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    <Timestamp>2011-08-02T10:59:12-05:00</Timestamp>
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        <ManagementAndGeneral>81322</ManagementAndGeneral>
        <Fundraising>158</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>607847</Total>
        <ProgramServices>561061</ProgramServices>
        <ManagementAndGeneral>46715</ManagementAndGeneral>
        <Fundraising>71</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>4918</Total>
        <ManagementAndGeneral>4918</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>26316</Total>
        <ManagementAndGeneral>26316</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesInvstMgmntFees>
        <Total>8256</Total>
        <ManagementAndGeneral>8256</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1027204</Total>
        <ProgramServices>962497</ProgramServices>
        <ManagementAndGeneral>64707</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>13375</Total>
        <ProgramServices>3572</ProgramServices>
        <ManagementAndGeneral>9570</ManagementAndGeneral>
        <Fundraising>233</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>896633</Total>
        <ProgramServices>857778</ProgramServices>
        <ManagementAndGeneral>37873</ManagementAndGeneral>
        <Fundraising>982</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>7174</Total>
        <ProgramServices>5915</ProgramServices>
        <ManagementAndGeneral>1259</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>337665</Total>
        <ProgramServices>337665</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>34017</Total>
        <ProgramServices>34017</ProgramServices>
      </Travel>
      <ConferencesMeetings>
        <Total>7136</Total>
        <ProgramServices>4918</ProgramServices>
        <ManagementAndGeneral>2218</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>193875</Total>
        <ProgramServices>193875</ProgramServices>
      </Interest>
      <DepreciationDepletion>
        <Total>683185</Total>
        <ProgramServices>683185</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>172447</Total>
        <ProgramServices>172447</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>MA NURSING HOME ASSESSM</Description>
        <Total>720551</Total>
        <ProgramServices>720551</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHARMACY EXPENSE</Description>
        <Total>286864</Total>
        <ProgramServices>286864</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LAB EXPENSE</Description>
        <Total>83583</Total>
        <ProgramServices>83583</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROVISION FOR DOUBTFUL</Description>
        <Total>61330</Total>
        <ProgramServices>61330</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BARBER AND BEAUTY EXPEN</Description>
        <Total>53640</Total>
        <ProgramServices>53640</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>90230</Total>
        <ProgramServices>81481</ProgramServices>
        <ManagementAndGeneral>8749</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>13072357</Total>
        <ProgramServices>12217318</ProgramServices>
        <ManagementAndGeneral>852641</ManagementAndGeneral>
        <Fundraising>2398</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>39353</BOY>
        <EOY>36037</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>2141668</BOY>
        <EOY>1796297</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>1993194</BOY>
        <EOY>1374266</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>86931</BOY>
        <EOY>2326</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>12962764</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>9166942</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>4253138</BOY>
        <EOY>3795822</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>1447606</BOY>
        <EOY>1542272</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>581463</BOY>
        <EOY>427726</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>39582</BOY>
        <EOY>28859</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>10582935</BOY>
        <EOY>9003605</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2020869</BOY>
        <EOY>1220607</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <EOY>1658</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>4065000</BOY>
        <EOY>3565000</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>39353</BOY>
        <EOY>35287</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>6125222</BOY>
        <EOY>4822552</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>4455850</BOY>
        <EOY>4179190</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>1863</BOY>
        <EOY>1863</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>4457713</BOY>
        <EOY>4181053</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>10582935</BOY>
        <EOY>9003605</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-479124</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>202464</ReconcilationOtherChanges>
      <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>
        <CurrentTaxYearMinus4Years>13441</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>24430</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>23552</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>71680</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>16546</CurrentTaxYear>
        <Total>149649</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>13068340</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13503022</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13548498</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>14022249</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12530270</CurrentTaxYear>
        <Total>66672379</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>13081781</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13527452</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13572050</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>14093929</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12546816</CurrentTaxYear>
        <Total>66822028</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>66822028</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>172012</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>198940</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>111209</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>39222</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>58339</CurrentTaxYear>
        <Total>579722</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <CurrentTaxYearMinus3Years>31558</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>32866</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>7813</CurrentTaxYearMinus1Year>
        <Total>72237</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>172012</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>230498</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>144075</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>47035</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>58339</CurrentTaxYear>
        <Total>651959</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>23741</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>47976</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13781</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>19736</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>50482</CurrentTaxYear>
        <Total>155716</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>13277534</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13805926</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13729906</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>14160700</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12655637</CurrentTaxYear>
        <Total>67629703</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98810</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98420</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00960</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01020</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Buildings>
        <OtherCostOrOtherBasis>8825368</OtherCostOrOtherBasis>
        <Depreciation>6285632</Depreciation>
        <BookValue>2539736</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>3826914</OtherCostOrOtherBasis>
        <Depreciation>2710264</Depreciation>
        <BookValue>1116650</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>310482</OtherCostOrOtherBasis>
        <Depreciation>171046</Depreciation>
        <BookValue>139436</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>3795822</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>PATIENT FUNDS LIABILITY</Description>
        <Amount>32250</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>RESIDENT SECURITY DEPOSITS</Description>
        <Amount>3037</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>35287</TotalOfAmounts>
      <TotalRevenue>12593233</TotalRevenue>
      <TotalExpenses>13072357</TotalExpenses>
      <ExcessOrDeficitForYear>-479124</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>202464</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>202464</TotalAdjustments>
      <ExcessOrDeficitPerFS>-276660</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>12790792</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>202464</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>202464</RevenueNotRptdF990>
      <RevenueSubtotal>12588328</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>8256</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>-3351</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>4905</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>12593233</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>13067452</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>3351</OtherExpensesIncluded>
      <ExpensesNotRptdF990>3351</ExpensesNotRptdF990>
      <ExpensesSubtotal>13064101</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>8256</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>8256</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>13072357</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES 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 IS MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2010 AND 2009.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSES -3,351.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RENTAL EXPENSES 3,351.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>A DRAFT COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS VIA EMAIL AND THEY WERE GIVEN THE OPPORTUNITY TO DISCUSS ANY QUESTIONS WITH THE CFO. THE PRESIDENT OF THE BOARD REVIEWED THE FORM IN DETAIL WITH THE CFO AND APPROVED THE RETURN FOR RELEASE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE UPDATED AND SIGNED ON AN ANNUAL BASIS BY ALL BOARD MEMBERS AND OFFICERS OF THE CORPORATION. THE STATEMENTS ARE REVIEWED BY THE EXECUTIVE DIRECTOR. THE POLICY REQUIRES THAT NO BOARD MEMBER OR OFFICER MAY ENTER INTO ANY TRANSACTION OR ARRANGEMENT WITH AN OUTSIDE PARTY, EITHER DIRECTLY OR INDIRECTLY, WHICH WILL RESULT IN PERSONAL BENEFIT AT THE EXPENSE OF THE CORPORATION WITHOUT THE KNOWLEDGE AND CONSENT OF THE CORPORATION. INDIVIDUALS WHO VIOLATE THIS POLICY ARE, AMONG OTHER THINGS, SUBJECT TO LOSS OF THEIR ELECTION TO THE BOARD OR THEIR ELECTION AS AN OFFICER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>A PERSONNEL COMMITTEE APPOINTED BY THE BOARD OF DIRECTORS APPROVES SALARIES FOR DEPARTMENT HEAD POSITIONS. THE SALARY RANGES FOR THE VARIOUS POSITIONS ARE COMPARED TO AVAILABLE DATA ON SALARIES FROM OTHER NURSING FACILITIES IN THE STATE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE 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: 202,464.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>