﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2009v1.7">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-05-10T14:17:47-05:00</Timestamp>
    <TaxPeriodEndDate>2010-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>REZNICK GROUP PC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>500 EAST PRATT STREET SUITE 200</AddressLine1>
        <City>BALTIMORE</City>
        <State>MD</State>
        <ZIPCode>212023100</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2009-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>621486858</EIN>
      <Name>
        <BusinessNameLine1>CLAREMONT HEALTH SYSTEM INC</BusinessNameLine1>
      </Name>
      <NameControl>CLAR</NameControl>
      <Phone>2154446350</Phone>
      <USAddress>
        <AddressLine1>148 WEST STATE STREET</AddressLine1>
        <City>KENNETT SQUARE</City>
        <State>PA</State>
        <ZIPCode>19348</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>JOHN GILLMOR</Name>
      <Title>VP</Title>
      <DateSigned>2011-05-02</DateSigned>
    </Officer>
    <Preparer>
      <Phone>4107834900</Phone>
    </Preparer>
    <TaxYear>2009</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="6">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <NameOfPrincipalOfficerPerson>LEWIS F WOOD JR</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>148 WEST STATE STREET</AddressLine1>
        <City>KENNETT SQUARE</City>
        <State>PA</State>
        <ZIPCode>19348</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>10253535</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <GroupExemptionNumber>5138</GroupExemptionNumber>
      <Organization501c typeOf501cOrganization="3">X</Organization501c>
      <WebSite>N/A</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1992</YearFormation>
      <StateLegalDomicile>PA</StateLegalDomicile>
      <ActivityOrMissionDescription>THE ORGANIZATION WAS FOUNDED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>4</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>0</NbrIndependentVotingMembers>
      <TotalNbrEmployees>176</TotalNbrEmployees>
      <TotalNbrVolunteers>0</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>0</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>0</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>9864762</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>10250312</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>6518</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>3223</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>0</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>0</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>9871280</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>10253535</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>5934571</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>5256562</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>3672864</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>4559898</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>9607435</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>9816460</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>263845</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>437075</RevenuesLessExpensesCY>
      <TotalAssetsBOY>7818828</TotalAssetsBOY>
      <TotalAssetsEOY>7999918</TotalAssetsEOY>
      <TotalLiabilitiesBOY>8287229</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>8031244</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>-468401</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>-31326</NetAssetsOrFundBalancesEOY>
      <MissionDescription>THE ORGANIZATION WAS FOUNDED TO PROVIDE RESIDENTIAL AND NURSING SERVICES FOR THE ELDERLY.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>9527876</Expense>
      <Revenue>10250312</Revenue>
      <Description>OPERATED INTERMEDIATE AND SKILLED-CARE NURSING HOME FACILITIES FOR THE CARE OF ELDERLY PATIENTS. OVER 110 PATIENTS WERE PROVIDED CARE DURING THE FISCAL YEAR.</Description>
      <TotalProgramServiceExpense>9527876</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">false</TermOrPermanentEndowments>
      <BalanceSheetAmountsReported referenceDocumentId="IRS990ScheduleD">true</BalanceSheetAmountsReported>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="IRS990ScheduleR">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity referenceDocumentId="IRS990ScheduleR">false</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="IRS990ScheduleR">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>0</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>176</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <NbrVotingGoverningBodyMembers>4</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>0</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>true</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>DENNIS GREGORY</NamePerson>
        <TelephoneNumber>6104446350</TelephoneNumber>
        <AddressUS>
          <AddressLine1>148 WEST STATE STREET</AddressLine1>
          <City>KENNETT SQUARE</City>
          <State>PA</State>
          <ZIPCode>19348</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <NoListedPersonsCompensated>X</NoListedPersonsCompensated>
      <Form990PartVIISectionA>
        <NamePerson>BRUCE P HUTSON</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>57400</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEPHEN F WOOD</NamePerson>
        <Title>VP/TREASURER</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>63850</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN G FOOS</NamePerson>
        <Title>VP/DIRECTOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>49400</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN E GILLMOR</NamePerson>
        <Title>VP/SECRETARY</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>48400</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LEWIS F WOOD JR</NamePerson>
