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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
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      <PublicSupportTotal509Amt>74546059</PublicSupportTotal509Amt>
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      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <FactsAndCircumstancesTestTxt>Part III Section A Line 1 EXCLUDED UNUSUAL CONTRIBUTION OF 1,977,426.</FactsAndCircumstancesTestTxt>
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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      <PrmnntEndowmentBalanceEOYPct>0.03000</PrmnntEndowmentBalanceEOYPct>
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        <Desc>Closely-held equity interests</Desc>
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      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Other Liabilities Long Term Liabilities</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliates</Desc>
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        <PersonNm>James Nania</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF STRUCTURE OF MEMBERS- THE ORGANIZATION HAS ONE 1 MEMBER, HALLMARK HEALTH CORPORATION, THE PARENT CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>POWER TO ELECT BOARD MEMBERS - THE ORGANIZATIONS SOLE MEMBER THE PARENT CORPORATION ELECTS THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>APPROVAL POWER - THE ORGANIZATIONS SOLE MEMBER THE PARENT CORPORATION HAS APPROVAL POWER OVER ACTIONS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF 990- A COPY OF THE 990 IS GIVEN TO THE GOVERNING BODY FOR REVIEW PRIOR TO THE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT POLICY - ANNUALLY, THE PRESIDENT AND ONE OR MORE OF THE OFFICERS AND/OR DIRECTORS ARE GIVEN THE CONFLICT POLICY AND ARE REQUIRED TO COMPLETE A DISCLOSURE FORM THAT IS SUBMITTED TO THE OFFICE OF GENERAL COUNSEL FOR REVIEW. THE CONTENTS OF THE DISCLOSURE AND ACTIONS NECESSARY TO ADDRESS CONFLICTS ARE REVIEWED BY THE CHAIR OF THE PARENT CORPORATIONS GOVERNING BODY AND ITS PRESIDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15A 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION APPROVAL - ANNUALLY THE HUMAN RESOURCES COMMITTEE OF THE PARENT CORPORATION COMPRISED ON INDEPENDENT DIRECTORS REVIEWS THE COMPENSATION OF THE PRESIDENT AND MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM, USING DATA FROM INDEPENDENT THIRD PARTY EVALUATION OF COMPARABLE COMPENSATION DATA TO ASSESS AND SET THE COMPENSATION OF THE PRESIDENT AND THE EXECUTIVE LEADERSHIP TEAM. THE COMPENSATION IS PAID TO THE PRESIDENT AND THE EXECUTIVE LEADERSHIP BY RELATED CORPORATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC DISCLOSURE- DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE OFFICE OF THE GENERAL COUNSEL. THE ORGANIZATIONS RETURNS ARE ALSO AVAILABLE TO THE PUBLIC ON THE WEBSITE OF THE PUBLIC CHARITIES DIVISION OF MASSACHUSETTS ATTORNEY GENERAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC DISCLOSURE- DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE OFFICE OF THE GENERAL COUNSEL. THE ORGANIZATIONS FINANCIAL STATEMENTS SHOULD ALSO BE AVAILABLE TO THE PUBLIC ON THE WEBSITE OF THE PUBLIC CHARITIES DIVISION OF MASSACHUSETTS ATTORNEY GENERAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>TAX DIFFERENCE FROM RELATED INVESTMENTS PARTNERSHIP K-1.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Line 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>BOOK TAX DIFFERENCES FOR K1. PORTION OFF CONTRIBUTION ADDED TO RESTRICTED ENDOWMENT NOT RELEASED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL PURCHASED MEDICAL1,419,627 CONTRACT NURSING</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LM Long Term Care Services Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Savin Long Term Care Corp</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
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          <BusinessNameLine1Txt>HHC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Hallmark Health Properties Inc</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Hallmark Health Investments LLC</BusinessNameLine1Txt>
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        <EIN>020657666</EIN>
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        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
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        <PrimaryActivitiesTxt>Other Health Services</PrimaryActivitiesTxt>
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        <EntityTypeTxt>C Corp</EntityTypeTxt>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
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      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
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        <MethodOfAmountDeterminationTxt>Fair Market Value</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>Hallmark Health System Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>53210</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>