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      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>135661</Total>
        <ManagementAndGeneral>135661</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>31566</Total>
        <ManagementAndGeneral>31566</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>QUALITY ASSURANCE FEE</Description>
        <Total>251127</Total>
        <ManagementAndGeneral>251127</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FOOD</Description>
        <Total>259819</Total>
        <ProgramServices>259819</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PURCHASED SERVICES</Description>
        <Total>302117</Total>
        <ProgramServices>298853</ProgramServices>
        <ManagementAndGeneral>3264</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>479211</Total>
        <ProgramServices>395165</ProgramServices>
        <ManagementAndGeneral>84046</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>49113</Total>
        <ProgramServices>7257</ProgramServices>
        <ManagementAndGeneral>41856</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>3853545</Total>
        <ProgramServices>2373035</ProgramServices>
        <ManagementAndGeneral>1480510</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>477700</BOY>
        <EOY>408221</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>233352</BOY>
        <EOY>234719</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>237604</BOY>
        <EOY>326376</EOY>
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      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>84201</BOY>
        <EOY>64650</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>9094</BOY>
        <EOY>15381</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>3541645</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1837118</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1641604</BOY>
        <EOY>1704527</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>76746</BOY>
        <EOY>95861</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>2760301</BOY>
        <EOY>2849735</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>293447</BOY>
        <EOY>255902</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>1545874</BOY>
        <EOY>1612709</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>4679</BOY>
        <EOY>7678</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1844000</BOY>
        <EOY>1876289</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>916301</BOY>
        <EOY>973446</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>916301</BOY>
        <EOY>973446</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>2760301</BOY>
        <EOY>2849735</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>57145</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="12000229" softwareVersion="2012v2.0">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>12018</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>58830</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1998</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>33984</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>74819</CurrentTaxYear>
        <Total>181649</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>3894016</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3844835</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4035635</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3624081</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3833314</CurrentTaxYear>
        <Total>19231881</Total>
      </GrossReceiptsFromAdmissions>
      <GrossReceiptsFromNonUBI>
        <Total>0</Total>
      </GrossReceiptsFromNonUBI>
      <TaxRevLeviedForOrgBenefit509>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit509>
      <ValueOfSvcsFcltsFurnishdByGovt>
        <Total>0</Total>
      </ValueOfSvcsFcltsFurnishdByGovt>
      <Total509>
        <CurrentTaxYearMinus4Years>3906034</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3903665</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4037633</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3658065</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3908133</CurrentTaxYear>
        <Total>19413530</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <PublicSupportTotal509>19413530</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>9051</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>6234</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4607</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3752</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2557</CurrentTaxYear>
        <Total>26201</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <Total>0</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>9051</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>6234</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4607</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3752</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2557</CurrentTaxYear>
        <Total>26201</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <Total>0</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>853</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>873</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3082</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>439</CurrentTaxYearMinus1Year>
        <Total>5247</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>3915938</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3910772</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4045322</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3662256</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3910690</CurrentTaxYear>
        <Total>19444978</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99840</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99790</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00130</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00180</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="12000229" softwareVersion="2012v2.0">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000229" softwareVersion="2012v2.0">
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>3541645</OtherCostOrOtherBasis>
        <Depreciation>1837118</Depreciation>
        <BookValue>1704527</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>1704527</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>7678</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>7678</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>3910690</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>3910690</RevenueSubtotal>
      <TotalRevenuePerForm990>3910690</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>3853545</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>3853545</ExpensesSubtotal>
      <TotalExpensesPerForm990>3853545</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS TAKEN AND HAS DETERMINED THAT THERE IS NO IMPACT ON THE NURSING HOME</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Governing docuements, policies, and financial statements are available upon request from the Office.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>NO REVIEW WAS OR WILL BE CONDUCTED</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>