﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2010v3.7">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-05-10T11:38:46-05:00</Timestamp>
    <TaxPeriodEndDate>2011-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>CBIZ MHM LLC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>401 PLYMOUTH ROAD - STE 200</AddressLine1>
        <City>PLYMOUTH MEETING</City>
        <State>PA</State>
        <ZIPCode>19462</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>231896683</EIN>
      <Name>
        <BusinessNameLine1>Little Flower Manor</BusinessNameLine1>
      </Name>
      <NameControl>LITT</NameControl>
      <Phone>6105346007</Phone>
      <USAddress>
        <AddressLine1>1201 Springfield Road</AddressLine1>
        <City>Darby</City>
        <State>PA</State>
        <ZIPCode>190231115</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>ROSANNE GRAHAM</Name>
      <Title>ADMINISTRATOR</Title>
      <DateSigned>2012-05-15</DateSigned>
    </Officer>
    <Preparer>
      <Name>JOSEPH G SULLIVAN</Name>
      <Phone>6108622249</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="5">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <GrossReceipts>12418342</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>www.littleflowermanor.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1977</YearFormation>
      <StateLegalDomicile>PA</StateLegalDomicile>
      <ActivityOrMissionDescription>TO PROVIDE SKILLED AND INTERMEDIATE CARE TO RESIDENTS.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>3</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>3</NbrIndependentVotingMembers>
      <TotalNbrEmployees>265</TotalNbrEmployees>
      <TotalNbrVolunteers>20</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>59607</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>63782</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>10921071</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>11514764</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>208392</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>136997</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>55568</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>702799</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>11244638</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>12418342</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>7740921</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>7691730</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>3212523</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>3571670</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>10953444</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>11263400</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>291194</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>1154942</RevenuesLessExpensesCY>
      <TotalAssetsBOY>8406418</TotalAssetsBOY>
      <TotalAssetsEOY>9399063</TotalAssetsEOY>
      <TotalLiabilitiesBOY>3116147</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>2666357</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>5290271</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>6732706</NetAssetsOrFundBalancesEOY>
      <MissionDescription>TO PROVIDE SKILLED AND INTERMEDIATE CARE TO RESIDENTS.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>10049497</Expense>
      <Revenue>11514764</Revenue>
      <Description>PROVISION OF NURSING HOME &amp; INTERMEDIATE CARE TO RESIDENTS</Description>
      <TotalProgramServiceExpense>10049497</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="IRS990ScheduleD">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="IRS990ScheduleD">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="IRS990ScheduleD">false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity>false</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>false</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>18</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>265</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <ExcessBusinessHoldings>false</ExcessBusinessHoldings>
      <TaxableDistributions>false</TaxableDistributions>
      <DistributionToDonor>false</DistributionToDonor>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>3</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>3</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>false</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>false</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>PA</StatesWhereCopyOfReturnIsFiled>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>LITTLE FLOWER MANOR</NamePerson>
        <TelephoneNumber>6105346007</TelephoneNumber>
        <AddressUS>
          <AddressLine1>1201 SPRINGFIELD ROAD</AddressLine1>
          <City>DARBY</City>
          <State>PA</State>
          <ZIPCode>190231198</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>SR M MONICA KOSZTOLNYIK</NamePerson>
        <Title>CHAIRPERSON</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SR M CELINE RACHWAL</NamePerson>
        <Title>SECRETARY/TREASURER</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SR ROSEMARY HORVATH</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROSANNE GRAHAM</NamePerson>
        <Title>ADMINISTRATOR</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>131726</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>38644</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROSEMARY PORT</NamePerson>
        <Title>DIRECTOR OF NURSING</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>111717</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>18236</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>243443</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>56880</TotalOtherCompensation>
      <NumberIndividualsGT100K>2</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>MORRISON MANAGEMENT</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 102289</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>303682289</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>DIETARY MGMT SERVICE</DescriptionOfServices>
        <Compensation>669737</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>OMNICARE PHARMACY</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>100 RIVER CENTER BLVD</AddressLine1>
            <City>COVINGTON</City>
            <State>KY</State>
            <ZIPCode>41011</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHARMACY</DescriptionOfServices>
        <Compensation>452605</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>GULF SOUTH MEDICAL SUPPLIES</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 841968</AddressLine1>
