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      <AllOtherContributions>443756</AllOtherContributions>
      <TotalContributions>443756</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MANAGEMENT FEE INCOME</Description>
        <BusinessCode>551112</BusinessCode>
        <TotalRevenueColumn>3238908</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3238908</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER P/S REVENUE</Description>
        <BusinessCode>551112</BusinessCode>
        <TotalRevenueColumn>200362</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>200362</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>3439270</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1605</TotalRevenueColumn>
        <ExclusionAmount>1605</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <LessCostOthBasisSalesExpenses>
        <Other>164498</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
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      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-164498</TotalRevenueColumn>
        <ExclusionAmount>-164498</ExclusionAmount>
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      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <TotalOtherRevenue>0</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>3720133</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3439270</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>-162893</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
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        <ProgramServices>500</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>23648</Total>
        <ManagementAndGeneral>23648</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>430853</Total>
        <ProgramServices>143043</ProgramServices>
        <ManagementAndGeneral>287810</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>16958</Total>
        <ProgramServices>6238</ProgramServices>
        <ManagementAndGeneral>10720</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
        <Total>32349</Total>
        <ProgramServices>3737</ProgramServices>
        <ManagementAndGeneral>28612</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>51746</Total>
        <ProgramServices>12505</ProgramServices>
        <ManagementAndGeneral>39241</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>1586431</Total>
        <ProgramServices>1586431</ProgramServices>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>47713</Total>
        <ManagementAndGeneral>47713</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>2900</Total>
        <ManagementAndGeneral>2900</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>3257</Total>
        <ManagementAndGeneral>3257</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>561307</Total>
        <ProgramServices>440474</ProgramServices>
        <ManagementAndGeneral>120833</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>6430</Total>
        <ManagementAndGeneral>6430</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>153343</Total>
        <ProgramServices>19780</ProgramServices>
        <ManagementAndGeneral>133563</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>22394</Total>
        <ManagementAndGeneral>22394</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>41783</Total>
        <ProgramServices>4982</ProgramServices>
        <ManagementAndGeneral>36801</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>32020</Total>
        <ProgramServices>7042</ProgramServices>
        <ManagementAndGeneral>24978</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>7943</Total>
        <ProgramServices>145</ProgramServices>
        <ManagementAndGeneral>7798</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>877512</Total>
        <ProgramServices>696216</ProgramServices>
        <ManagementAndGeneral>181296</ManagementAndGeneral>
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      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>49688</Total>
        <ProgramServices>39422</ProgramServices>
        <ManagementAndGeneral>10266</ManagementAndGeneral>
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        <ProgramServices>15816</ProgramServices>
        <ManagementAndGeneral>4118</ManagementAndGeneral>
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        <Description>DUES &amp; SUBSCRIPTIONS</Description>
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        <ManagementAndGeneral>7844</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>EMPLOYEE EXPENSES</Description>
