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      <ContractorCompensationGrp>
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            <BusinessNameLine1Txt>CENTRAL PENNSYLVANIA INSTITUTE OF SCIENC</BusinessNameLine1Txt>
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      <TotalContributionsAmt>489273</TotalContributionsAmt>
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        <TotalRevenueColumnAmt>26328788</TotalRevenueColumnAmt>
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      <TotalProgramServiceRevenueAmt>26328788</TotalProgramServiceRevenueAmt>
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        <ExclusionAmt>77343</ExclusionAmt>
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        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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      <OtherRevenueTotalAmt>350</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <TotalAmt>180807</TotalAmt>
        <ProgramServicesAmt>128755</ProgramServicesAmt>
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        <TotalAmt>13939413</TotalAmt>
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        <ProgramServicesAmt>2183478</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>681858</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>103511</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>66789</ManagementAndGeneralAmt>
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        <TotalAmt>2582889</TotalAmt>
        <ProgramServicesAmt>2002211</ProgramServicesAmt>
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        <ProgramServicesAmt>888918</ProgramServicesAmt>
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        <ProgramServicesAmt>2721995</ProgramServicesAmt>
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        <ProgramServicesAmt>433789</ProgramServicesAmt>
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        <Desc>SUPPLIES</Desc>
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        <Desc>OTHER EXPENSES</Desc>
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        <ManagementAndGeneralAmt>140551</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>198942</TotalAmt>
        <ProgramServicesAmt>198942</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>119160</TotalAmt>
        <ProgramServicesAmt>119160</ProgramServicesAmt>
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        <TotalAmt>28805054</TotalAmt>
        <ProgramServicesAmt>26380106</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2424948</ManagementAndGeneralAmt>
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        <EOYAmt>4800000</EOYAmt>
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        <EOYAmt>84972</EOYAmt>
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        <EOYAmt>41839609</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>20664</EOYAmt>
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        <EOYAmt>3513859</EOYAmt>
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        <EOYAmt>45353468</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-1909300</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>7022806</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2024516</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>158559</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>489273</CurrentTaxYearAmt>
        <TotalAmt>13089958</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>7022806</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2024516</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>158559</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>489273</CurrentTaxYearAmt>
        <TotalAmt>13089958</TotalAmt>
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      <PublicSupportTotal170Amt>13089958</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>5278</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9031</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>37982</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>107476</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>77343</CurrentTaxYearAmt>
        <TotalAmt>237110</TotalAmt>
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        <CurrentTaxYearMinus4YearsAmt>50367</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>125944</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>32925</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>21</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>350</CurrentTaxYearAmt>
        <TotalAmt>209607</TotalAmt>
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      <GrossReceiptsRltdActivitiesAmt>106627589</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.96700</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2020 AMOUNT: $ 50,367. 2021 AMOUNT: $ 125,944. 2022 AMOUNT: $ 32,925. 2023 AMOUNT: $ 21. 2024 AMOUNT: $ 350.</ExplanationTxt>
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        <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>
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      <EndingBalanceAmt>127639</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>0</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>2114885</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2114885</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>34209186</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7181512</DepreciationAmt>
        <BookValueAmt>27027674</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3933520</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1430903</DepreciationAmt>
        <BookValueAmt>2502617</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4042388</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2021331</DepreciationAmt>
        <BookValueAmt>2021057</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1237922</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>958854</DepreciationAmt>