            <City>DALLAS</City>
            <State>TX</State>
            <ZIPCode>75284</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SUPPLIES</DescriptionOfServices>
        <Compensation>241141</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>3</NumberOfContractorsGT100K>
      <AllOtherContributions>63782</AllOtherContributions>
      <TotalContributions>63782</TotalContributions>
      <ProgramServiceRevenue>
        <Description>RESIDENT SERVICES REVENUES</Description>
        <TotalRevenueColumn>11514764</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>11514764</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>11514764</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>136997</TotalRevenueColumn>
        <ExclusionAmount>136997</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>OTHER INCOME</Description>
        <TotalRevenueColumn>21220</TotalRevenueColumn>
        <ExclusionAmount>21220</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>PENSION RELATED CHANGES</Description>
        <TotalRevenueColumn>681579</TotalRevenueColumn>
        <ExclusionAmount>681579</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>702799</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>12418342</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>11514764</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>839796</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>245422</Total>
        <ProgramServices>218972</ProgramServices>
        <ManagementAndGeneral>26450</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>5985694</Total>
        <ProgramServices>5340590</ProgramServices>
        <ManagementAndGeneral>645104</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>24326</Total>
        <ProgramServices>21704</ProgramServices>
        <ManagementAndGeneral>2622</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>709160</Total>
        <ProgramServices>632731</ProgramServices>
        <ManagementAndGeneral>76429</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>727128</Total>
        <ProgramServices>648762</ProgramServices>
        <ManagementAndGeneral>78366</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>11785</Total>
        <ProgramServices>10515</ProgramServices>
        <ManagementAndGeneral>1270</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>39621</Total>
        <ProgramServices>35351</ProgramServices>
        <ManagementAndGeneral>4270</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>532963</Total>
        <ProgramServices>475523</ProgramServices>
        <ManagementAndGeneral>57440</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>16269</Total>
        <ProgramServices>14516</ProgramServices>
        <ManagementAndGeneral>1753</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>0</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>592706</Total>
        <ProgramServices>528828</ProgramServices>
        <ManagementAndGeneral>63878</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>183</Total>
        <ProgramServices>163</ProgramServices>
        <ManagementAndGeneral>20</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>11415</Total>
        <ProgramServices>10185</ProgramServices>
        <ManagementAndGeneral>1230</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>369211</Total>
        <ProgramServices>329420</ProgramServices>
        <ManagementAndGeneral>39791</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>142306</Total>
        <ProgramServices>126969</ProgramServices>
        <ManagementAndGeneral>15337</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>1485056</Total>
        <ProgramServices>1325005</ProgramServices>
        <ManagementAndGeneral>160051</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES &amp; SUBSCRIPTIONS</Description>
        <Total>34658</Total>
        <ProgramServices>30923</ProgramServices>
        <ManagementAndGeneral>3735</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISC RESIDENT CARE EXPENSES</Description>
        <Total>38313</Total>
        <ProgramServices>34184</ProgramServices>
        <ManagementAndGeneral>4129</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISC G&amp;A EXPENSES</Description>
        <Total>180053</Total>
        <ProgramServices>160648</ProgramServices>
        <ManagementAndGeneral>19405</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBTS</Description>
        <Total>108832</Total>
        <ProgramServices>97103</ProgramServices>
        <ManagementAndGeneral>11729</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>8299</Total>
        <ProgramServices>7405</ProgramServices>
        <ManagementAndGeneral>894</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>11263400</Total>
        <ProgramServices>10049497</ProgramServices>
        <ManagementAndGeneral>1213903</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>962</BOY>
        <EOY>162</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1495553</BOY>
        <EOY>2230962</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>952778</BOY>
        <EOY>1121736</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>275988</BOY>
        <EOY>247029</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>7700827</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>5012358</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2877192</BOY>
        <EOY>2688469</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>2803945</BOY>
        <EOY>3110705</EOY>
      </InvestmentsPubTradedSecurities>
      <TotalAssets>
        <BOY>8406418</BOY>
        <EOY>9399063</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>3046942</BOY>
        <EOY>1900272</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>69205</BOY>
        <EOY>766085</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>3116147</BOY>
        <EOY>2666357</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>5290271</BOY>
        <EOY>6732706</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>5290271</BOY>
        <EOY>6732706</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>8406418</BOY>
        <EOY>9399063</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>1154942</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>287493</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>37824</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>61639</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>64547</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>59607</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>63782</CurrentTaxYear>