        <Title>CEO</Title>
        <AverageHoursPerWeek>6.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>452951</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CYNTHIA WOOD</NamePerson>
        <Title>ASSISTANT SECRETARY</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>0</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>672001</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>0</TotalOtherCompensation>
      <NumberIndividualsGT100K>0</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>GENESIS ELDERCARE NETWORK SERVICES</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>101 E STATE STREET</AddressLine1>
            <City>KENNETT SQUARE</City>
            <State>PA</State>
            <ZIPCode>19348</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MANAGEMENT FEES</DescriptionOfServices>
        <Compensation>6460917</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>GENESIS REHABILITATION SERVICES</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>101 E STATE STREET</AddressLine1>
            <City>KENNETT SQUARE</City>
            <State>PA</State>
            <ZIPCode>19348</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>REHAB THERAPIES</DescriptionOfServices>
        <Compensation>771773</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>OMNICARE</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2100 QUAKER POINTE DRIVE</AddressLine1>
            <City>QUAKERTOWN</City>
            <State>PA</State>
            <ZIPCode>18981</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHARMACEUTICALS</DescriptionOfServices>
        <Compensation>321509</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>New Jersey Nursing Home</NamePerson>
        </NameOfContractor>
        <AddressOfContractor />
        <DescriptionOfServices>Nursing services</DescriptionOfServices>
        <Compensation>357327</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>sysco eastern MD</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>33239 Costen Road</AddressLine1>
            <City>POCOMOKE</City>
            <State>MD</State>
            <ZIPCode>21851</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>food service</DescriptionOfServices>
        <Compensation>175225</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>7</NumberOfContractorsGT100K>
      <TotalContributions>0</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PROGRAM SVC REV</Description>
        <TotalRevenueColumn>10250312</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>10250312</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>10250312</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>3223</TotalRevenueColumn>
        <ExclusionAmount>3223</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <TotalOtherRevenue>0</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>10253535</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>10250312</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>3223</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>0</Total>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>4458225</Total>
        <ProgramServices>4458225</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>0</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>364413</Total>
        <ProgramServices>364413</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>433924</Total>
        <ProgramServices>433924</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>506202</Total>
        <ProgramServices>506202</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>18879</Total>
        <ProgramServices>18879</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>24212</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>24212</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>19729</Total>
        <ProgramServices>19729</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>0</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
      </Occupancy>
      <Travel>
        <Total>0</Total>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>427544</Total>
        <ProgramServices>427544</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>379941</Total>
        <ProgramServices>379941</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>0</Total>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBTS</Description>
        <Total>97324</Total>
        <ProgramServices>97324</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ADMINISTRATIVE</Description>
        <Total>264372</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>264372</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>UTILITIES</Description>
        <Total>199153</Total>
        <ProgramServices>199153</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>146402</Total>
        <ProgramServices>146402</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CONTRACTS</Description>
        <Total>17309</Total>
        <ProgramServices>17309</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>2458831</Total>
        <ProgramServices>2458831</ProgramServices>
        <Fundraising>0</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>9816460</Total>
        <ProgramServices>9527876</ProgramServices>
        <ManagementAndGeneral>288584</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>250347</BOY>
        <EOY>548182</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>884225</BOY>
        <EOY>1018446</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>23487</BOY>
        <EOY>30803</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>1042189</BOY>
        <EOY>1029676</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>10075782</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>5356930</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>4952221</BOY>
        <EOY>4718852</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>666359</BOY>
