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        <Desc>KESWICK ASSISTED LIVING - KESWICK PROVIDES AN INTIMATE AND HOME-LIKE SETTING FOR 23 RESIDENTS, UNDER THE CARE AND SUPERVISION OF A PROFESSIONAL NURSING STAFF. KESWICK OFFERS A BRAIN HEALTH PROGRAM THAT HELPS EACH RESIDENT IMPROVE BRAIN FUNCTION AND SHARPEN MEMORY BY INTEGRATING PHYSICAL AND EMOTIONAL WELLNESS, NUTRITION AND SOCIALIZATION. THROUGH INDIVIDUALIZED PLANS, KESWICK PROVIDES RESIDENTS WITH EDUCATIONAL OPPORTUNITIES AND ACTIVITIES CENTERED ON HEALTH, EXERCISE, STRESS MANAGEMENT, PERSONAL DEVELOPMENT AND SOCIAL INTERACTION. ADDITIONALLY, AS A RESIDENT'S NEEDS INCREASE, KESWICK CAN ALSO ASSIST WITH DAILY LIVING ACTIVITIES AND MEDICINE ADMINISTRATION AS WELL AS SPECIALIZED PROGRAMMING FOR MEMORY IMPAIRMENT AND/OR OTHER NEEDED THERAPIES. KESWICK CLOSED THIS SERVICE LINE IN JANUARY, 2017.</Desc>
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        <Desc>KESWICK ADULT DAY SERVICES IS AN ALTERNATIVE TO FULL-TIME NURSING CARE, AND PROVIDES A VITAL SENSE OF COMMUNITY TO SENIORS AND THEIR FAMILIES. THE PROGRAM RUNS DURING THE DAY WITH SENIORS RETURNING TO THEIR RESIDENCES IN THE EVENING. WHILE AT KESWICK, SENIORS RECEIVE HEALTHCARE SUPPORT SERVICES, GROUP INTERACTION AND COMPANIONSHIP, SKILL-BUILDING AND SKILL-ENHANCING ACTIVITIES AND SOCIAL OPPORTUNITIES BASED ON THEIR INDIVIDUALIZED INTERESTS, NEEDS AND ABILITIES. THE MONTESSORI APPROACH IS UTILIZED TO ENSURE EACH PERSON IS ENGAGED AND FEELING PRODUCTIVE. KESWICK'S ADULT DAY SERVICES MEETS THE NEEDS OF OLDER ADULTS WITH ALZHEIMER'S DISEASE AND OTHER TYPES OF MEMORY IMPAIRMENT, AS WELL AS SENIORS WITH PARKINSON'S DISEASE, COMPLICATIONS (SEE CONTINUATION ON SCHEDULE O)OF STROKE AND ADDITIONAL MEDICAL PROBLEMS THAT PREVENT THEM FROM BEING AT HOME ALONE DURING THE DAY ALLOWING THEM TO RECEIVE THE SUPPORT THEY NEED TO IMPROVE THEIR QUALITY OF LIFE. ADDITIONALLY, KESWICK ADULT DAY SERVICES PROVIDES SUPPORT TO THE CAREGIVER AS THEY WORK WITH THEIR LOVED ONE TO MANAGE AND ADDRESS THE ONGOING AND OFTEN ESCALATING NEEDS OF THE SENIOR THROUGH THE AGING PROCESS.</Desc>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH HOWSER</PersonNm>
        <TitleTxt>DIRECTOR OF HR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>124010</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19712</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON GENTILE</PersonNm>
        <TitleTxt>DIRECTOR OF CLINICAL REIMB.</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>121789</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13747</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEE JACKSON</PersonNm>
        <TitleTxt>DIRECTOR OF NURSING</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>119301</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18735</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLAIRE BRASWELL</PersonNm>
        <TitleTxt>CONTROLLER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>112415</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14356</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>967634</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>137151</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>13</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FLAGSHIP REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>157 BALTIMORE ST SUITE 200</AddressLine1Txt>
            <CityNm>CUMBERLAND</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21502</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>3068928</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIDINE CORPORATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1000 WASHINGTON ST SUITE 510</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02118</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICE</ServicesDesc>
        <CompensationAmt>1783573</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE NEWBERRY GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5650 MEXICO ROAD</AddressLine1Txt>
            <CityNm>SAINT PETERS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63376</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT CONSULTING</ServicesDesc>
        <CompensationAmt>351419</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AINSLEY &amp; CO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>720 S MONTFORD AVEUNUE SUITE 101</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21224</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MARKETING CONSULTANT</ServicesDesc>
        <CompensationAmt>176224</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MASTERS ELECTRIC INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>202 BLUM COURT</AddressLine1Txt>
            <CityNm>BEL AIR</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21014</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GENERAL CONTRACTING</ServicesDesc>
        <CompensationAmt>166746</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>4115550</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>59530</AllOtherContributionsAmt>
      <TotalContributionsAmt>4175080</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID PYMTS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>26018249</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26018249</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT FEES</Desc>
        <BusinessCd>541610</BusinessCd>
