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    <Timestamp>2011-11-04T09:23:29-07:00</Timestamp>
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        <BusinessNameLine1>Friendship Health and Rehab Center Inc</BusinessNameLine1>
      </Name>
      <NameControl>FRIE</NameControl>
      <Phone>5402652185</Phone>
      <USAddress>
        <AddressLine1>327 Hershberger Rd NW</AddressLine1>
        <City>Roanoke</City>
        <State>VA</State>
        <ZIPCode>24019</ZIPCode>
      </USAddress>
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    <Officer>
      <Name>C Michael Shannon</Name>
      <Title>CFO</Title>
      <DateSigned>2011-11-04</DateSigned>
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    <TaxYear>2010</TaxYear>
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      <Description>Friendship Health and Rehab Ctr., Inc. operated a 373 bed skilled nursing facility with a 94.49% occupancy rate. The facility had total census days for all residents of 128,639 and served residents with a variety of financial resources: 21,248 days (16.52%) Medicare; 84,673 (65.82%) Medicaid days; 2,518 days (1.96%) Hospice; 13,054 days (10.15%) Private Pay; 1,008 (.78%) days Private Insurance;3,009 days (2.34%) Medicare Advantage; and, 3,129 days (2.43%) Veterans' Administration. The facility provided skilled and long term care, and has special units dedicated to orthopeadic, rehabilitation, palliative care, and cognitively impaired residents. The services include nursing, physical, occupational, and speech therapy, discharge planning, dietary environmental laundry, and a wide range of activities. The facility has also developed a specialty in wound care. We are a teaching facility with an education department that provides nurses aide training, leading to certification. As a teaching facility, we have developed close relationships with area schools that have nursing programs and provide them with a place for their students to complete the clinical requirements of their training.</Description>
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          <NameBusiness>
            <BusinessNameLine1>Healthkeepers</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 26623</AddressLine1>
            <City>Richmond</City>
            <State>VA</State>
            <ZIPCode>23261</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Health insurance</DescriptionOfServices>
        <Compensation>183203</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Anthem Healthkeepers</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 17499</AddressLine1>
            <City>Baltimore</City>
            <State>MD</State>
            <ZIPCode>21297</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Health insurance</DescriptionOfServices>
        <Compensation>836025</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>9</NumberOfContractorsGT100K>
      <AllOtherContributions>29</AllOtherContributions>
      <TotalContributions>29</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Room &amp; board - nursing</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>27172006</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>27172006</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PT/OT/ST</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>230977</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>230977</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Nursing supplies</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>72131</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>72131</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Beauty shop</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>34269</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>34269</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>All others</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>44099</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>44099</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>31321</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>31321</RelatedOrExemptFunctionIncome>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>27584803</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>267334</TotalRevenueColumn>
        <ExclusionAmount>267334</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>48532</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>23779</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>24753</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>24753</TotalRevenueColumn>
        <ExclusionAmount>24753</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>2448679</Securities>
        <Other>3260905</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>2338478</Securities>
        <Other>3631305</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>110201</Securities>
        <Other>-370400</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-260199</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-260199</RelatedOrExemptFunctionIncome>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
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      <TotalRevenue>
        <TotalRevenueColumn>27663751</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>27324604</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>47031</UnrelatedBusinessRevenue>
        <ExclusionAmount>292087</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>371228</Total>
        <ManagementAndGeneral>371228</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>11951760</Total>
        <ProgramServices>11053715</ProgramServices>
        <ManagementAndGeneral>898045</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>92298</Total>
        <ProgramServices>87142</ProgramServices>
        <ManagementAndGeneral>5156</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>2889240</Total>
        <ProgramServices>2692394</ProgramServices>
        <ManagementAndGeneral>196846</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1001552</Total>
        <ProgramServices>917131</ProgramServices>
        <ManagementAndGeneral>84421</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>2393352</Total>
        <ManagementAndGeneral>2393352</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>20289</Total>
        <ManagementAndGeneral>20289</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>15055</Total>
        <ManagementAndGeneral>15055</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>40222</Total>
