﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-11-03T13:53:40-05:00</ReturnTs>
    <TaxPeriodEndDt>2024-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>520783935</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>SMITH ELLIOTT KEARNS &amp; COMPANY LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>19405 EMERALD SQUARE STE 1400</AddressLine1Txt>
        <CityNm>HAGERSTOWN</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21742</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>520610464</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>FAHRNEY-KEEDY MEMORIAL HOME INC</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>AKA FAHRNEY-KEEDY HOME AND VILLAGE</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>FAHR</BusinessNameControlTxt>
      <PhoneNum>3017336284</PhoneNum>
      <USAddress>
        <AddressLine1Txt>8507 MAPLEVILLE ROAD</AddressLine1Txt>
        <CityNm>BOONSBORO</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21713</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>STEPHEN COETZEE</PersonNm>
      <PersonTitleTxt>PRESIDENT/CEO</PersonTitleTxt>
      <PhoneNum>3017336284</PhoneNum>
      <SignatureDt>2025-10-29</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>ERIN CLARK CPA</PreparerPersonNm>
      <PTIN>P01388029</PTIN>
      <PhoneNum>3017335020</PhoneNum>
      <PreparationDt>2025-10-29</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc6">
      <PrincipalOfficerNm>STEPHEN COETZEE</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>8507 MAPLEVILLE ROAD</AddressLine1Txt>
        <CityNm>BOONSBORO</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21713</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>27235870</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.FKHV.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1905</FormationYr>
      <LegalDomicileStateCd>MD</LegalDomicileStateCd>
      <ActivityOrMissionDesc>WE ARE COMMITTED TO ENHANCING THE LIVES OF SENIORS THROUGH CARING QUALITY SERVICES. WE ARE A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) WITH INDEPENDENT LIVING SERVICES, ASSISTED LIVING SERVICES, AND NURSING SERVICES. THE ORGANIZATION HAS 41 INDEPENDENT LIVING COTTAGES, 24 INDEPENDENT LIVING APARTMENTS, 50 ASSISTED LIVING BEDS, AND A 98 BED SKILLED NURSING FACILITY LOCATED IN BOONSBORO, MARYLAND. IN OCTOBER 2022, THE ORGANIZATION ACQUIRED COFFMAN NURSING HOME, INC. LOCATED IN HAGERSTOWN MARYLAND. COFFMAN IS A 59 BED FACILITY AND PROVIDES SKILLED NURSING CARE AND REHABILITATION SERVICES FOR RESIDENTS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>15</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>15</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>438</TotalEmployeeCnt>
      <TotalVolunteersCnt>39</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>1249926</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>672357</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>23588577</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>26297815</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>1728</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>243360</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>190</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>8755</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>24840421</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>27222287</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>1050</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>17093769</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>16533179</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>129995</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>11141885</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>12853385</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>28236704</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>29386564</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-3396283</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-2164277</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>43535741</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>42423856</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>30285516</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>30392589</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>13250225</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>12031267</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>WE ARE COMMITTED TO ENHANCING THE LIVES OF SENIORS THROUGH CARING QUALITY SERVICES. WE ARE A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) WITH INDEPENDENT LIVING SERVICES, ASSISTED LIVING SERVICES, AND NURSING SERVICES. THE ORGANIZATION HAS 41 INDEPENDENT LIVING COTTAGES, 24 INDEPENDENT LIVING APARTMENTS, 50 ASSISTED LIVING BEDS, AND A 98 BED SKILLED NURSING FACILITY LOCATED IN BOONSBORO, MARYLAND. IN OCTOBER 2022, THE ORGANIZATION ACQUIRED COFFMAN NURSING HOME, INC. LOCATED IN HAGERSTOWN MARYLAND. COFFMAN IS A 59 BED FACILITY AND PROVIDES SKILLED NURSING CARE AND REHABILITATION SERVICES FOR RESIDENTS.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>13724273</ExpenseAmt>
      <RevenueAmt>19296162</RevenueAmt>
      <Desc>NURSING SERVICES TO PRIVATE PAY, MEDICARE, AND MEDICAID RESIDENTS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>2075684</ExpenseAmt>
        <RevenueAmt>4918574</RevenueAmt>
        <Desc>ASSISTED LIVING SERVICES.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>721285</ExpenseAmt>
        <RevenueAmt>1617656</RevenueAmt>
        <Desc>INDEPENDENT LIVING SERVICES.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>8610693</ExpenseAmt>
        <RevenueAmt>465423</RevenueAmt>
        <Desc>ALL OTHER SERVICES INCLUDE EXECUTIVE MANAGEMENT SERVICES, BUSINESS SUPPORT SERVICES, OTHER PATIENT CARE EXPENSES, DIETARY SERVICES, ADULT DAY CARE, AND PROPERTY SERVICES. EXPENSES BY PROGRAM ARE AS FOLLOWS: ROUTINE SERVICES - 5,215,913 CAPITAL AND PROPERTY SERVICES - 2,147,734 OTHER PATIENT CARE - 736,419 ADULT DAY CARE - 384,575 STAFF DEVELOPMENT - 126,052</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>8610693</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>465423</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>25131935</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc7">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc4">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc4">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc4">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc5">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>32</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>438</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>15</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>15</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>STEPHEN COETZEE</PersonNm>
