrossReceiptsEvent1>42864</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>32860</CharitableContributionsEvent1>
        <GrossRevenueEvent1>10004</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>12412</RentFacilityCostsEvent1>
        <OtherDirectExpensesEvent1>5400</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>42864</GrossReceiptsTotal>
        <CharitableContributionsTotal>32860</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>10004</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>12412</RentFacilityCostsTotalEvents>
        <OtherDirectExpensesTotalEvents>5400</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>17812</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-7808</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>LUTHERAN PLANNED GIVING OF CENTRAL AND NORTHEASTERN PA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>355 MT LUTHER LANE</AddressLine1>
          <City>MIFFLINBURG</City>
          <State>PA</State>
          <ZIPCode>17844</ZIPCode>
        </AddressUS>
        <EINOfRecipient>203978856</EINOfRecipient>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORTING LOCAL SERVICES TO FOSTER COMMUNITY GOODWILL</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CITY OF LEBANON</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>400 SOUTH EIGHTH STREET</AddressLine1>
          <City>LEBANON</City>
          <State>PA</State>
          <ZIPCode>17042</ZIPCode>
        </AddressUS>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORTING LOCAL SERVICES TO FOSTER COMMUNITY GOODWILL</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>2</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: THE PRESIDENT REVIEWS ALL REQUESTS FOR GIFTS AND SELECTS THE ORGANIZATIONS TO WHICH LUTHERCARE WILL CONTRIBUTE. THE ORGANIZATION IS MONITORED BY MANAGEMENT TO ENSURE THAT THE ORGANIZATIONS MEETS THE STANDARDS OF A CHARITABLE ORGANIZATION.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <HousingAllowanceOrResidence>X</HousingAllowanceOrResidence>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>CARL MCALOOSE</NamePerson>
        <BaseCompensationFilingOrg>243209</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>35215</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>213</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>278637</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BLAKE S DAUB</NamePerson>
        <BaseCompensationFilingOrg>140479</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5619</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13854</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>159952</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CURTIS B EVANS</NamePerson>
        <BaseCompensationFilingOrg>140479</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5619</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14735</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>160833</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM SNYDER</NamePerson>
        <BaseCompensationFilingOrg>140479</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5619</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13760</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>159858</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>WILLIAM SNYDER, THE VP OF MARKETING AND PHILANTHROPY FOR THE ORGANIZATION AND AN ORDAINED MINISTER, RECEIVED A $35,000 HOUSING ALLOWANCE IN 2011. THIS AMOUNT WAS NOT INCLUDED IN HIS TAXABLE INCOME UNDER RULES ASSOCIATED WITH MINISTERS' PARSONAGE ALLOWANCES.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>CARL MCALOOSE PARTICIPATES IN A NONQUALIFIED RETIREMENT PLAN IN WHICH HE MAY RECEIVE UP TO 10% OF HIS COMPENSATION IN A DEFERRED PLAN. THE AMOUNT DEFERRED FOR THE YEAR ENDED DECEMBER 31, 2011 WAS $25,487, WHICH REPRESENTED DEFERRED PAYMENTS FROM THE 2010 AND 2011 CALENDAR YEARS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>LANCASTER COUNTY HOSPITAL AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>236648018</IssuerEIN>
        <CUSIPNumber>514045ZP1</CUSIPNumber>
        <DateIssued>2010-11-30</DateIssued>
        <IssuePrice>10900000</IssuePrice>
        <DescriptionOfPurpose>TO REFUND CONSTRUCTION LOAN, RENOVATION/CONSTRUCTION AT LUTHER ACRES CAMPUS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>10900000</TotalProceeds>
        <IssuanceCostsFromProceeds>19207</IssuanceCostsFromProceeds>
        <CapitalExpenditures>7734436</CapitalExpenditures>
        <OtherSpentProceeds>3049529</OtherSpentProceeds>