        <ManagementAndGeneral>40222</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>24888</Total>
        <ManagementAndGeneral>24888</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>1340259</Total>
        <ProgramServices>1254885</ProgramServices>
        <ManagementAndGeneral>85374</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>47644</Total>
        <ProgramServices>47644</ProgramServices>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>1804589</Total>
        <ProgramServices>1804589</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>1222</Total>
        <ProgramServices>634</ProgramServices>
        <ManagementAndGeneral>588</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>25165</Total>
        <ProgramServices>20504</ProgramServices>
        <ManagementAndGeneral>4661</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>291</Total>
        <ManagementAndGeneral>291</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>1868310</Total>
        <ProgramServices>1833669</ProgramServices>
        <ManagementAndGeneral>34641</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>0</Total>
      </Insurance>
      <OtherExpenses>
        <Description>Purchased services</Description>
        <Total>1407649</Total>
        <ProgramServices>1407385</ProgramServices>
        <ManagementAndGeneral>264</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Housekeeping</Description>
        <Total>93221</Total>
        <ProgramServices>93221</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Dietary supplies</Description>
        <Total>903599</Total>
        <ProgramServices>903599</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Consultants</Description>
        <Total>242830</Total>
        <ProgramServices>242830</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bad debt expense</Description>
        <Total>92356</Total>
        <ProgramServices>92356</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>191153</Total>
        <ProgramServices>157892</ProgramServices>
        <ManagementAndGeneral>33261</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>26818172</Total>
        <ProgramServices>22609590</ProgramServices>
        <ManagementAndGeneral>4208582</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
        <BOY>2157566</BOY>
        <EOY>1966591</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1887290</BOY>
        <EOY>2438543</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
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      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
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      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
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      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
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        <EOY>108027</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>257424</BOY>
        <EOY>254088</EOY>
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      <LandBuildingsEquipmentBasis>23269159</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>13277863</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>11008105</BOY>
        <EOY>9991296</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
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        <EOY>6337459</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>4466863</BOY>
        <EOY>5516365</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>25576974</BOY>
        <EOY>26612369</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2037169</BOY>
        <EOY>2350144</EOY>
      </AccountsPayableAccruedExpenses>
      <EscrowAccountLiability>
        <BOY>116361</BOY>
        <EOY>124849</EOY>
      </EscrowAccountLiability>
      <OtherLiabilities>
        <BOY>5597402</BOY>
        <EOY>5276103</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>7750932</BOY>
        <EOY>7751096</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>17826042</BOY>
        <EOY>18861273</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>17826042</BOY>
        <EOY>18861273</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>25576974</BOY>
        <EOY>26612369</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>845579</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>189652</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="10000105" softwareVersion="2010v3.2">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>17133</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>345</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>175</CurrentTaxYearMinus2Years>
        <CurrentTaxYear>29</CurrentTaxYear>
        <Total>17682</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>24373013</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>24240517</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>26182504</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>27324604</CurrentTaxYear>
        <Total>125733052</Total>
      </GrossReceiptsFromAdmissions>
      <GrossReceiptsFromNonUBI>
        <Total>0</Total>
      </GrossReceiptsFromNonUBI>
      <TaxRevLeviedForOrgBenefit509>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit509>
      <ValueOfSvcsFcltsFurnishdByGovt>
        <Total>0</Total>
      </ValueOfSvcsFcltsFurnishdByGovt>
      <Total509>
        <CurrentTaxYearMinus4Years>23629547</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>24373358</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>24240692</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>26182504</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>27324633</CurrentTaxYear>
        <Total>125750734</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <CurrentTaxYearMinus4Years>14933598</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>15139415</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>15236507</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>20435921</CurrentTaxYearMinus1Year>
        <Total>65745441</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>14933598</CurrentTaxYearMinus4Years>
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        <Total>65745441</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>60005293</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>289546</CurrentTaxYearMinus4Years>