        <TotalRevenueColumnAmt>2065620</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>2065620</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SKILLED NURSING SERVICES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1011203</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1011203</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL ADULT DAY CARE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>319508</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>319508</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>KESWICK AT HOME FEES</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>223286</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>223286</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>66822</TotalRevenueColumnAmt>
        <ExclusionAmt>66822</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>29704688</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>151</TotalRevenueColumnAmt>
        <ExclusionAmt>151</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>77110</TotalRevenueColumnAmt>
        <ExclusionAmt>77110</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>77110</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>33957029</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27348960</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>2288906</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>144083</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>499514</TotalAmt>
        <ManagementAndGeneralAmt>499514</ManagementAndGeneralAmt>
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        <TotalAmt>16462856</TotalAmt>
        <ProgramServicesAmt>14718712</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1744144</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>841710</TotalAmt>
        <ProgramServicesAmt>717278</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124432</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2168327</TotalAmt>
        <ProgramServicesAmt>1818139</ProgramServicesAmt>
        <ManagementAndGeneralAmt>350188</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1196133</TotalAmt>
        <ProgramServicesAmt>1005791</ProgramServicesAmt>
        <ManagementAndGeneralAmt>190342</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>135121</TotalAmt>
        <ManagementAndGeneralAmt>135121</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>86587</TotalAmt>
        <ManagementAndGeneralAmt>86587</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>22178</TotalAmt>
        <ManagementAndGeneralAmt>22178</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>2740956</TotalAmt>
        <ProgramServicesAmt>2539613</ProgramServicesAmt>
        <ManagementAndGeneralAmt>201343</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>958839</TotalAmt>
        <ProgramServicesAmt>925702</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31998</ManagementAndGeneralAmt>
        <FundraisingAmt>1139</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>6678</TotalAmt>
        <ProgramServicesAmt>2923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3755</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>13864</TotalAmt>
        <ProgramServicesAmt>8103</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5761</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>463068</TotalAmt>
        <ProgramServicesAmt>447060</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15453</ManagementAndGeneralAmt>
        <FundraisingAmt>555</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2314857</TotalAmt>
        <ProgramServicesAmt>2234856</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77250</ManagementAndGeneralAmt>
        <FundraisingAmt>2751</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>399981</TotalAmt>
        <ProgramServicesAmt>386158</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13348</ManagementAndGeneralAmt>
        <FundraisingAmt>475</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT LABOR</Desc>
        <TotalAmt>5184117</TotalAmt>
        <ProgramServicesAmt>4870788</ProgramServicesAmt>
        <ManagementAndGeneralAmt>313013</ManagementAndGeneralAmt>
        <FundraisingAmt>316</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVIDER TAX</Desc>
        <TotalAmt>1420850</TotalAmt>
        <ProgramServicesAmt>1420850</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PENALTIES AND FEES</Desc>
        <TotalAmt>653133</TotalAmt>
        <ProgramServicesAmt>653133</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>371498</TotalAmt>
        <ProgramServicesAmt>371498</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>521211</TotalAmt>
        <ProgramServicesAmt>274757</ProgramServicesAmt>
        <ManagementAndGeneralAmt>246257</ManagementAndGeneralAmt>
        <FundraisingAmt>197</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>36461478</TotalAmt>
        <ProgramServicesAmt>32395361</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4060684</ManagementAndGeneralAmt>
        <FundraisingAmt>5433</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1332348</BOYAmt>
        <EOYAmt>1700122</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3334074</BOYAmt>
        <EOYAmt>2765876</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>267963</BOYAmt>
        <EOYAmt>232963</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>53830102</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>36360027</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>18791298</BOYAmt>
        <EOYAmt>17470075</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>82463</BOYAmt>
        <EOYAmt>64352</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>487348</BOYAmt>
        <EOYAmt>533377</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>24295494</BOYAmt>
        <EOYAmt>22766765</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1650482</BOYAmt>