        <EOY>653959</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>7818828</BOY>
        <EOY>7999918</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>699840</BOY>
        <EOY>444756</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>53754</BOY>
        <EOY>42576</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>7522957</BOY>
        <EOY>7416086</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>10678</BOY>
        <EOY>127826</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>8287229</BOY>
        <EOY>8031244</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-468401</BOY>
        <EOY>-31326</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-468401</BOY>
        <EOY>-31326</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>7818828</BOY>
        <EOY>7999918</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>10159420</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>9834498</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>9431036</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9864762</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10250312</CurrentTaxYear>
        <Total>49540028</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>10159420</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>9834498</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>9431036</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9864762</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10250312</CurrentTaxYear>
        <Total>49540028</Total>
      </Total509>
      <PublicSupportTotal509>49540028</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>40052</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>23058</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>12920</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6518</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3223</CurrentTaxYear>
        <Total>85771</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>40052</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>23058</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>12920</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6518</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3223</CurrentTaxYear>
        <Total>85771</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>10199472</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>9857556</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>9443956</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9871280</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10253535</CurrentTaxYear>
        <Total>49625799</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99827</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99799</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00173</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00201</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <OtherCostOrOtherBasis>750000</OtherCostOrOtherBasis>
        <BookValue>750000</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>7613157</OtherCostOrOtherBasis>
        <Depreciation>4078817</Depreciation>
        <BookValue>3534340</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>0</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>1501116</OtherCostOrOtherBasis>
        <Depreciation>1123670</Depreciation>
        <BookValue>377446</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>211509</OtherCostOrOtherBasis>
        <Depreciation>154443</Depreciation>
        <BookValue>57066</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>4718852</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>FINANCING FEES, NET OF AMORT</Description>
        <BookValue>626580</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER ASSETS</Description>
        <BookValue>27379</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>653959</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ACCRUED WAGES</Description>
        <Amount>8528</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITY</Description>
        <Amount>119298</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>127826</TotalOfAmounts>
      <TotalRevenue>10253535</TotalRevenue>
      <TotalExpenses>9816460</TotalExpenses>
      <ExcessOrDeficitForYear>437075</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>437075</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>10253535</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>10253535</RevenueSubtotal>
      <TotalRevenuePerForm990>10253535</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>9816460</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>9816460</ExpensesSubtotal>
      <TotalExpensesPerForm990>9816460</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>LEWIS F WOOD JR</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>452951</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>452951</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>GOVERNANCE, MANAGEMENT &amp; DISCLOSURE</Identifier>
        <ReturnReference>PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>RELATIONSHIP SCHEDULE --------------------- NAME OF OFFICER, DIRECTOR, ETC: STEPHEN WOOD NAME OF RELATED ENTITY: LEWIS F. WOOD, JR CYNTHIA WOOD TITLE OR ROLE: CEO/TREASURER RELATIONSHIP: BROTHER/SISTER-IN-LAW NAME OF OFFICER, DIRECTOR, ETC: LEWIS F. WOOD, JR NAME OF RELATED ENTITY: CYNTHIA WOOD STEPHEN WOOD TITLE OR ROLE: TREASURER/VP RELATIONSHIP: WIFE/BROTHER NAME OF OFFICER, DIRECTOR, ETC: CYNTHIA WOOD NAME OF RELATED ENTITY: LEWIS F. WOOD, JR STEPHEN WOOD TITLE OR ROLE: CEO/VP RELATIONSHIP: HUSBAND/BROTHER-IN-LAW</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNANCE, MANAGEMENT &amp; DISCLOSURE</Identifier>
        <ReturnReference>PART VI, SECTION A, LINES 10</ReturnReference>
        <Explanation>A DRAFT OF FORM 990 IS REVIEWED &amp; AUTHORIZED BY A MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNANCE, MANAGEMENT &amp; DISCLOSURE</Identifier>