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        <CurrentTaxYearMinus1Year>270405</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>315866</CurrentTaxYear>
        <Total>1469931</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <Total>0</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>289546</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>340581</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>270405</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>315866</CurrentTaxYear>
        <Total>1469931</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <Total>0</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <Total>0</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>23919093</CurrentTaxYearMinus4Years>
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        <CurrentTaxYearMinus2Years>24494225</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>26452909</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>27640499</CurrentTaxYear>
        <Total>127220665</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.47170</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.34180</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01160</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01170</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>In previous periods the organization evaluated excess payments based on each governmental agency as a whole. For FYE 6/30/11, however, in accordance with Revenue Ruling 83-153, 1983-2 CB 48, IRC Sec(s) 170, the payments from individual patients rather than the governmental agencies were deemed to be the payors of Medicare or Medicaid payments for purposes of the one-third support test. Consequently, Medicare and Medicaid receipts for services provided to each patient were included as gross receipts to the extent of the greater of $5,000 or 1% of the organization's total support for the taxable year.</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC" softwareId="10000105" softwareVersion="2010v3.2">
      <Form4720Filed4955Tax>false</Form4720Filed4955Tax>
      <CorrectionMade>false</CorrectionMade>
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>1351</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>1351</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i</Identifier>
        <ReturnReference>Part II-B, Line 1i - Other Activities Description</ReturnReference>
        <Explanation>Friendship Health and Rehab Center, Inc. attempts to influence legislation through membership in the Virginian Health Care Association and the American Health Care Association who lobby on our behalf. The amount on Part II-B, ln 1i is the amount allocated to lobbyng by the Virginia Health Care Association of fees paid by its members to the organizaion.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="10000105" softwareVersion="2010v3.2">
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>true</IncludedOnFS>
      <Land>
        <InvestmentCostOrOtherBasis>70684</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>112379</OtherCostOrOtherBasis>
        <BookValue>183063</BookValue>
      </Land>
      <Buildings>
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        <Depreciation>8932649</Depreciation>
        <BookValue>3738064</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>576536</OtherCostOrOtherBasis>
        <Depreciation>411250</Depreciation>
        <BookValue>165286</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>5264407</OtherCostOrOtherBasis>
        <Depreciation>1492166</Depreciation>
        <BookValue>3772241</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>4574440</OtherCostOrOtherBasis>
        <Depreciation>2441798</Depreciation>
        <BookValue>2132642</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>9991296</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Due from affiliates</Description>
        <BookValue>4751319</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Deferred bond cost</Description>
        <BookValue>96817</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CSV life insurance</Description>
        <BookValue>668229</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>5516365</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Long term debt due to Friendship Foundtn</Description>
        <Amount>5276103</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>5276103</TotalOfAmounts>
      <TotalRevenue>27663751</TotalRevenue>
      <TotalExpenses>26818172</TotalExpenses>
      <ExcessOrDeficitForYear>845579</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>189652</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>189652</TotalAdjustments>
      <ExcessOrDeficitPerFS>1035231</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>27710782</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>47031</OtherRevenues>
      <RevenueNotRptdF990>47031</RevenueNotRptdF990>
      <RevenueSubtotal>27663751</RevenueSubtotal>
      <TotalRevenuePerForm990>27663751</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>26818172</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>26818172</ExpensesSubtotal>
      <TotalExpensesPerForm990>26818172</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>The Foundation has determined it does not have any material unrecognized tax benefits or obligations as of June 30, 2011. Fiscal years ending on or after June 30, 2008 remain subject to examination by federal and state taxing authorities.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d</Identifier>
        <ReturnReference>Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990</ReturnReference>
        <Explanation>Laundry fees reported on Form 990T $47031</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="10000105" softwareVersion="2010v3.2">
      <HousingAllowanceOrResidence>X</HousingAllowanceOrResidence>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>true</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>true</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Tony Kelly</NamePerson>
        <BaseCompensationFilingOrg>111583</BaseCompensationFilingOrg>
        <BonusFilingOrg>26100</BonusFilingOrg>
        <OtherCompensationFilingOrg>3600</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>13768</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>20712</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>175763</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stanley Huffman</NamePerson>