        <EOYAmt>2856198</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>24014</BOYAmt>
        <EOYAmt>28105</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>11497585</BOYAmt>
        <EOYAmt>11443821</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>144949</BOYAmt>
        <EOYAmt>154954</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>11468152</BOYAmt>
        <EOYAmt>8350212</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>24785182</BOYAmt>
        <EOYAmt>22833290</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>-572349</BOYAmt>
        <EOYAmt>-152319</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>82661</BOYAmt>
        <EOYAmt>85794</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-489688</BOYAmt>
        <EOYAmt>-66525</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>24295494</BOYAmt>
        <EOYAmt>22766765</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-2504449</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>2927612</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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="RetDoc1040000001">
      <AgentTrusteeEtcInd>1</AgentTrusteeEtcInd>
      <BeginningBalanceAmt>34951</BeginningBalanceAmt>
      <AdditionsDuringYearAmt>669665</AdditionsDuringYearAmt>
      <DistributionsDuringYearAmt>668444</DistributionsDuringYearAmt>
      <EndingBalanceAmt>36172</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>0</InclEscrowCustodialAcctLiabInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>82661</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>3133</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>85794</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>-8267</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>82661</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>94236</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-3308</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>90928</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>83770</BeginningYearBalanceAmt>
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        <EndYearBalanceAmt>94236</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>5389</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>83770</EndYearBalanceAmt>
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      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>42900105</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>28272052</DepreciationAmt>
        <BookValueAmt>14628053</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>9850617</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7310104</DepreciationAmt>
        <BookValueAmt>2540513</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1079380</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>777871</DepreciationAmt>
        <BookValueAmt>301509</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>17470075</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <Amt>3317</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED SALARIES AND VACATION</Desc>
        <Amt>1242066</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <Amt>64352</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PENSION</Desc>
        <Amt>3304444</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTEREST RATE SWAP ARRANGEMENT</Desc>
        <Amt>1346517</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LOAN FROM AFFILIATE</Desc>
        <Amt>2389516</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>8350212</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>57316529</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>27475050</OtherRevenueAmt>
      <RevenueNotReportedAmt>27475050</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>29841479</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>4115550</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>4115550</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>33957029</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>37163650</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>702172</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>702172</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>36461478</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>36461478</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 1B:</FormAndLineReferenceDesc>
        <ExplanationTxt>KESWICK ACTS IN AN AGENCY CAPACITY REGARDING THE HOLDING OF PATIENT CASH FUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>KESWICK'S ENDOWMENT FUND IS COMPRISED OF A BENEFICIAL INTEREST IN A TRUST. THE INCOME FROM THE TRUST IS TO BE USED FOR THE BENEFIT OF ONE OR MORE RESIDENTS OF KESWICK MULTI-CARE'S LONG TERM CARE FACILITY WHO ARE UNABLE TO PAY FOR ALL OR A PORTION OF THE COSTS OF CARE AND WHO DO NOT QUALIFY FOR STATE ASSISTANCE -- $85,794</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAD NO LIABILITY FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S FEDERAL AND STATE TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE IRS AND STATE TAX AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THE RETURNS ARE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED PARTY UNREALIZED GAIN 18,591,562. CHANGE IN BENEFICIAL INT IN IRREV TRUST 3,133. RELATED PARTY REVENUE 6,787,094. DECREASE IN PENSION LIABILITY 2,032,107. KCH 61,154.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED PARTY CONTRIBUTIONS ELIMINATED 4,115,550.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSE OF RELATED ENTITY IN CONS. AUDIT 1,500,951. CHANGE IN INTEREST RATE SWAP -892,372. EXPENSE OF RELATED ENTITY IN CONS. AUDIT 93,593.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARMEL ROQUES</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>187524</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12578</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14851</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>214953</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC TURNBAUGH</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>161602</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10618</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18339</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>190559</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES WARNER</PersonNm>