        <PhoneNum>3017336284</PhoneNum>
        <USAddress>
          <AddressLine1Txt>8507 MAPLEVILLE ROAD</AddressLine1Txt>
          <CityNm>BOONSBORO</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21713</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN COETZEE</PersonNm>
        <TitleTxt>PRESIDENT/CE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>202915</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26449</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TARA DELAUNEY</PersonNm>
        <TitleTxt>LPN NURSE MA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>158341</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5893</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES SULUREH</PersonNm>
        <TitleTxt>GNA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>134805</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7954</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA HENDRICKS</PersonNm>
        <TitleTxt>DON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>114280</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22796</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRANDY BRADY</PersonNm>
        <TitleTxt>LPN NURSE MA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>114732</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7634</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIA MCGLAUGHLIN</PersonNm>
        <TitleTxt>FMR EXEC DIR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>117858</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3434</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YEAKO MENYEN</PersonNm>
        <TitleTxt>GNA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>115873</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>578</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES ANGLE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN ANTHONY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEATHER BARNES</PersonNm>
        <TitleTxt>VP FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY BOWMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA BUSSARD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACKIE DRAPER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY EICHELBERGER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR AARON GEORGE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUE GRAFF</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE HART</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TYLER HORNBECKER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID LYLES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHY MORRISEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA MOSSER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEB PARK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STARLA WARD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>958804</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>74738</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FOREFRONT HEALTHCARE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>22622 HARPER AVENUE</AddressLine1Txt>
            <CityNm>ST CLAIR SHORES</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48080</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <CompensationAmt>802825</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RKL LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1800 FRUITVILLE PIKE</AddressLine1Txt>
            <CityNm>LANCASTER</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>17601</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <CompensationAmt>326836</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>30789</FundraisingAmt>
      <AllOtherContributionsAmt>641568</AllOtherContributionsAmt>
      <TotalContributionsAmt>672357</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>24214736</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24214736</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>AMORTIZATION OF ENTRANCE FEES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1113320</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1113320</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INDEPENDENT LIVING</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>504336</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>504336</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT SERVICES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>465423</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>465423</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>26297815</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>243360</TotalRevenueColumnAmt>
        <ExclusionAmt>243360</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>13930</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>30789</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>10670</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>3260</TotalRevenueColumnAmt>
        <ExclusionAmt>3260</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>8408</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>2913</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>5495</TotalRevenueColumnAmt>
        <ExclusionAmt>5495</ExclusionAmt>
      </NetIncomeFromGamingGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>27222287</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26297815</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>252115</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>393598</TotalAmt>
        <ProgramServicesAmt>171817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>210313</ManagementAndGeneralAmt>
        <FundraisingAmt>11468</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>13659273</TotalAmt>
        <ProgramServicesAmt>12522654</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1057746</ManagementAndGeneralAmt>
        <FundraisingAmt>78873</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>124948</TotalAmt>
        <ProgramServicesAmt>103680</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18748</ManagementAndGeneralAmt>