        <Total>33931</Total>
        <ManagementAndGeneral>33931</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>1926</Total>
        <ProgramServices>1226</ProgramServices>
        <ManagementAndGeneral>700</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>842</Total>
        <ProgramServices>842</ProgramServices>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>4013290</Total>
        <ProgramServices>2978437</ProgramServices>
        <ManagementAndGeneral>1034853</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
        <BOY>59341</BOY>
        <EOY>46269</EOY>
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      <SavingsAndTempCashInvestments>
        <EOY>227388</EOY>
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      <AccountsReceivable>
        <BOY>37000</BOY>
        <EOY>32727</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>13457</BOY>
        <EOY>73984</EOY>
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      <LandBuildingsEquipmentBasis>306812</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>67620</LandBldgEquipmentAccumDeprec>
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        <BOY>240047</BOY>
        <EOY>239192</EOY>
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      <InvestmentsPubTradedSecurities>
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        <EOY>3423906</EOY>
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        <BOY>1657215</BOY>
        <EOY>1754993</EOY>
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      <TotalAssets>
        <BOY>2014961</BOY>
        <EOY>5798459</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>189085</BOY>
        <EOY>398123</EOY>
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      <MortNotesPyblSecuredInvestProp>
        <BOY>13500000</BOY>
        <EOY>13500000</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>1279792</BOY>
        <EOY>20818</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>14968877</BOY>
        <EOY>13918941</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-12968693</BOY>
        <EOY>-8140259</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>14777</BOY>
        <EOY>19777</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-12953916</BOY>
        <EOY>-8120482</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>2014961</BOY>
        <EOY>5798459</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type2>X</SupportingOrg509a3Type2>
      <CertificationCheckbox>X</CertificationCheckbox>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>SALEM LUTHERAN HOME ASSOCIATION OF THE BAY CITIES</BusinessNameLine1>
        </Name>
        <EIN>940831870</EIN>
        <TypeOfOrganization>09</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>MERCY RETIREMENT AND CARE CENTER</BusinessNameLine1>
        </Name>
        <EIN>941156579</EIN>
        <TypeOfOrganization>09</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>ELDER CARE ALLIANCE OF CAMARILLO</BusinessNameLine1>
        </Name>
        <EIN>943351613</EIN>
        <TypeOfOrganization>09</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>ELDER CARE ALLIANCE OF SAN FRANCISCO</BusinessNameLine1>
        </Name>
        <EIN>943351615</EIN>
        <TypeOfOrganization>07</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>ELDER CARE ALLIANCE OF SAN RAFAEL</BusinessNameLine1>
        </Name>
        <EIN>760730971</EIN>
        <TypeOfOrganization>07</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>ELDER CARE ALLIANCE OF UNION CITY</BusinessNameLine1>
        </Name>
        <EIN>943377985</EIN>
        <TypeOfOrganization>07</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>309578</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>6</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>309578</SumOfAmounts>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <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>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>OTHER LOBBYING ACTIVITIES</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1I</ReturnReference>
        <Explanation>THE ORGANIZATION IS A MEMBER OF SEVERAL ORGANIZATIONS WHOSE PURPOSE IS TO DIRECT, DEVELOP, OR AFFECT PUBLIC POLICY AND LEGISLATION WITH REGARDS TO HEALTHCARE ISSUES. THE AMOUNT SPENT ON DUES ALLOCABLE TO LOBBYING ACTIVITIES IS NOT SPECIFICALLY KNOWN; HOWEVER, SUCH AMOUNTS ARE INSUBSTANTIAL.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land />
      <Buildings />
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>151130</OtherCostOrOtherBasis>
