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      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>false</AuditCommittee>
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        <CurrentTaxYearMinus1Year>1983</CurrentTaxYearMinus1Year>
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      <OtherAssets>
        <Description>DEPOSITS</Description>
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      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>PATIENT TRUST LIABILITY</Description>
        <Amount>350829</Amount>
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      <TotalOfAmounts>350829</TotalOfAmounts>
      <TotalRevenue>29989065</TotalRevenue>
      <TotalExpenses>29405533</TotalExpenses>
      <ExcessOrDeficitForYear>583532</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>583532</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>29989065</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>29989065</RevenueSubtotal>
      <TotalRevenuePerForm990>29989065</TotalRevenuePerForm990>
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      <ExpensesSubtotal>29405533</ExpensesSubtotal>
      <TotalExpensesPerForm990>29405533</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 - UNCERTAIN INCOME TAX POSITIONS</Identifier>
        <ReturnReference>SCHEDULE D PART XIV</ReturnReference>
        <Explanation>FOR THE YEARS ENDED JUNE 30, 2011 AND 2010, THE COMPANY DID NOT IDENTIFY ANY UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN ITS INFORMATION RETURN WHICH WOULD REQUIRE ADJUSTMENT TO OR DISCLOSURE IN ITS FINANCIAL STATEMENTS. IN ADDITION, THE COMPANY BELIEVES IT HAS NOT ENGAGED IN ANY ACTIVITIES FOR WHICH ITS TAX-EXEMPT STATUS WOULD NOT BE SUSTAINED UNDER INTERNAL REVENUE SERVICE EXAMINATION. THE COMPANY IS POTENTIALLY SUBJECT TO EXAMINATION FOR YEARS SUBSEQUENT TO JUNE 30, 2007.</Explanation>
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      <GeneralExplanation>
        <Identifier>FORM 990, PART VI</Identifier>
        <ReturnReference>SECTION A, LINE 3:</ReturnReference>
        <Explanation>ON MAY 1, 2009, RHA PENNSYLVANIA NURSING HOMES, INC. ENTERED INTO A MANAGEMENT AGREEMENT WITH RELIANT HEALTHCARE MANAGEMENT, INC. FOR OVERALL MANAGEMENT OF THE FACILITIES. THE MONTHLY MANAGEMENT FEE EQUAL TO THE GREATER OF $95,000 OR 5% OF NET REVENUES, WITH A MONTHLY MAXIMUM OF $190,000. THE AGREEMENT EXPIRES APRIL 30, 2014.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI</Identifier>
        <ReturnReference>SECTION B, LINE 11:</ReturnReference>
        <Explanation>THE DRAFT 990 IS EMAILED TO ALL DIRECTORS WITH A NOTE THAT IT WILL BE FILED ON A SPECIFIED DATE, SUBJECT TO ANY COMMENTS WHICH MAY BE MADE BY THE DIRECTORS. DIRECTORS ARE INSTRUCTED TO RAISE ANY ISSUES THEY ARE CONCERNED ABOUT IN THE 990 WITH THE ORGANIZATION'S COUNSEL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI</Identifier>
        <ReturnReference>SECTION B, LINE 12C:</ReturnReference>
        <Explanation>THE CONFLICT OF INTEREST POLICY IS REVIEWED WITH THE DIRECTORS ANNUALLY. The directors are each asked to fill out forms which ask if a conflict exists and to identify any potential conflicts which exist. If there are any potential issues that arise, they are brought to the attention of the whole board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI</Identifier>
        <ReturnReference>SECTION B, LINE 15:</ReturnReference>
        <Explanation>THE FOLLOWING DESCRIBES THE COMPENSATION POLICY FOLLOWED BY THE ORGANIZATION AND ITS SEVERAL EXEMPT RELATED ENTITIES WHICH CONTRIBUTE TO THE COMPENSATION OF THE ORGANIZATION'S DIRECTORS AND OFFICERS. THE PROCESS FOR DETERMINING COMPENSATION FOR THE PRESIDENT, CHAIRMAN, OFFICERS, AND DIRECTORS BEGINS WITH AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION CONSULTANT PREPARES A REPORT OF THE MARKET RATE OF COMPENSATION FOR EACH OF THE EXECUTIVE POSITIONS. THE REPORT IS THEN GIVEN TO THE COMPENSATION COMMITTEE WHICH, TOGETHER WITH THE SENIOR MANAGEMENT, EVALUATES THE PERFORMANCE OF THE EXECUTIVES AND THE ORGANIZATION. AFTER THIS, THE COMPENSATION COMMITTEE FORMULATES RECOMMENDATIONS TO THE BOARD OF DIRECTORS AS TO WHAT SHOULD BE THE APPROPRIATE LEVELS OF COMPENSATION. THE BOARD OF DIRECTORS THEN VOTES TO PASS A RESOLUTION ESTABLISHING THE LEVEL OF COMPENSATION. DIRECTORS WHOSE COMPENSATION IS BEING VOTED ON, OR WHOSE RELATIVES' COMPENSATION IS BEING VOTED ON, ARE EXCUSED FROM THE DELIBERATIONS AND DO NOT VOTE ON THEIR OWN OR THEIR RELATIVES' COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI</Identifier>
        <ReturnReference>SECTION C, LINE 19:</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
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      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Tony Sanchez TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Nathan B. Niles TITLE:Chairman HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Brian Davidson TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Edwin J. Schaffer TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Michael G. Curry TITLE:Board Member HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:TERRI MILSOP TITLE:Administrator HOURS:</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:DIANNE GATTORNO TITLE:Administrator HOURS:</Explanation>
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