        <TitleTxt>EXECUTIVE DIR.</TitleTxt>
        <BaseCompensationFilingOrgAmt>140993</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7501</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6714</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>155208</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT: MARY JEAN HERRON - $16,913</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART III, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS QUESTION IS NOT APPLICABLE AS THE ORGANIZATION DOES NOT HAVE ANY NONQUALIFIED BONDS OF THE ISSUANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS QUESTION IS NOT APPLICABLE AS ARBITRAGE IS NOT APPLICABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MARYLAND HEALTH &amp; HIGHER</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>520936091</BondIssuerEIN>
        <CUSIPNum>574217G41</CUSIPNum>
        <BondIssuedDt>2007-08-09</BondIssuedDt>
        <IssuePriceAmt>11520000</IssuePriceAmt>
        <PurposeDesc>TO REFINANCE COSTS OF ACQUISITION</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>11520000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>146863</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>19000</CreditEnhancementAmt>
        <OtherSpentProceedsAmt>11354137</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2006</SubstantialCompletionYr>
        <CurrentRefundingInd>0</CurrentRefundingInd>
        <AdvanceRefundingInd>1</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>1</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.03600</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.03600</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART III, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS QUESTION IS NOT APPLICABLE AS THE ORGANIZATION DOES NOT HAVE ANY NONQUALIFIED BONDS OF THE ISSUANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS QUESTION IS NOT APPLICABLE AS ARBITRAGE IS NOT APPLICABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CLOSED ITS MEMORY CARE ASSISTED LIVING UNIT IN JANUARY 2017 AND NO LONGER PROVIDES THIS SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR ALL BOARD MEMBERS AND EMPLOYEES MUST SIGN OFF THAT THEY RECEIVED, READ, UNDERSTAND AND WILL COMPLY WITH THE CONFLICT OF INTEREST POLICY. IF AN ISSUE ARISES IT IS PRESENTED AT THE GOVERNING BOARD OR COMMITTEE MEETING AND A DECISION IS MADE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE CEO, TOP MANAGEMENT OFFICIALS AND OFFICERS AND OTHER KEY EMPLOYEES ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. COMPARABLE DATA FROM AVAILABLE SOURCES, SUCH AS THE FORM 990 OF OTHER ORGANIZATIONS AND COMPENSATION STUDIES, ARE USED TO ASSESS THE APPROPRIATE COMPENSATION RANGES OF THESE POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FOR REVIEW BY THE PUBLIC UPON RECEIPT OF A WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN BENEFICIAL INT IN IRREV TRUST 3,133. DECREASE IN MINIMUM PENSION LIABILITY 2,032,107. DECREASE IN THE VALUE OF INTEREST RATE SWAP 892,372.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS NO CHANGE IN THE AUDIT COMMITTEE PROCESS FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KESWICK AT HOME LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>700 W 40TH STREET</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21211</ZIPCd>
        </USAddress>
        <EIN>205872464</EIN>
        <PrimaryActivitiesTxt>IN HOME NURSING CARE AIDS AND CARE MGMT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <TotalIncomeAmt>-3409</TotalIncomeAmt>
        <EndOfYearAssetsAmt>38659</EndOfYearAssetsAmt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KESWICK MANAGEMENT LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>700 W 40TH STREET</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21211</ZIPCd>
        </USAddress>
        <EIN>205872391</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <TotalIncomeAmt>61609</TotalIncomeAmt>
        <EndOfYearAssetsAmt>228086</EndOfYearAssetsAmt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KESWICK FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>700 W 40TH STREET</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21211</ZIPCd>
        </USAddress>
        <EIN>521066144</EIN>
        <PrimaryActivitiesTxt>TO MANAGE FUNDS FOR RESIDENT BENEFITS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(3)</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KESWICK COMMUNITY HEALTH INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>700 W 40TH STREET</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21211</ZIPCd>
        </USAddress>
        <EIN>810877455</EIN>
        <PrimaryActivitiesTxt>TO PROVIDE COMMUNITY BASED SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(3)</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>KESWICK FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>4115550</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>KESWICK FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>2389516</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>