        <Depreciation>17632</Depreciation>
        <BookValue>133498</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>151172</OtherCostOrOtherBasis>
        <Depreciation>49988</Depreciation>
        <BookValue>101184</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>4510</OtherCostOrOtherBasis>
        <BookValue>4510</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>239192</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>DUE FROM RELATED PARTIES</Description>
        <BookValue>1705798</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>LEASE COSTS</Description>
        <BookValue>25000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>REFUNDABLE DEPOSITS</Description>
        <BookValue>24195</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>1754993</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO RELATED PARTIES</Description>
        <Amount>593</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LONG-TERM LIABILITIES</Description>
        <Amount>20225</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>20818</TotalOfAmounts>
      <TotalRevenue>3720133</TotalRevenue>
      <TotalExpenses>4013290</TotalExpenses>
      <ExcessOrDeficitForYear>-293157</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>6591</NetUnrealizedGLOnInvestments>
      <OtherAmount>5120000</OtherAmount>
      <TotalAdjustments>5126591</TotalAdjustments>
      <ExcessOrDeficitPerFS>4833434</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>649057</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>6591</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>6591</RevenueNotRptdF990>
      <RevenueSubtotal>642466</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>3257</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>3074410</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>3077667</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>3720133</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>935623</TotExpensesEtcAuditedFinclStmt>
      <LossesReported>-3074410</LossesReported>
      <ExpensesNotRptdF990>-3074410</ExpensesNotRptdF990>
      <ExpensesSubtotal>4010033</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>3257</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>3257</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>4013290</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 DISCLOSURE</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>THE ORGANIZATION ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ECA-CORPORATE AND ITS SUBORDINATE ORGANIZATIONS ARE EACH EXEMPT FROM INCOME TAXES UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE LAWS OF THE STATE IN WHICH THEY OPERATE. HOWEVER, ECA IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. EFFECTIVE IN FISCAL YEAR ENDED JUNE 30, 2010, ECA BEGAN TO DETERMINE WHETHER ANY UNCERTAIN TAX POSITIONS EXISTED IN ACCORDANCE WITH ASC TOPIC 740. UNDER ECA'S POLICY, IF AN UNCERTAIN TAX POSITION IS IDENTIFIED, ECA FIRST EVALUATES THE TAX POSITION FOR RECOGNITION BY DETERMINING IF THE WEIGHT OF AVAILABLE EVIDENCE INDICATED THAT IT IS MORE-LIKELY-THAN-NOT THAT THE POSITION WOULD BE SUSTAINED UPON AUDIT, INCLUDING RESOLUTION OF RELATED APPEALS OR LITIGATION PROCESSES, IF ANY. ECA THEN MEASURES THE TAX BENEFIT OR LIABILITY AS THE LARGEST AMOUNT THAT IS MORE THAN 50% LIKELY TO BE REALIZED OR INCURRED UPON SETTLEMENT. COMPLIANCE WITH THIS GUIDANCE HAD NO EFFECT ON ECA'S CONSOLIDATED FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER ADJUSTMENT TO NET ASSETS</Identifier>
        <ReturnReference>SCHEDULE D, PART XI, LINE 8</ReturnReference>
        <Explanation>5,120,000 TRANSFER FROM ELDER CARE ALLIANCE OF SAN RAFAEL</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER REVENUE INCLUDED ON FORM 990 NOT ON AUDITED FINANCIAL STATEMENTS</Identifier>
        <ReturnReference>SCHEDULE D, PART XII, LINE 4B</ReturnReference>
        <Explanation>(164,498) LOSS ON SALE OF ASSETS 3,127,908 MANAGEMENT FEE INCOME</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER EXPENSE INCLUDED ON AUDITED FINANCIAL STATEMENTS NOT ON FORM 990</Identifier>
        <ReturnReference>SCHEDULE D, PART XIII, LINE 2D</ReturnReference>
        <Explanation>164,498 LOSS ON SALE OF ASSETS (3,238,908) MANAGEMENT FEE INCOME</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>OTHER PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4D</ReturnReference>