        <ReturnReference>PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS BASED ON AN INDEPENDENT COMPENSATION STUDY, AND INCREASES ARE BASED ON THE CPI (ALL CONSUMERS MARKET BASKET) AND THE DISCRETION OF THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNANCE, MANAGEMENT &amp; DISCLOSURE</Identifier>
        <ReturnReference>PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS AND POLICIES ARE AVAILABLE FOR PUBLIC INSPECTION AT THE ORGANIZATION'S OFFICE DURING REGULAR BUSINESS HOURS UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>STATEMENT OF FUNCTIONAL EXPENSES</Identifier>
        <ReturnReference>PART IX, LINE 24(F): ALL OTHER EXPENSES</ReturnReference>
        <Explanation>TOTAL PROG SERV MGMT &amp; GEN FUNDRAISING ---------- --------- ---------- ----------- TRASH REMOVAL 24,391 24,391 NONE NONE VEHICLE MAINTENANCE 22,717 22,717 NONE NONE MISC. OPERATING 36,673 36,673 NONE NONE PROPERTY, LIAB. INS. 151,612 151,612 NONE NONE WORKERS COMP. 202,460 202,460 NONE NONE LICENSES AND CERT. 17,191 17,191 NONE NONE MORTGAGE INS. PREM. 37,370 37,370 NONE NONE AMORTIZATION EXPENSE 23,126 23,126 NONE NONE FOOD 179,119 179,119 NONE NONE DRUGS AND PHARM. 323,061 323,061 NONE NONE MEDICAL SUPPLIES 73,197 73,197 NONE NONE nursing services 92,508 92,508 NONE NONE rehabiliation service 718,746 718,746 NONE NONE activity services 11,870 11,870 NONE NONE OTHER SERVICE EXP. 544,790 544,790 NONE NONE ---------- --------- ---------- ----------- TOTAL $2,458,831 $2,458,831 NONE NONE</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION OF OFFICERS</Identifier>
        <ReturnReference>PART VII, SECTION A, AVERAGE HOURS PER WEEK</ReturnReference>
        <Explanation>THE OFFICERS AND DIRECTORS DO NOT KEEP DETAILED TIME RECORDS OF HOURS SPENT FOR THIS AND RELATED ENTITIES. HOWEVER, THROUGH DISCUSSIONS WITH EACH, AN ESTIMATE HAS BEEN MADE OF THE TIME THEY SPENT ON MATTERS OF THIS ENTITY AND ITS RELATED CHARITABLE ENTITIES. THERE ARE nine RELATED CHARITABLE ENTITIES FOR WHICH THE OFFICERS AND DIRECTORS PROVIDE SERVICES. OFTEN BOARD MEETINGS AND OTHER WORK INVOLVES MATTERS FOR SEVERAL OR ALL OF THESE ENTITIES. THE COMPENSATION FROM EACH ENTITY IS BASED UPON AN ESTIMATE OF THE WORK DONE FOR EACH ENTITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNANCE, MANAGEMENT &amp; DISCLOSURE</Identifier>
        <ReturnReference>Part VI Section B Line 12</ReturnReference>
        <Explanation>The Board members annually certify that they are aware of the conflict of interest policy and have no conflicts of interest.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOOSIER CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>535 WEST SECOND STREET</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40508</ZIPCode>
        </AddressUS>
        <EIN>311262572</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOOSIER CARE II INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>535 WEST SECOND STREET</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40508</ZIPCode>
        </AddressUS>
        <EIN>311274121</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOOSIER CARE</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOOSIER CARE III INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>148 WEST STATE STREET</AddressLine1>
          <City>KENNETT SQUARE</City>
          <State>PA</State>
          <ZIPCode>19348</ZIPCode>
        </AddressUS>
        <EIN>621459304</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOOSIER CARE</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOOSIER PROPERTIES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1600 DIVISION STREET</AddressLine1>
          <City>NASHVILLE</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EIN>200377349</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOOSIER CARE</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VICTORIA HEALTH CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>148 WEST STATE STREET</AddressLine1>
          <City>KENNETT SQUARE</City>
          <State>PA</State>
          <ZIPCode>19348</ZIPCode>
        </AddressUS>
        <EIN>621518645</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOOSIER CARE</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DELAWARE HEALTH CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3 MILL ROAD</AddressLine1>
          <City>WILMINGTON</City>
          <State>DE</State>
          <ZIPCode>19806</ZIPCode>
        </AddressUS>
        <EIN>621548336</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOOSIER CARE</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HIGHLAND HEALTH SYSTEMS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>148 WEST STATE STREET</AddressLine1>
          <City>KENNETT SQUARE</City>
          <State>PA</State>
          <ZIPCode>19348</ZIPCode>
        </AddressUS>
        <EIN>621486857</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOOSIER CARE</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BIRCHWOOD SENIOR HOUSING CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1600 DIVISION STREET</AddressLine1>
          <City>NASHVILLE</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EIN>204800428</EIN>
        <PrimaryActivities>sr housing</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOOSIER CARE</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HOOSIER CARE INVESTMENTS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>535 WEST SECOND STREET</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40508</ZIPCode>
        </AddressUS>
        <EIN>200479449</EIN>
        <PrimaryActivity>INVESTMENT</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOOSIER CARE</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>related</PredominantIncomeType>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>hoosier care investment llc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>117000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>