        <BookValueAmt>279068</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>33945301</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY SETTLEMENTS</Desc>
        <Amt>1133386</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1133386</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>26676148</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>-198942</OtherRevenueAmt>
      <RevenueNotReportedAmt>-198942</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>26875090</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>20664</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>20664</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>26895754</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>28606112</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>28606112</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>198942</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>198942</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>28805054</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AND IS RECOGNIZED AS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE COMMONWEALTH ACT OF MAY 5, 1933, KNOWN AS THE NONPROFIT ORGANIZATION LAW AND, ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. THE ORGANIZATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD APPLIED TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES ASSESSED, IF ANY, ARE ACCRUED AS INCOME TAX EXPENSE. THE ORGANIZATION HAS IDENTIFIED ITS TAX STATUS AS A TAX-EXEMPT ENTITY AS A TAX POSITION; HOWEVER, THE ORGANIZATION HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2021.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBT -198,942.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRIBUTIONS WITH DONOR RESTRICTIONS 20,664.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBTS 198,942.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A CONVENIENCE TO ITS RESIDENTS, CENTRE CARE WILL HOLD, IN TRUST, THE PERSONAL FUNDS OF ITS RESIDENTS ALLOWING THEM TO MAKE PERSONAL EXPENDITURES IN ACCORDANCE WITH THE DEPARTMENT OF HEALTH REGULATIONS. THE FUNDS ARE NOT ASSETS OF THE FACILITY, AND AS SUCH, ARE NOT INCLUDED IN FORM 990, PART X.</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <PersonNm>ANDREEA DANIELA KING</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15765</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3566</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>47533</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>187345</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIFFANY LEE DAYTON</PersonNm>
        <TitleTxt>LICENSED PRACTICAL NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>115324</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>11928</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>33362</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>160614</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART II:</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRE CARE ENTERED INTO A MANAGEMENT AGREEMENT WITH CHR CONSULTING SERVICES, INC, A THIRD PARTY MANAGEMENT COMPANY, UNDER WHICH IT REIMBURSES CHR FOR THE NURSING HOME ADMINISTRATOR'S ANNUAL SALARY, FRINGE BENEFITS, AND PAYROLL TAXES. ANDREW NAUGLE, AN OFFICER AND ADMINISTRATOR OF THE FACILITY, RECEIVED TOTAL COMPENSATION AND BENEFITS OF $180,807 IN 2024 FOR SERVICES PROVIDED TO CENTRE CARE.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRE CARE HAS ENGAGED THIRD PARTY MANAGEMENT COMPANY CHR CONSULTING SERVICES, INC. ("CHR") TO OVERSEE DAY-TO-DAY OPERATIONS. ANDREW NAUGLE, ADMINISTRATOR OF THE FACILITY, IS AN EMPLOYEE OF CHR. THEY ARE COMPENSATED BY CHR FOR SERVICES PROVIDED TO CENTRE CARE. DURING 2024, A TOTAL OF $180,807 IN COMPENSATION AND BENEFITS WAS PAID TO ANDREW FOR SERVICES PROVIDED TO CENTRE CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED IN DETAIL BY THE MANAGEMENT COMPANY AND THE CURRENT TREASURER OF THE ORGANIZATION AT THE TIME OF FILING, CURRENTLY CARL RAUP. THE MANAGEMENT HAS PROVIDED A "SHAREPOINT" SYSTEM ACCESS TO ALL FINANCIAL STATEMENTS, TAX RETURNS, OPERATING REPORTS, AND OTHER RELEVANT REPORTS. ALL MEMBERS OF THE BOARD HAVE ACCESS TO THIS SHAREPOINT SYSTEM IN ORDER TO REVIEW OR DOWNLOAD REPORTS OR DOCUMENTS. THE FORM 990 WILL BE POSTED ON SHAREPOINT AND MEMBERS WILL BE NOTIFIED OF ITS AVAILABILITY PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CODE OF CONDUCT AND CONFLICT OF INTEREST POLICIES TAKEN INTO CONSIDERATION IN EVALUATING AND AWARDING CONTRACTS; BOARD HAS ENGAGED THIRD PARTY MANAGEMENT COMPANY (CHR CONSULTING SERVICES "CHR") TO OVERSEE DAY-TO-DAY OPERATIONS, INCLUDING BIDS FOR CONTRACTS, AND THE MANAGEMENT COMPANY PROVIDES RECOMMENDATIONS TO THE BOARD FOR FINAL APPROVAL. CHRE PROVIDES ANNUAL TRAINING TO THE BOARD ON CORPORATE COMPLIANCE. THE COO OF CHR AND/OR RVP OF CHR, ALONG WITH ADMINISTRATOR ARE RESPONSIBLE FOR THE REVIEW AND MONITORING OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. DIRECTORS AND OFFICERS ARE REQUIRED TO SIGN OFF ON THE CODE OF CONDUCT AND CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>NO BOARD MEMBER OR OFFICER RECEIVES COMPENSATION FOR THEIR SERVICES. THE ADMINISTRATOR OF THE FACILITY IS AN EMPLOYEE OF THE MANAGEMENT COMPANY, WHICH ESTABLISHES PAY RATES FOR ADMINISTRATOR POSITIONS IN LINE WITH THE PENNSYLVANIA MARKET PLACE. CANDIDATES AND ASSOCIATED COMPENSATION ARE REVIEWED BY MANAGEMENT COMPANY WITH BOARD PRIOR TO HIRING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS WILL BE MADE AVAILABLE TO THE PUBLIC BASED UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 5 - COMPENSATION OF OFFICERS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REPORTED ON LINE 5 REPRESENTS THE REIMBURSEMENT PAID BY CENTRE CARE TO CHR CONSULTING SERVICES, INC, A THIRD-PARTY MANAGEMENT COMPANY, FOR THE NURSING HOME ADMINISTRATOR'S ANNUAL SALARY AND FRINGE BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>