        <Explanation>THE ORGANIZATION GAVE A CHARITABLE CONTRIBUTION TO AN ORGANIZATION. AUDITED FINANCIAL STATEMENTS FORM 990, PART IV, LINE 12 AND PART XI, LINE 2B THE ORGANIZATION RECEIVES AUDITED FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS WITH THE RELATED ORGANIZATIONS LISTED ON SCHEDULE R, PART II. ELDER CARE ALLIANCE HAS AN AUDIT COMMITTEE THAT OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DELEGATION OF MANAGEMENT DUTIES</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>ELDER CARE ALLIANCE HAS A MANAGEMENT CONTRACT WITH LIFE CARE SERVICES, LLC, TO PROVIDE MANAGEMENT SERVICES INCLUDING, BUT NOT LIMITED TO, MARKETING, HUMAN RESOURCES, ACCOUNTING, INFORMATION TECHNOLOGY SERVICES, CLINICAL OVERSIGHT AND INSURANCE. IN ADDITION, LIFE CARE SERVICES, LLC, PROVIDES COMPENSATION FOR ELDER CARE ALLIANCE'S CEO &amp; CFO, AND ELDER CARE ALLIANCE REIMBURSES LIFE CARE SERVICES, LLC, FOR COMPENSATION. IN ADDITION, ELDER CARE ALLIANCE PAYS LIFE CARE SERVICES, LLC, FOR OTHER SERVICES PROVIDED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINES 6, 7A, &amp; 7B</ReturnReference>
        <Explanation>ELDER CARE ALLIANCE HAS TWO CORPORATE MEMBERS: 1. THE SISTERS OF MERCY OF THE AMERCIAS WEST MIDWEST COMMUNITY, INC., A DIVISION OF THE SISTERS OF MERCY OF THE AMERICAS, A RELIGIOUS INSTITUTE AND PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH. 2. THE SIERRA PACIFIC SYNOD OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA - A FELLOWSHIP OF CONGREGATIONS, MINISTRIES, AND INSTITUTIONS IN NORTHERN CALIFORNIA AND NORTHERN NEVADA. APPOINTMENT OF DIRECTORS: THE BOARD OF DIRECTORS OF THE CORPORATION SHALL INCLUDE FOURTEEN (14) INDIVIDUALS APPOINTED IN ACCORDANCE WITH THE FOLLOWING: (I) FIVE (5) INDIVIDUALS APPOINTED BY THE CORPORATE MEMBER, SIERRA PACIFIC SYNOD; (II) FIVE (5) INDIVIDUALS APPOINTED BY THE CORPORATE MEMBER, THE SISTERS OF MERCY OF THE AMERCIAS WEST MIDWEST COMMUNITY, INC., A DIVISION OF THE SISTERS OF MERCY OF THE AMERICAS, A RELIGIOUS INSTITUTE AND PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH. (III)IN ADDITION TO THE INDIVIDUALS APPOINTED PURSUANT TO SUBPARAGRAPHS (I) AND (II) ABOVE, A MAXIMUM OF TWO (2) INDIVIDUALS JOINTLY APPOINTED BY THE CORPORATE MEMBERS, SIERRA PACIFIC SYNOD AND THE WEST MIDWEST COMMUNITY; AND (IV) TWO (2) INDIVIDUALS NOMINATED BY CATHOLIC HEALTHCARE WEST ("CHW") AND APPOINTED BY THE INDIVIDUALS NAMED PURSUANT TO SUBPARAGRAPHS (I), (II) AND (III) ABOVE, WHICH INDIVIDUALS MAY BE, BUT SHALL NOT BE REQUIRED TO BE, EMPLOYEES OF CHW AND WHO SHALL HAVE THE SAME FIDUCIARY DUTIES, INCLUDING THE DUTIES OF LOYALTY AND CARE, TO THE CORPORATION AS EVERY OTHER MEMBER OF THE BOARD (INDIVIDUALLY, A "CHW DIRECTOR" AND, COLLECTIVELY, THE "CHW DIRECTORS"). APPROVAL RIGHTS OF CORPORATE MEMBERS: 1. THE FOLLOWING ACTIONS OF ELDER CARE ALLIANCE (THE "CORPORATION") SHALL NOT BE IMPLEMENTED WITHOUT THE APPROVAL OF THE CORPORATE MEMBERS: (A) ADOPTION OR AMENDMENT OF PHILOSOPHY, MISSION AND VALUES STATEMENT OF THE CORPORATION; (B) APPROVAL OF LONG RANGE AND STRATEGIC PLANS OF THE CORPORATION AND ITS SUBSIDIARIES AND AFFILIATES; (C) REORGANIZATION, DISSOLUTION, MERGER, CONSOLIDATION, CHANGE OF CONTROL, ADMISSION OF NEW MEMBERS OR OTHER AFFILIATION OF ANY MANNER OF THE CORPORATION OR ANY OF ITS SUBSIDIARIES; (D) ANY CHANGE IN THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (E) ADOPTION OF AND ANY CHANGE IN CHARITY CARE POLICIES OF THE CORPORATION OR ANY OF ITS SUBSIDIARIES; (F) SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY OF ITS SUBSIDIARIES, SUBJECT TO PARAGRAPH 2 AND PARAGRAPH 3 HEREOF; OR (G) APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11A</ReturnReference>
        <Explanation>THE FINAL FORM 990 IS PROVIDED BY E-MAIL TO ALL MEMBERS OF THE BOARD OF DIRECTORS BEFORE FILING. ELDER CARE ALLIANCE'S AUDIT COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE FORM 990 BEFORE FILING. ALSO, THE CEO AND CFO REVIEW THE FORM 990 BEFORE FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY COMPLIANCE</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ANNUALLY THE ASSISTANT SECRETARY OF ELDER CARE ALLIANCE REQUESTS UPDATED CONFLICT OF INTEREST FORMS FROM THE BOARD OF DIRECTORS. THE ASSISTANT SECRETARY REVIEWS THOSE FORMS AND INFORMS THE CHAIRMAN OF THE BOARD OF DIRECTORS OF ANY APPARENT CONFLICT OF INTEREST. IF A CONFLICT OF INTEREST ARISES, THE AFFECTED BOARD MEMBER WOULD BE REQUIRED TO ABSTAIN FROM VOTING ON THE ISSUE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION DETERMINATION</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</ReturnReference>
