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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
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        <CurrentTaxYearMinus3Years>16580</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>19064</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>16053</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>14670</CurrentTaxYear>
        <Total>77919</Total>
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      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus2Years>18164641</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>19339183</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>18972400</CurrentTaxYear>
        <Total>88714269</Total>
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      <Total509>
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        <CurrentTaxYearMinus3Years>16499117</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>19355236</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>18987070</CurrentTaxYear>
        <Total>88792188</Total>
      </Total509>
      <PublicSupportTotal509>88792188</PublicSupportTotal509>
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        <CurrentTaxYearMinus1Year>34424</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>33433</CurrentTaxYear>
        <Total>260967</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>85461</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>44906</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>34424</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>33433</CurrentTaxYear>
        <Total>260967</Total>
      </InvestmentIncomeAndUBTI>
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        <Total>89053155</Total>
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      <PriorYearSupportPercentage>0.99690</PriorYearSupportPercentage>
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      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
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      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>true</IncludedOnFS>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
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        <BookValue>379000</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>15343161</OtherCostOrOtherBasis>
        <Depreciation>7128417</Depreciation>
        <BookValue>8214744</BookValue>
      </Buildings>
      <Equipment>
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        <Depreciation>2922335</Depreciation>
        <BookValue>1000865</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>304675</OtherCostOrOtherBasis>
        <Depreciation>169280</Depreciation>
        <BookValue>135395</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>9730004</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>BOND INTEREST PAYABLE 20</Description>
        <Amount>227518</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CREDIT UNION DEDUCTIONS</Description>
        <Amount>3272</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>UNION DUES/INIT FEES/EIT CREDIT</Description>
        <Amount>1143</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DAYCARE</Description>
        <Amount>38</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CREDIT UNION DEDUCTIONS</Description>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DAYCARE</Description>
      </OtherLiabilities>
      <TotalOfAmounts>231971</TotalOfAmounts>
      <TotalRevenue>19017245</TotalRevenue>
      <TotalExpenses>18488869</TotalExpenses>
      <ExcessOrDeficitForYear>528376</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>528376</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>19943771</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>926526</OtherRevenues>
      <RevenueNotRptdF990>926526</RevenueNotRptdF990>
      <RevenueSubtotal>19017245</RevenueSubtotal>
      <TotalRevenuePerForm990>19017245</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>19415395</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>926526</OtherExpensesIncluded>
      <ExpensesNotRptdF990>926526</ExpensesNotRptdF990>
      <ExpensesSubtotal>18488869</ExpensesSubtotal>
      <TotalExpensesPerForm990>18488869</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>ESCROW LIABILITY ARRANGEMENT EXPLANATION</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 2, PART IV, LINE 2B</ReturnReference>
        <Explanation>THE ORGANIZATION IS THE CUSTODIAN FOR RESIDENT TRUST FUNDS FOR SOME OF THE FACILITIES' RESIDENTS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>LIABILITY UNDER FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 3, PART X</ReturnReference>
        <Explanation>INCOME TAXES - THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON ITS EXEMPT INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. IN JULY 2006, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED FINANCIAL ACCOUNTING STANDARDS BOARD CODIFICATION NO. 740-10-05, INCOME TAXES (FASC 740-10-05). FASC 740-10-05 CLARIFIES THE ACCOUNTING OF UNCERTAINTY IN INCOME TAXES BY PRESCRIBING THE RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. IT ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. FASC 740-10-05 IS EFFECTIVE FOR FISCAL YEARS BEGINNING AFTER DECEMBER 15, 2008, AND WAS ADOPTED BY THE CORPORATION FOR THE YEAR ENDED DECEMBER 31, 2009. THE CORPORATION HAS REVIEWED THE IMPACT OF FASC 740-10-05 ON THE FINANCIAL STATEMENTS AND HAS DETERMINED THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AND THERE IS NO MATERIAL IMPACT ON THE BALANCE SHEET, STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS OR CASH FLOWS. THE IRS FORM(S) 990 FOR THE YEARS ENDED DECEMBER 31, 2009, 2008 AND 2007 REMAIN OPEN FOR AN EXAMINATION BY THE IRS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF CHANGES - OTHER</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 4, PART XI, LINE 8</ReturnReference>
        <Explanation>NURSING HOME ASSESSMENT EXPENSE 926,526 ROUNDING 0 NURSING HOME ASSESSMENT EXPENSE -926,526 ROUNDING 0</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 4, PART XII, LINE 2D</ReturnReference>
        <Explanation>NURSING HOME ASSESSMENT EXPENSE 926,526 ROUNDING 0</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 4, PART XIII, LINE 2D</ReturnReference>
        <Explanation>NURSING HOME ASSESSMENT EXPENSE 926,526 ROUNDING 0</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleK documentId="RetDoc4">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>CAMBRIA COUNTY INDUSTRIAL</BusinessNameLine1>
          <BusinessNameLine2>SERIES 2006 BONDS PAYABLE</BusinessNameLine2>
        </IssuerName>
        <IssuerEIN>251334277</IssuerEIN>
        <CUSIPNumber>132047BX8</CUSIPNumber>
        <DateIssued>2006-07-01</DateIssued>
        <IssuePrice>22455000</IssuePrice>
        <DescriptionOfPurpose>EXCHANGE 1996 BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>1250000</AmountRetired>
        <TotalProceeds>22455000</TotalProceeds>
        <OtherSpentProceeds>22455000</OtherSpentProceeds>
        <YearOfSubstCompletion>2006</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>false</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc5">
      <DQPTable>
        <NameBusiness>
          <BusinessNameLine1>DENISE MCQUOWN-HATTER PRESIDENT</BusinessNameLine1>
        </NameBusiness>
        <DescriptionOfTransaction>PRES. AFFINITY</DescriptionOfTransaction>
        <TransactionCorrected>true</TransactionCorrected>
      </DQPTable>
      <DQPTable>
        <NameBusiness>
          <BusinessNameLine1>DENISE MCQUOWN-HATTER PRESIDENT</BusinessNameLine1>
        </NameBusiness>
        <DescriptionOfTransaction>PRES. AFFINITY</DescriptionOfTransaction>
        <TransactionCorrected>true</TransactionCorrected>
      </DQPTable>
      <DQPTable>
        <NameBusiness>
          <BusinessNameLine1>DENISE MCQUOWN-HATTER PRESIDENT</BusinessNameLine1>
        </NameBusiness>
        <DescriptionOfTransaction>PRES. AFFINITY</DescriptionOfTransaction>
        <TransactionCorrected>true</TransactionCorrected>
      </DQPTable>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc6">
      <GeneralExplanation>
        <Identifier>MANAGEMENT DELEGATED</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 3</ReturnReference>
        <Explanation>THE ORGANIZATION IS MANAGED BY AFFINITY HEALTH SERVICES, INC., WHICH PROVIDES EXECUTIVE, FINANCIAL AND GENERAL OVERSIGHT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>COPIES OF FORM 990 ARE PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS AND HIGH LEVEL POSITIONS SIGN AND UPDATE CONFLICT OF INTEREST FORMS ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>