        <Total>287399</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>9996908</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>10584227</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>11129563</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>10921071</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11514764</CurrentTaxYear>
        <Total>54146533</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>10034732</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>10645866</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>11194110</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>10980678</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>11578546</CurrentTaxYear>
        <Total>54433932</Total>
      </Total509>
      <PublicSupportTotal509>54433932</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>119460</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>117651</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>109938</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>90138</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>136997</CurrentTaxYear>
        <Total>574184</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>119460</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>117651</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>109938</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>90138</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>136997</CurrentTaxYear>
        <Total>574184</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>15791</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>10288</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>50947</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>55568</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>702799</CurrentTaxYear>
        <Total>835393</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>10169983</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>10773805</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>11354995</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>11126384</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12418342</CurrentTaxYear>
        <Total>55843509</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.97476</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98694</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01028</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01030</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land />
      <Buildings>
        <OtherCostOrOtherBasis>5022444</OtherCostOrOtherBasis>
        <Depreciation>3442695</Depreciation>
        <BookValue>1579749</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>147819</OtherCostOrOtherBasis>
        <Depreciation>63378</Depreciation>
        <BookValue>84441</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2530564</OtherCostOrOtherBasis>
        <Depreciation>1506285</Depreciation>
        <BookValue>1024279</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>2688469</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>RESIDENT ESCROW FUNDS</Description>
        <Amount>61396</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ESTIMATED THIRD PARTY SETTLEMENTS</Description>
        <Amount>704689</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>766085</TotalOfAmounts>
      <TotalRevenue>12418342</TotalRevenue>
      <TotalExpenses>11263400</TotalExpenses>
      <ExcessOrDeficitForYear>1154942</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>287493</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>287493</TotalAdjustments>
      <ExcessOrDeficitPerFS>1442435</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>12705835</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>287493</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>287493</RevenueNotRptdF990>
      <RevenueSubtotal>12418342</RevenueSubtotal>
      <TotalRevenuePerForm990>12418342</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>11263400</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>11263400</ExpensesSubtotal>
      <TotalExpensesPerForm990>11263400</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>UNCERTAIN TAX PROVISION</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>LITTLE FLOWER MANOR IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND STATE INCOME TAXES UNDER THE COMMONEWEALTH OF PENNSYLVANIA NONPROFIT CORPORATION LAW OF 1933. LITTLE FLOWER MANOR HAS IDENITIFIED ITS TAX STATUS AS A TAX-EXEMPT ENTITY AS A TAX POSITION, HOWEVER, THE ORGANIZATION HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <Form990ScheduleJPartII>
        <NamePerson>ROSANNE GRAHAM</NamePerson>
        <BaseCompensationFilingOrg>131726</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>5269</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>33375</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>170370</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>DISCLOSURE OF POLICY &amp; FINANCIAL INFORMATION TO THE PUBLIC</Identifier>
        <ReturnReference>PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION WILL PROVIDE, IN-PERSON, VERBAL OR WRITTEN REQUEST, DOCUMENTS RELATING TO THE GOVERNANCE, CONFLICTS OF INTEREST AND FINANCIAL STATEMENTS TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW PROCESS OF FROM 990 PRIOR TO FILING</Identifier>
        <ReturnReference>PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 IS SENT VIA FEDERAL EXPRESS OVERNIGHT TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING THE RETURN WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DETERMINATION OF COMPENSATION FOR OFFICERS, DIRECTORS, KEY EMPLOYEES, ETC.</Identifier>
        <ReturnReference>PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE ORGANIZATION USES THE "PANPHA" SALARY STUDY AND ANALYZES COMPARATIVE DATA IN DETERMINING THE COMPENSATION OF OFFICERS, DIRECTORS, AND KEY EMPLOYEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>PART VI, SECTION B, LINE 12</ReturnReference>
        <Explanation>LITTLE FLOWER MANOR IS COMMITTED TO THE AGGRESSIVE MONITORING OF COMPLIANCE WITH ITS POLICIES. MUCH OF THIS MONITORING IS PROVIDED BY THE QI IMPROVEMENT COMMITTEE, WHICH ROUTINELY CONDUCTS INTERNAL AUDITS OF ISSUES THAT HAVE REGULATORY OR COMPLIANCE IMPLICATIONS. ADDITIONAL AUDITS WILL BE CONDUCTED BY THE CORPORATE COMPLIANCE COMMITTEE WHEN DETERMINED TO BE NECESSARY. THE ORGANIZATION ALSO ROUTINELY SEEKS OTHER MEANS OF ENSURING AND DEMONSTRATING COMPLIANCE WITH LAWS, REGULATIONS AND LITTLE FLOWER MANOR'S POLICIES.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>