        <FundraisingAmt>2520</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1316741</TotalAmt>
        <ProgramServicesAmt>1101087</ProgramServicesAmt>
        <ManagementAndGeneralAmt>206110</ManagementAndGeneralAmt>
        <FundraisingAmt>9544</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1038619</TotalAmt>
        <ProgramServicesAmt>935602</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95909</ManagementAndGeneralAmt>
        <FundraisingAmt>7108</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>57600</TotalAmt>
        <ManagementAndGeneralAmt>57600</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>119642</TotalAmt>
        <ManagementAndGeneralAmt>119642</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>5256213</TotalAmt>
        <ProgramServicesAmt>4438545</ProgramServicesAmt>
        <ManagementAndGeneralAmt>817668</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>43419</TotalAmt>
        <ProgramServicesAmt>10</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42711</ManagementAndGeneralAmt>
        <FundraisingAmt>698</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>774876</TotalAmt>
        <ProgramServicesAmt>217360</ProgramServicesAmt>
        <ManagementAndGeneralAmt>557486</ManagementAndGeneralAmt>
        <FundraisingAmt>30</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>338437</TotalAmt>
        <ProgramServicesAmt>5904</ProgramServicesAmt>
        <ManagementAndGeneralAmt>328635</ManagementAndGeneralAmt>
        <FundraisingAmt>3898</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>686982</TotalAmt>
        <ProgramServicesAmt>684284</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2698</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>31472</TotalAmt>
        <ProgramServicesAmt>31336</ProgramServicesAmt>
        <ManagementAndGeneralAmt>136</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>61979</TotalAmt>
        <ProgramServicesAmt>17355</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28869</ManagementAndGeneralAmt>
        <FundraisingAmt>15755</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>821096</TotalAmt>
        <ProgramServicesAmt>821073</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1895636</TotalAmt>
        <ProgramServicesAmt>1895636</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>476902</TotalAmt>
        <ManagementAndGeneralAmt>476902</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL/PATIENT SUPPLIES</Desc>
        <TotalAmt>589693</TotalAmt>
        <ProgramServicesAmt>588255</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1438</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY &amp; DRUG COSTS</Desc>
        <TotalAmt>558597</TotalAmt>
        <ProgramServicesAmt>558597</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>436120</TotalAmt>
        <ProgramServicesAmt>436120</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>274439</TotalAmt>
        <ProgramServicesAmt>274336</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>430282</TotalAmt>
        <ProgramServicesAmt>328284</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101897</ManagementAndGeneralAmt>
        <FundraisingAmt>101</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>29386564</TotalAmt>
        <ProgramServicesAmt>25131935</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4124634</ManagementAndGeneralAmt>
        <FundraisingAmt>129995</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>354690</BOYAmt>
        <EOYAmt>225568</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>713701</BOYAmt>
        <EOYAmt>1076900</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>180753</BOYAmt>
        <EOYAmt>136444</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3461482</BOYAmt>
        <EOYAmt>3205264</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>12003</BOYAmt>
        <EOYAmt>38608</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>90970</BOYAmt>
        <EOYAmt>106555</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>53592834</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>26689268</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>28573148</BOYAmt>
        <EOYAmt>26903566</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>10148994</BOYAmt>
        <EOYAmt>10730951</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>43535741</BOYAmt>
        <EOYAmt>42423856</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3350879</BOYAmt>
        <EOYAmt>4496776</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>5702493</BOYAmt>
        <EOYAmt>5264145</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>19426269</BOYAmt>
        <EOYAmt>20127868</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1805875</BOYAmt>
        <EOYAmt>503800</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>30285516</BOYAmt>
        <EOYAmt>30392589</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>5803068</BOYAmt>
        <EOYAmt>4191780</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>7447157</BOYAmt>
        <EOYAmt>7839487</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13250225</BOYAmt>
        <EOYAmt>12031267</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>43535741</BOYAmt>
        <EOYAmt>42423856</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-2164277</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>945319</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>3386060</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5243512</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>875779</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1249926</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>672357</CurrentTaxYearAmt>
        <TotalAmt>11427634</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>15743018</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>16853121</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17398554</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23588577</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>26297815</CurrentTaxYearAmt>
        <TotalAmt>99881085</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus4YearsAmt>13991</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>33346</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>21670</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11376</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22338</CurrentTaxYearAmt>