        <AmountUnspent>71045</AmountUnspent>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>1</EngageBondCounselContracts>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.02790</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.02790</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>PNC BANK</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>10.200000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>BENCHMARK CONSTRUCTION ROBERT A BRANDT JR</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>ROBERT A. BRANDT JR. IS CHAIRMAN OF BENCHMARK CONST. AND A BOARD MEMBER.</Relationship>
        <AmountOfTransaction>5865369</AmountOfTransaction>
        <DescriptionOfTransaction>CONSTRUCTION SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 4</ReturnReference>
        <Explanation>THERE WERE CHANGES MADE TO THE ORGANIZATION'S BY-LAWS REDUCING THE PORTION OF THE MEMBERS OF THE BOARD THAT ARE REQUIRED TO BE VOTING MEMBERS OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA CONGREGATIONS. IN ADDITION, A SUB-SECTION WAS ADDED TO THE SECTION CONCERNING MEETING NOTICES AND QUORUMS TO ALLOW ONE OR MORE DIRECTORS TO PARTICIPATE IN A MEETING BY MEANS OF CONFERENCE TELEPHONE OR SIMILAR COMMUNICATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE ORGANIZATION'S BY-LAWS STIPULATE THAT THE TOTAL BOARD OF DIRECTORS WILL BE ELECTED BY THE LOWER SUSQUEHANNA SYNOD OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA (ELCA) AND AT LEAST 51% OF THE MEMBERS SHALL BE VOTING MEMBERS OF AN ELCA CONGREGATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>THE EVANGELICAL LUTHERAN CHURCH IN AMERICA (ELCA) MUST GIVE WRITTEN APPROVAL TO ANY AMENDMENT OF AN ARTICLE OR PARAGRAPH OF GOVERNING DOCUMENTS WITH REGARD TO: A. AFFILIATION B. THE PURPOSE STATEMENT C. THE MISSION STATEMENT D. DISSOLUTION OF THE CORPORATION E. RESPONSIBILITY FOR MANAGEMENT AND FISCAL AFFAIRS F. CORPORATE LIABILITY DISCLAIMER G. BOARD MEMBERSHIP ANY PROPOSED AMENDMENT MUST BE SUBMITTED TO THE DIVISION FOR CHURCH IN SOCIETY OF THE ELCA FOR REVIEW PRIOR TO ACTION BY THE SYNOD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE ORGANIZATION'S PRESIDENT AND ALL VICE PRESIDENTS WILL REVIEW A DRAFT OF THE FEDERAL FORM 990. ONCE MANAGEMENT HAS REVIEWED THE FORM 990, THE BOARD OF DIRECTORS WILL BE PROVIDED WITH AN ELECTRONIC COPY OF THE FORM 990 FOR THEIR REVIEW. ONCE THE BOARD AND MANAGEMENT ARE SATISFIED WITH THE FILING COPY, THE SENIOR VICE PRESIDENT OF FINANCE WILL SIGN THE FORM 990 AND RELEASE THE ELECTRONIC VERSION TO THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ALL NEWLY ELECTED BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST FORM. ALL EXISTING BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST, THE RELATED PARTY TRANSACTION IS MONITORED AND EVALUATED BY THE REMAINING BOARD AND MANAGEMENT TO ENSURE THAT THE TRANSACTION IS AT ARM'S LENGTH. HAVING A RELATED PARTY TRANSACTION WITH A BOARD MEMBER DOES NOT PRECLUDE THAT PERSON FROM BEING ON THE BOARD. IF A CONFLICT DOES EXIST, THE INTERESTED INDIVIDUAL MAY MAKE A PRESENTATION AT A BOARD OR COMMITTEE MEETING. HOWEVER, AFTER THE PRESENTATION HAS BEEN MADE, THE INTERESTED PERSON MUST LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>LUTHERCARE CONTRACTS WITH AN INDEPENDENT PARTY TO PERFORM A SALARY MARKET REVIEW FOR THE CEO AND VP'S. THE SALARY MARKET REVIEW INCLUDES A REVIEW OF THE COMPENSATION AGREEMENTS IN PLACE BETWEEN COMPARABLE NON-PROFIT ORGANIZATIONS AND THEIR EXECUTIVES TO ENSURE THAT COMPENSATION IS WITHIN FAIR VALUE RANGE. THE REPORT IS SUBMITTED TO THE BOARD AND COMPENSATION COMMITTEE WHICH APPROVES ANY INCREASE FOR THE CEO. THE CEO USES THE REPORT TO DETERMINE INCREASES FOR THE VP'S. THE PROCESS IS PERFORMED IN CONJUNCTION WITH ANNUAL EMPLOYEE SALARY INCREASES. THIS PROCESS HAS BEEN DISCUSSED AT THE EXECUTIVE COMMITTEE LEVEL AND THEN DISCUSSED IN AN EXECUTIVE SESSION WITH THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC 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: 363,875. UNREALIZED DEPRECIATION ON INTEREST RATE SWAP AGREEMENT -2,796,717. CHANGE IN VALUE OF DEFERRED GIFTS -140,376. IMPAIRMENT LOSS -1,851,537. TOTAL TO FORM 990, PART XI, LINE 5: -4,424,755.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AUDIT OVERSIGHT:</Identifier>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE FINANCIAL ADVISORY COMMITTEE ASSUMES RESPONSIBILITY FOR SELECTING THE ORGANIZATION'S INDEPENDENT AUDITORS. NO CHANGES HAVE BEEN MADE TO THE PROCEDURES FROM PRIOR YEARS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>