        <CompBasedOnRelatedOrgs>89000</CompBasedOnRelatedOrgs>
        <TotalCompensationRelatedOrgs>89000</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Russell Barksdale</NamePerson>
        <CompBasedOnRelatedOrgs>107692</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>25000</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>7729</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>5654</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>5600</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>151675</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Katherine Elliott</NamePerson>
        <CompBasedOnRelatedOrgs>121744</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>31100</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>8961</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>13613</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>9225</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>184643</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>J Carson Quarles</NamePerson>
        <OtherCompensationFilingOrg>2327</OtherCompensationFilingOrg>
        <TotalCompensationFilingOrg>2327</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Greg Dowdy</NamePerson>
        <BaseCompensationFilingOrg>125301</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>125301</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Charles Michael Shannon</NamePerson>
        <CompBasedOnRelatedOrgs>139659</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>36900</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>7276</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>19323</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>936</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>204094</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Barbara Johnson</NamePerson>
        <CompBasedOnRelatedOrgs>100105</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>20400</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>208</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>10845</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>23384</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>154942</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 6b</Identifier>
        <ReturnReference>Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or</ReturnReference>
        <Explanation>Friendship Health and Rehab Center, Inc. is 1 0f 10 related corporations that operate as Friendship Retirement Commumity. Managers receive a variable compensation payment based on the operating results of the organization as a whole. Net operating income is 1 of the considerations in calculating the payments to managers.The individuals received variable compensation payments based on the combined net operating earnings (losses) of affiliated corporations - Friendship Health and Rehab Center, Inc., Friendship Outpatient &amp; Wellness Services., Friendship Apartment Village Corporation, Eastwood Assisted Living, Inc., Valley Management Co., Friendship Properties, Inc., Professional Health Care Services, Inc., Friendship Pharmacy Inc., and LTC Services, Inc.C. Michael Shannon, CFO, received $36,900Tony Kelly, Vice-President, received $26,100Katherine Elliott, Vice-President, received $31,100Barbara Johnson, Vice-President, received $20,400Russell Barksdale, CEO, received $25,000</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
        <Explanation>Housing was provided temporarily for the CEO per written contract with the Board of Directors.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="10000105" softwareVersion="2010v3.2">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Good Samaritan Hospice</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>1 common brd membr</Relationship>
        <AmountOfTransaction>218043</AmountOfTransaction>
        <DescriptionOfTransaction>Patient care</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Explanation>Suzanne Ranson, member of the board, is Executive Director of Good Samaritan Hospice. Friendship Health and Rehab Center, Inc. received $218,043 from Good Samaritan Hospice for patient care during the year ending June 30, 2011.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part V, Statements, Ln 2a &amp; 2b</ReturnReference>
        <Explanation>Friendship Health and Rehab Center, Inc. is the paymaster for itself and related companies. The corporation performs all payroll functions including payroll checks, W-2s, W-3s, form 941, paying payroll taxes, paying withholding taxes, and all necessary related reports. Each corporation has its own employees as follows:Friendship Health and Rehab Center, Inc. 597Friendship Apartment Village Corp. 14Eastwood Assisted Living, Inc. 62Professional Health Care Services, Inc. 45Friendship Pharmacy, Inc. 31Valley Management Co., Inc. 34LTC Services, Inc. 21Friendship Outpatient &amp; Wellness Services, Inc. 17Friendship Foundation 2Total 823</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>990 Part VII</ReturnReference>
        <Explanation>The organization shares board members and officers with related organizations. The average hours a week that each individual spends with each organization is as follows:Friendship Apartment Village Corp.: Edgar Baker .07 Glenn Combs .10 Edwin Feinour .60 Lucian Grove, Jr. .17 Suzanne Ranson .10 Joseph Vipperman .10 John Williamson, III .12 Calvin Lilly .14 Monty Plymale .15 Richard Sayers .40 Bobbie Sandel .15 Bob Lawson .15 Garnett Smith .12 Friendship Foundation: Edgar Baker .02 Glenn Combs .03 Edwin Feinour .15 Lucian Grove, Jr. .04 Suzanne Ranson .03 Joseph Vipperman .03 John Williamson, III .03 Calvin Lilly .04 Monty Plymale .04 Robert Sandel .04 Robert Lawson .04 Garnett Smith .03 Richard Sayers .10 Charles M. Shannon 20.00Valley Management Co., Inc.: Edgar Baker .29 Glenn Combs .39 Edwin Feinour 2.35 Lucian Grove, Jr. .69 Suzanne Ranson .39 Joseph Vipperman .39 John Williamson, III .49 Calvin Lilly .55 Monty Plymale .59 Robert Sandel .59 Robert Lawson .59 Garnett Smith .49 Richard Sayers 1.57 Charles M. Shannon 20.00 Barbara Johnson 40.00 Katherine Elliott 40.00Eastwood Assisted Living, Inc.: Edgar Baker .11 Glenn Combs .14 Edwin Feinour .85 Lucian Grove, Jr. .25 Suzanne Ranson .14 Joseph Vipperman .14 John Williamson, III .18 Calvin Lilly .20 Monty Plymale .21 Robert Sandel .21 Robert Lawson .21 Garnett Smith .18 Richard Sayers .57Friendship Outpatient &amp; Wellness Services, Inc. Calvin Lilly .05 Monty Plymale .05 Edwin R. Feinour .21 Edgar K. Baker .03 Glen Combs .04 John B. Williamson, III .04 Lucian Grove, Jr. .06 Suzanne Ranson .04 Joe Vipperman .04 Robert Lawson .05 Robert Sandel .05 Garnett Smith .04 Richard R. Sayers .14</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>990 Part IV line 12b</ReturnReference>