        <TotalAmt>102721</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>19143069</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>22129979</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18296003</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>24849879</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>26992510</CurrentTaxYearAmt>
        <TotalAmt>111411440</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>111411440</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>16136</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1909</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>615</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4435</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>243360</CurrentTaxYearAmt>
        <TotalAmt>266455</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>16136</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1909</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>615</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4435</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>243360</CurrentTaxYearAmt>
        <TotalAmt>266455</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>19159205</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>22131888</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18296618</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>24854314</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>27235870</CurrentTaxYearAmt>
        <TotalAmt>111677895</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99760</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99940</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>463904</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>50286</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>6290</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>507900</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>415434</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>54020</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>5550</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>463904</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>476899</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-55853</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>5612</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>415434</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>419608</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>57291</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>476899</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>376680</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>49769</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>6841</OtherExpendituresAmt>
        <EndYearBalanceAmt>419608</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>672493</OtherCostOrOtherBasisAmt>
        <BookValueAmt>672493</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>46162918</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>21532706</DepreciationAmt>
        <BookValueAmt>24630212</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3397266</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2930115</DepreciationAmt>
        <BookValueAmt>467151</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>3360157</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2226447</DepreciationAmt>
        <BookValueAmt>1133710</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>26903566</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN TRUSTS</Desc>
        <BookValueAmt>7063117</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING RESERVE</Desc>
        <BookValueAmt>2881683</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT RESTRICTED</Desc>
        <BookValueAmt>300000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT - BENEVOLENT FUND</Desc>
        <BookValueAmt>294172</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>BENEVOLENT FUND</Desc>
        <BookValueAmt>161344</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CAPTIVE INSURANCE COLLATERAL DEPOSIT</Desc>
        <BookValueAmt>30635</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>10730951</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>INVESTMENT MARGIN LOAN</Desc>
        <Amt>300000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE OBLIGATIONS</Desc>
        <Amt>203800</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>503800</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>28207343</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>945319</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>26154</OtherRevenueAmt>
      <RevenueNotReportedAmt>971473</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>27235870</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-13583</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-13583</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>27222287</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>29426301</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>39737</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>39737</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>29386564</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>29386564</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOME HAS A BOARD DESIGNATED ENDOWMENT FUND. THE INCOME EARNED ON THE ENDOWMENT FUND, INCLUDING APPRECIATION, IS EXPENDABLE, FOR THE MAINTENANCE AND REPAIR OF THE HOME'S FACILITIES. ACCOUNTING STANDARDS CODIFICATION (ASC)958 PROVIDES GUIDANCE ON THE NET ASSET CLASSIFICATION OF ENDOWMENT FUNDS FOR A NOT-FOR-PROFIT ORGANIZATION THAT IS SUBJECT TO AN ENACTED VERSION OF THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT OF 2006 (UPMIFA.) ASC 958 ALSO REQUIRES DISCLOSURES ABOUT AN ORGANIZATION'S BOARD DESIGNATED ENDOWMENT FUNDS, AND THAT THE ORGANIZATION IS SUBJECT TO UPMIFA UNDER STATE LAW. ENDOWMENT INVESTMENT AND SPENDING POLICY: THE HOME'S INVESTMENT POLICY IS TO PROVIDE A COMMON INVESTMENT VEHICLE, WHICH WILL GENERATE A STABLE AND CONTINUOUSLY GROWING INCOME STREAM TO SUPPORT OPERATIONS. THE OVERALL INVESTMENT GOAL IS TO PRESERVE THE PURCHASING POWER OF THE FUTURE STREAM OF ENDOWMENT PAYOUT FOR THOSE FUNDS. OTHER GOALS INCLUDE MAXIMIZING RETURN WITHIN REASONABLE AND PRUDENT LEVELS OF RISK AND MAXIMIZING THE VALUE OF THE ENDOWMENT WHILE MAINTAINING LIQUIDITY NEEDED TO SUPPORT SPENDING IN PROLONGED DOWN MARKETS. THE HOME SEEKS A RETURN ON INVESTMENT CONSISTENT WITH LEVELS OF INVESTMENT RISK THAT ARE PRUDENT AND