        <Explanation>THE COMPENSATION REVIEWS OF THE CEO AND CFO WERE DONE IN FY 2010 BY THE BOARD OF DIRECTORS. THE COMPENSATION FOR THE CEO AND CFO WAS REVIEWED AGAINST COMPARABLES PROVIDED BY THE VICE PRESIDENT OF HUMAN RESOURCES OF LIFE CARE SERVICES, ELDER CARE ALLIANCE'S MANAGEMENT COMPANY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENT AVAILABILITY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE ON WRITTEN REQUEST TO ELDER CARE ALLIANCE. DOCUMENTS WILL BE PROVIDED VIA THE US MAIL OR BY FAX, IF SO REQUESTED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OFFICER COMPENSATION &amp; MANAGEMENT FEES</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION B, LINE 1</ReturnReference>
        <Explanation>ELDER CARE ALLIANCE (ECA) HAS A MANAGEMENT CONTRACT WITH LIFE CARE SERVICES (LCS), UNDER WHICH ECA PAID $1,586,431. IN ADDITION, ECA REIMBURSED LCS FOR THE CEO'S AND CFO'S COMPENSATION IN THE AMOUNT OF $433,862. ECA ALSO PAID LCS TECHNOLOGY FEES IN THE AMOUNT OF $60,000. THE REMAINING $89,080 WAS FOR MISCELLANEOUS TRAVEL REIMBURSEMENTS AND OTHER SMALL FEES.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
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          <BusinessNameLine1>ELDER CARE ALLIANCE OF UNION CITY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 MARINA VILLAGE PKWY 210</AddressLine1>
          <City>ALAMEDA</City>
          <State>CA</State>
          <ZIPCode>94501</ZIPCode>
        </AddressUS>
        <EIN>943377985</EIN>
        <PrimaryActivities>ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY RETIREMENT AND CARE CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 MARINA VILLAGE PKWY 210</AddressLine1>
          <City>ALAMEDA</City>
          <State>CA</State>
          <ZIPCode>94501</ZIPCode>
        </AddressUS>
        <EIN>941156579</EIN>
        <PrimaryActivities>ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ELDER CARE ALLIANCE OF CAMARILLO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 MARINA VILLAGE PKWY 210</AddressLine1>
          <City>ALAMEDA</City>
          <State>CA</State>
          <ZIPCode>94501</ZIPCode>
        </AddressUS>
        <EIN>943351613</EIN>
        <PrimaryActivities>ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ELDER CARE ALLIANCE OF SAN FRANCISCO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 MARINA VILLAGE PKWY 210</AddressLine1>
          <City>ALAMEDA</City>
          <State>CA</State>
          <ZIPCode>94501</ZIPCode>
        </AddressUS>
        <EIN>943351615</EIN>
        <PrimaryActivities>ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SALEM LUTHERAN HOME ASSOC OF THE BAY CIT</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 MARINA VILLAGE PKWY 210</AddressLine1>
          <City>ALAMEDA</City>
          <State>CA</State>
          <ZIPCode>94501</ZIPCode>
        </AddressUS>
        <EIN>940831870</EIN>
        <PrimaryActivities>ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ELDER CARE ALLIANCE OF SAN RAFAEL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 MARINA VILLAGE PKWY 210</AddressLine1>
          <City>ALAMEDA</City>
          <State>CA</State>
          <ZIPCode>94501</ZIPCode>
        </AddressUS>
        <EIN>760730971</EIN>
        <PrimaryActivities>ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>ELDER CARE ALLIANCE OF UNION CITY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>309578</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ELDER CARE ALLIANCE OF SAN RAFAEL</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>57247</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>MERCY RETIREMENT AND CARE CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>58593</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>MERCY RETIREMENT AND CARE CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>876437</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SALEM LUTHERAN HOME ASSOC OF THE BAY CITIES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>809074</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>ELDER CARE ALLIANCE OF CAMARILLO</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ELDER CARE ALLIANCE OF SAN FRANCISCO</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>592513</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>ELDER CARE ALLIANCE OF UNION CITY</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>ELDER CARE ALLIANCE OF SAN RAFAEL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>540214</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ELDER CARE ALLIANCE OF SAN RAFAEL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>5120000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>