        <Explanation>The corporation participates in a consolidated audit with affiliated companies reported on Schedule R. When finished, the audited statements are presented to the board of directors by the external auditors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Upon request, the company will provide copies of governing documents, policies, financial statements, and form 990's to persons asking for the documents.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>The Compensation Committee of the Board routinely engages an external consultant to review benchmark compensation data for the CEO and other key management positions. A number of nationally recognized salary surveys are utilized as part of this process and the consultant's written report is received by the Committee and the full board. Annually, the Committee reviews the compensation for each member of this group utilizing the benchmark data and any adjustments in compensation are recommended from the Compensation Committee to the full board for consideration and approval.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>The policy is included in both the Employee Handbook and the Code of Conduct, which is issued to and discussed with each employee and board member. An annual letter affirming the policy and asking for written declarations of any potential conflicts is sent to all board members and approximately 20% of employees (all managers, business office staff, purchasing department staff, human resources staff, etc.). Responses are reviewed, sent to the board, and acted upon as needed. Also, the corporation is aware of the business affiliations of officers and directors and ensures that each is aware of the affiliations. Whenever discussions occur in which a conflict exists, the individual recuses themself from the proceedings so the other members can discuss the matter freely. Each year a report is made to the board of directors describing the business affiliations and any business transactions that occurred during the year between the corporation and the external businesses in which the directors or officers are involved.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The business office prepares the return and forwards it to the CFO and CEO for review. The CFO and CEO return the return to the business office to resolve questions and make changes. The return goes back to the CFO and CEO to ensure questions and changes have been made. A copy of the return is provided to each board member by the CFO about 2 weeks prior to the due date. They are given several days to read them and forward questions to the CFO. The review process is completed one week prior to the due date.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>The corporation has one member, Friendship Foundation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 3</Identifier>
        <ReturnReference>Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company</ReturnReference>
        <Explanation>The corporation pays management fees to Friendship Foundation and Valley Management Co., Inc. to provide management of all aspects of the operation, including, but not limited to human resource services, accounting, billing, collections, payroll, and general administration. Valley Management is responsible for coordinating the preparation of monthly financial statements, maintaining and managing bank accounts and working capital. Friendship Foundation and Valley Management are also responsible for applying for, obtaining, and maintaining all necessary licenses, permits, consents, and approvals from all governmental agencies wnich have jurisdiction over the operation of the organization. The two companies agree to operate and maintain the organization in compliance with the requirements of any statute, ordinance, law, rule, regulation or order of any governmental or regulatory body having jurisdiction over the organization.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Lucian Grove, Jr., director, is the brother-in-law of Richard Sayers, the corporate secretary.Edgar Baker, member of the board, and Lucian Grove, Jr., member of the board, are both officers of Roanoke Welding Company. The corporation has not conducted any business with Roanoke Welding Company.John Williamson, III and Edgar Baker, members of the board, are both on the board of directors of the Bank of Botetourt. Friendship Properties, Inc., a related company, had a note payable to the Bank of Botetourt. The note was paid off as of May 31, 2011.Monty Plymale, vice-chairman of the board, and Robert Lawson, member of the board, are both on the Regional Advisory Board of SunTrust Bank. Friendship Foundation, a related company, has a $1,500,000 line of credit with the bank. At June 30,2011, the outstanding liability, was $1,000,000.Katherine Elliott, vice-president, is a member of the board of directors of Good Samaritan Hospice. Suzanne Ranson, member of the board, is the Executive Director of Good Samaritan Hospice. The corporation received $218,043 from Good Samaritan Hospice for patient care during the year ending June 30, 2011.Glenn Combs and Robert Lawson, members of the board, also serve on the board of directors of Petroleum Marketers, Inc. The corporation has not conducted any business with Petroleum Marketers, Inc.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="10000105" softwareVersion="2010v3.2">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Friendship Outpatient &amp; Wellness Srvcs</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>391 Hershberger Rd</AddressLine1>
          <City>Roanoke</City>
          <State>VA</State>
          <ZIPCode>24012</ZIPCode>
        </AddressUS>
        <EIN>260152373</EIN>
        <PrimaryActivities>Physical therapy rehabilitation agency</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Friendship Foundation</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Eastwood Assisted Living Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>320 Hershberger Rd</AddressLine1>