REASONABLE GIVEN MEDIUM-TO-LONG-TERM CAPITAL MARKET CONDITIONS AND THE INVESTMENT OBJECTIVES. THE HOME HAS BEEN ENABLED BY THE BOARD OF DIRECTORS TO SPEND THE INTEREST AND DIVIDENDS DERIVED FROM THE ENDOWMENT FUND ON ITS REPAIRS AND MAINTENANCE COSTS. IN AN EFFORT TO PRESERVE UNRESTRICTED CASH AND CONTINUE TO INCREASE THE HOME'S CCRC RESERVE TO MEET STATE MANDATED REQUIREMENTSS THE BOARD DESIGNATED THE LEONARD MATHIAS ENDOWMENT INVESTMENT WITH THE BALANCE OF 507,900 AND 463,904 AT DECEMBER 31, 2024 AND 2023, RESPECTIVELY, TO BE USED TOWARD THE CCRC RESERVE REQUIREMENTS. AS A RESULT, 507,900 AND 408,432 OF THE TOTAL INVESTMENT BALANCE, WAS RECLASSIFIED TO OPERATING RESERVE ON THE STATEMENT OF FINANCIAL POSITION FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023, RESPECTIVELY. THE REMAINING CCRC OPERATING RESERVE IS FUNDED THOUGH OTHER LIQUID AND UNRESTRICTED INVESTMENTS AND UNRESTRICTED CASH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOME FOLLOWS THE FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS. THE HOME'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ON UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IN THE FINANCIAL STATEMENTS. THE HOME'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE AND LOCAL TAXING AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THE RETURNS ARE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT RECOVERY NETTED AGAINST EXPENSE ON TAX RETURN 26,154</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES -10,670 GAMING EXPENSES -2,913</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES 10,670 BAD DEBT RECOVERY NET AGAINST EXPENSE ON TAX RETURN 26,154 GAMING EXPENSES 2,913</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc4">
      <FundraisingEventInformationGrp>
        <Event1Nm>GOLF TOURNAMENT</Event1Nm>
        <GrossReceiptsEvent1Amt>33770</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>30234</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>3536</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>3174</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>1485</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>701</OtherDirectExpensesEvent1Amt>
        <Event2Nm>PRETZEL SANDWIC</Event2Nm>
        <GrossReceiptsEvent2Amt>5715</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>405</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>5310</GrossRevenueEvent2Amt>
        <FoodAndBeverageEvent2Amt>2160</FoodAndBeverageEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>5234</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>150</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>5084</GrossRevenueOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>3050</FoodAndBeverageOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>100</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>44719</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>30789</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>13930</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>3174</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>6695</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>801</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>10670</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>3260</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <StatesWhereGamingConductedCd>MD</StatesWhereGamingConductedCd>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc5">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHEN COETZEE</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>202915</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8089</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18360</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>229364</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TARA DELAUNEY</PersonNm>
        <TitleTxt>LPN NURSE MANAGER</TitleTxt>
        <BaseCompensationFilingOrgAmt>158341</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4727</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1166</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>164234</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>WE ARE COMMITTED TO ENHANCING THE LIVES OF SENIORS THROUGH CARING QUALITY SERVICES. WE ARE A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) WITH INDEPENDENT LIVING SERVICES, ASSISTED LIVING SERVICES, AND NURSING SERVICES. THE ORGANIZATION HAS 41 INDEPENDENT LIVING COTTAGES, 24 INDEPENDENT LIVING APARTMENTS, 50 ASSISTED LIVING BEDS, AND A 98 BED SKILLED NURSING FACILITY LOCATED IN BOONSBORO, MARYLAND. IN OCTOBER 2022, THE ORGANIZATION ACQUIRED COFFMAN NURSING HOME, INC. LOCATED IN HAGERSTOWN MARYLAND. COFFMAN IS A 59 BED FACILITY AND PROVIDES SKILLED NURSING CARE AND REHABILITATION SERVICES FOR RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OTHER SERVICES INCLUDE EXECUTIVE MANAGEMENT SERVICES, BUSINESS SUPPORT SERVICES, OTHER PATIENT CARE EXPENSES, DIETARY SERVICES, ADULT DAY CARE, AND PROPERTY SERVICES. EXPENSES BY PROGRAM ARE AS FOLLOWS: ROUTINE SERVICES - 5,215,913 CAPITAL AND PROPERTY SERVICES - 2,147,734 OTHER PATIENT CARE - 736,419 ADULT DAY CARE - 384,575 STAFF DEVELOPMENT - 126,052</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD MEETS SEMI-MONTHLY AND THE 990 INFORMATION IS PROVIDED AT THEIR NEXT MEETING AFTER THE 990 IS RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL ASSOCIATES ARE REQUIRED TO DISCLOSE TO THEIR SUPERVISOR/DEPARTMENT MANAGER/VICE PRESIDENT OF OPERATIONS ANY SITUATION WHICH MIGHT POSSIBLY CONSTITUTE A CONFLICT OF INTEREST. ANY SITUATION WHICH WOULD CREATE AN ACTUAL CONFLICT OF INTEREST OR THE APPEARANCE OF CONFLICT MUST BE AVOIDED. IF ANY SITUATION POSES DOUBT CONSULT WITH SUPERVISOR/DEPARTMENT MANAGER/VICE PRESIDENT OF OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS AND SUBMITTED IN A LETTER BY THE CHAIRMAN OF THE BOARD OF DIRECTORS TO THE ACCOUNTING DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION IN THE ACCOUNTING OFFICE AND THE CEO'S OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CONTRACT SERVICES 4,425,456 338,412 0 OTHER PROFESSIONAL SERVICES 13,089 479,256 0 TOTAL 4,438,545 817,668 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT RECOVERY NETTED AGAINST EXPENSE ON TAX RETURN 26,154 DIRECT FUNDRAISING EXPENSES 10,670 GAMING EXPENSES 2,913 DIRECT FUNDRAISING EXPENSES -10,670 BAD DEBT RECOVERY NET AGAINST EXPENSE ON TAX RETURN -26,154 GAMING EXPENSES -2,913</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>