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        <PersonNm>MICHAEL SULHAN</PersonNm>
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        <PersonNm>JEFFREY WEATHERHEAD</PersonNm>
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        <PersonNm>YVETTE PORTERFIELD</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VERONICA CALDERON</PersonNm>
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        <PersonNm>ERIN BARBEE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARILYN KATHLENE HENDRICK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CALLIE VANESA BAKER</PersonNm>
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      <TotalOtherCompensationAmt>42101</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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          <USAddress>
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      <ContractorCompensationGrp>
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            <BusinessNameLine1Txt>SELECT REHABILITATION</BusinessNameLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <GrossAmountSalesAssetsGrp>
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        <CurrentTaxYearMinus1YearAmt>729737</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>598445</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>28908088</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>31628850</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>31662256</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>37033900</CurrentTaxYearAmt>
        <TotalAmt>158357440</TotalAmt>
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      <PublicSupportCY509Pct>0.98020</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98030</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01850</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01890</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>1338542</BeginningYearBalanceAmt>
        <ContributionsAmt>342283</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2209</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>1683034</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
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        <ContributionsAmt>68356</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2455</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>65847</OtherExpendituresAmt>
        <EndYearBalanceAmt>1338542</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>1327887</BeginningYearBalanceAmt>
        <ContributionsAmt>69646</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3297</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>67252</OtherExpendituresAmt>
        <EndYearBalanceAmt>1333578</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
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        <BeginningYearBalanceAmt>1317082</BeginningYearBalanceAmt>
        <ContributionsAmt>97456</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>4356</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>91007</OtherExpendituresAmt>
        <EndYearBalanceAmt>1327887</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>1309688</BeginningYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>5229</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>1317082</EndYearBalanceAmt>
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      <BoardDesignatedBalanceEOYPct>0.61700</BoardDesignatedBalanceEOYPct>
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      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
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        <BookValueAmt>3546305</BookValueAmt>
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        <DepreciationAmt>51737640</DepreciationAmt>
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        <OtherCostOrOtherBasisAmt>36968466</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4251553</DepreciationAmt>
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        <BookValueAmt>2068758</BookValueAmt>
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      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>COMMONFUND CONTINGENT ASSET PORTFOLIO</Desc>
        <BookValueAmt>396858</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>COMMONFUND MULTI-STRATEGY EQUITY INVESTORS</Desc>
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      <OtherSecuritiesGrp>
        <Desc>COMMONFUND MULTI-STRATEGY BOND INVESTORS</Desc>
        <BookValueAmt>5406476</BookValueAmt>
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      <OtherSecuritiesGrp>
        <Desc>ALTERNATIVE INVESTMENTS</Desc>
        <BookValueAmt>3687</BookValueAmt>
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      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>DESIGNATED FOR STATUTORY OPERATING RESERVE</Desc>
        <BookValueAmt>8675045</BookValueAmt>
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      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>HELD UNDER BOND AGREEMENT</Desc>
        <BookValueAmt>11979860</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>BOARD DESIGNATED</Desc>
        <BookValueAmt>1038418</BookValueAmt>
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      <OtherSecuritiesGrp>
        <Desc>DONOR RESTRICTED</Desc>
        <BookValueAmt>845212</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>36259075</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ENTRANCE FEES</Desc>
        <Amt>33898311</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>33898311</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES ENDOWMENT FUNDS TOWARDS VARIOUS DONOR DESIGNATED PURPOSES INCLUDING FINANCIAL ASSISTANCE TO RESIDENTS UNABLE TO PAY AND EMPLOYEE TRAINING.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <TaxExemptBondsProceedsGrp>
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      <ProceduresCorrectiveActionGrp>
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        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ALDERSGATE AT HOME WAS BROKEN OUT FROM BEING A DEPARTMENT TO A SEPARATE LEGAL ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 WILL INITIALLY BE REVIEWED BY THE CONTROLLER AND CFO, CONFIRMING ALL DATA AND FINANCIAL INFORMATION MATCH OUR RECORDS. UPON APPROVAL FROM THE CFO, THE 990 WILL BE PRESENTED TO THE CEO AND THE BOARD FOR THEIR REVIEW AND COMMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MEMBERS OF THE BOARD OF DIRECTORS ARE COVERED AND SIGN THE CONFLICT OF INTEREST POLICY. ITEMS THAT REPRESENT MAJOR EXPENDITURES ARE SUBJECT TO A BID PROCESS WHERE THE LOWEST COST PROVIDER OF THE DESIRED SERVICE IS GENERALLY SELECTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES (INCLUDING KEY EMPLOYEES) IN THE COMPARE ARE COMPARED PERIODICALLY TO WAGE DATA THAT IS DEVELOPED INDEPENDENTLY THROUGH A LOCAL EMPLOYERS ASSOCIATION. THE WAGES ARE REVIEWED TO SEE THAT THEY ARE COMPETITIVE IN THE LOCAL MARKET. THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS APPROVED BY THE BOARD OF DIRECTORS ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AUDITED FINANCIAL STATEMENTS ARE FILED ANNUALLY WITH THE NORTH CAROLINA DEPARTMENT OF INSURANCE AND PUBLISHED ON ITS WEBSITE. THEY ARE ALSO PRINTED ANNUALLY IN STATUTORILY REQUIRED DISCLOSURE STATEMENTS WHICH ARE AVAILABLE TO THE PUBLIC. ARTICLES OF INCORPORATION ARE AVAILABLE ONLINE AT THE NORTH CAROLINA SECRETARY OF STATE WEBSITE. THE CONFLICTS OF INTEREST POLICY IS AVAILABLE FOR EXAMINATION UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN TEMPORARY RESTRICTED NET ASSETS -277,097.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS ESTABLISHED ITS AUDIT COMMITTEE TO ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALDERSGATE HOLDINGS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3800 SHAMROCK DR</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28215</ZIPCd>
        </USAddress>
        <EIN>475163378</EIN>
        <PrimaryActivitiesTxt>LAND INVESTMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALDERSGATE LIFE PLAN SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3800 SHAMROCK DR</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28215</ZIPCd>
        </USAddress>
        <EIN>812698156</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALDERSGATE AT SHARON INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3800 SHAMROCK DR</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28215</ZIPCd>
        </USAddress>
        <EIN>812672298</EIN>
        <PrimaryActivitiesTxt>SENIOR LIVING SERVICES (INACTIVE)</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALDERSGATE AT SHALOM PARK INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3800 SHAMROCK DR</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28215</ZIPCd>
        </USAddress>
        <EIN>821000888</EIN>
        <PrimaryActivitiesTxt>SENIOR LIVING SERVICES (INACTIVE)</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ALDERSGATE AT HOME</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>312 FOREST KNOLL DR</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28215</ZIPCd>
        </USAddress>
        <EIN>812678570</EIN>
        <PrimaryActivitiesTxt>SENIOR LIVING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>1</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALDERSGATE AT HOME INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>100000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>VALUE OF LINE OF CR. GUARANTEED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>