          <City>Roanoke</City>
          <State>VA</State>
          <ZIPCode>24012</ZIPCode>
        </AddressUS>
        <EIN>540738784</EIN>
        <PrimaryActivities>Assisted living facility</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Friendship Foundation</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Friendship Apartment Village Corp</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>367 Hershberger Rd</AddressLine1>
          <City>Roanoke</City>
          <State>VA</State>
          <ZIPCode>24012</ZIPCode>
        </AddressUS>
        <EIN>540847686</EIN>
        <PrimaryActivities>Independent living apartments for the elderly</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Friendship Foundation</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Friendship Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>367 Hershberger Rd</AddressLine1>
          <City>Roanoke</City>
          <State>VA</State>
          <ZIPCode>24012</ZIPCode>
        </AddressUS>
        <EIN>541427948</EIN>
        <PrimaryActivities>Controlling organization, management services</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11c, Type III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LTC Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>367 Hershberger Rd NW</AddressLine1>
          <City>Roanoke</City>
          <State>VA</State>
          <ZIPCode>24012</ZIPCode>
        </AddressUS>
        <EIN>541461441</EIN>
        <PrimaryActivity>Maintenance/repair services</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Valley Management Co Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Valley Management Co Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>367 Hershberger Rd NW</AddressLine1>
          <City>Roanoke</City>
          <State>VA</State>
          <ZIPCode>24012</ZIPCode>
        </AddressUS>
        <EIN>541461444</EIN>
        <PrimaryActivity>Management/bookkeeping</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Friend Foundation</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Friendship Pharmacy Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>367 Hershberger Rd NW</AddressLine1>
          <City>Roanoke</City>
          <State>VA</State>
          <ZIPCode>24012</ZIPCode>
        </AddressUS>
        <EIN>541461437</EIN>
        <PrimaryActivity>Pharmacy</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Valley Management Co Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Professional Health Care Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>367 Hershberger Rd NW</AddressLine1>
          <City>Roanoke</City>
          <State>VA</State>
          <ZIPCode>24012</ZIPCode>
        </AddressUS>
        <EIN>541421581</EIN>
        <PrimaryActivity>Adult sitter service</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Valley Management Co Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Friendship Properties Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>367 Hershberger Rd NW</AddressLine1>
          <City>Roanoke</City>
          <State>VA</State>
          <ZIPCode>24012</ZIPCode>
        </AddressUS>
        <EIN>541232492</EIN>
        <PrimaryActivity>Leasing commercial property</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Valley Management Co Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C corp</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <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>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LTC Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>r</TransactionType>
        <AmountInvolved>51000</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LTC Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>970458</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LTC Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>485553</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Valley Management Co Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>2304841</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Valley Management Co Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>624148</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Valley Management Co Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>2209070</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Friendship Pharmacy Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>1420008</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Friendship Pharmacy Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>2123856</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Professional Health Care Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>753787</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Friendship Properties Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>280000</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Friendship Outpatient &amp; Wellness Srvcs</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>178500</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Friendship Outpatient &amp; Wellness Srvcs</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>453685</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Eastwood Assisted Living Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>350000</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Eastwood Assisted Living Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>1627371</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Friendship Apartment Village Corp</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>53000</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Friendship Apartment Village Corp</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>567559</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Friendship Apartment Village Corp</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>56799</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Friendship Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>894628</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Friendship Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>530305</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Friendship Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>324982</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Friendship Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>e</TransactionType>
        <AmountInvolved>5276103</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>